Adjuvant Hyperbaric Oxygen Therapy in the Treatment of Chronic Refractory Osteomyelitis: A Preliminary Report

高壓氧用於慢性骨髓炎輔助治療之初步報告

陳正穎(Chen-Yin Chen) ； 林國平(Gow-Pyng Lin) ； 盧昇宏(Shan-Hong Lu) ； 陳俞志(Yu-Ji Chen) ； 賴業超(Yeh-Chau Lai) ； 羅景易(Jiing-Yih Lou) ； 蘇清泉(Ching-Chyuan Su)

《東港安泰醫護雜誌》 10卷4期 (2004/12) Pp. 192-202

https://doi.org/10.7078/TSMHMNJ.200412.0192

摘要

目的：
慢性骨髓炎常對內科及外科療法反應不良，高壓氧被證實可促進骨骼及軟組織的癒合，本篇文章為高壓氧用於慢性骨髓炎輔助治療之初步報告。
材料與方法：
分析十位慢性骨髓炎之病人，除了接受內科及外科療法外也使用高壓氧輔助治療之成效。
結果：
高壓氧輔助治療平均二十四次，有八位病人治療成功，平均治療時間四十一天，本報告的結果和其他研究結果相近。
討論：
對內科及外科療法反應不良慢性骨髓炎病人，高壓氧可作為有效之輔助治療。

關鍵字

慢性骨髓炎 ； 高壓氧

並列摘要

Background:
Refractory osteomyelitis is a serious disease that fails to respond to aggressive medical and surgical treatments. Hyperbaric oxygen therapy has been proved to enhance bone and soft tissue healing in many studies. This article presents the preliminary result of hyperbaric oxygen therapy in patients with chronic refractory osteomyelitis.
Materials and methods:
Ten patients who were diagnosed with chronic refractory osteomyelitis were treated prospectively with adjunctive hyperbaric oxygen therapy in addition to aggressive surgical debridement and antibiotic treatments.
Results:
The hyperbaric oxygen therapy averaged 24 daily sessions. Successful treatment was achieved in 8 patients (80%). The mean length of treatment was 41 days. The preliminary results are comparable with other sudies.
Conclusion:
Hyperbaric oxygen therapy is effective as an adjunction to aggressive medical and surgical treatments in chronic refractory osteomyelitis.

並列關鍵字

Chronic refractory osteomyelitis ； Hyperbaric oxygen therapy