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Ozone therapy as an alternative method for the treatment of diabetic foot ulcer: a case report

机译:臭氧疗法作为治疗糖尿病足溃疡的替代方法:案例报告

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摘要

Abstract Background Diabetic foot ulcer (DFU) is one of the most important complications of diabetes that can lead to amputation. Treatment of DFUs is a major challenge and places a heavy economic and social burden on patients and their families. Case presentation The present case report is of a 52-year-old kurdish male patient with a 7-year history of type 2 diabetes. While on a bike ride, he sustained a traumatic injury to his right leg, which caused a deep gash measuring 14 × 5 cm on the tibia. During the hospital stay, no improvement was observed after routine wound care including suturing, antibiotic therapy, and dressing change. The patient was referred to our wound-care team. In the first step, the necrotic tissues of his foot ulcer were irrigated and then debrided using mechanical debridement and saline. Next, the patient underwent a 70 μg/dL dose of ozone therapy over a 30-day period in 10 sessions (one 20-minute session every 3 days). Between each session, the patient's wound was wrapped in silver-containing gauze bandages. After 1 month of wound-care using ozone therapy, the patient's foot ulcer had healed and he was discharged from our wound-care service with a stable and good general condition. Conclusion Considering the effectiveness of ozone therapy along with silver-containing dressing in the treatment of DFUs, wound-care teams can utilize it as an adjunct to the standard methods of DFU treatment.
机译:摘要背景糖尿病脚溃疡(DFU)是糖尿病最重要的并发症之一,可以导致截肢。 DFU的治疗是一项重大挑战,并对患者及其家人造成繁重的经济和社会负担。案例介绍本案例报告是一名52岁的库尔德男性患者,具有2型糖尿病的7年历史。在骑自行车骑行时,他对他的右腿造成了创伤性伤害,这导致胫骨上的14×5厘米的深刻伤口。在住院期间,在常规伤口护理后没有观察到任何改善,包括缝合,抗生素治疗和敷料变化。患者被提交给我们的伤口护理团队。在第一步中,灌溉他的脚溃疡的坏死组织,然后使用机械清创盐和盐水划注。接下来,患者在10个课程的30天期间接受了70μg/ dL剂量的臭氧疗法(每3天每3天一次)。在每个会议之间,患者的伤口被包裹在含银纱布绷带中。在使用臭氧疗法1个月的伤口护理后,患者的脚溃疡愈合,他从我们的伤口护理服务中排出,稳定而良好的一般情况。结论考虑到臭氧治疗的有效性以及含银的敷料治疗DFU,伤口护理团队可以用它作为DFU治疗标准方法的辅助。

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