Hyperbaric oxygen therapy: A physiological approach to selected problem wound healing

被引:0
|
作者
Boykin, JV [1 ]
机构
[1] METROPOLITAN HOSP, CTR HYPERBAR MED PROBLEM WOUND, RICHMOND, VA USA
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暂无
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Hyperbaric oxygen (HBO) therapy has been clinically demonstrated to significantly (p < 0.05) accelerate the healing of chronic wounds. HBO also inhibits activated neutrophil-endothelial adhesions which may lead to secondary oxygen free radical (OFR) production. Combined with recombinant platelet-derived growth factor (PDGF-BB) treatment, HBO significantly shortens ischemic ulcer healing as compared to either HBO or PDGF-BB treatment alone and upregulates PDGF-BB receptor mRNA activity. A review of the physiologic processes modified by HBO that may be responsible for accelerated and improved wound healing will be outlined. A clinical algorithm for transcutaneous oxygen monitoring (TCOM), patient evaluation, and HBO treatment will be discussed.
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页码:183 / 198
页数:16
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