Oxigenoterapia hiperbárica en pacientes con heridas crónicas en el Hospital Alcívar desde enero del 2013 hasta enero del 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Las heridas crónicas causan una carga financiera y social significativa a nivel mundial , constituyen uno de los más importantes problemas que afectan al sistema de salud por la disminución de la calidad de vida de quien la padece y de sus cuidadores. (18) Los efectos fisiológicos de la oxigenoterapia en las heridas incluyen la activación de células inmunitarias , cambios en la producción de citokinas y regulación en los mediadores inflamatorios y bactericidas. El oxígeno hiperbárico desarrolla la cicatrización , en particular para las úlceras de pie diabético. (25) Por medio de éste estudio retrospectivo , observacional y de corte transversal se demostró el impacto positivo del uso del oxígeno hiperbárico en las heridas crónicas en los pacientes que se sometieron a oxigenoterapia hiperbárica en el Hospital Alcivar en enero del 2013 a enero del 2014 ; en el que se obtuvo como resultado que 66% de pacientes se encontraban en la etapa de reepitelización y 32 % estaban en etapa de angiogénesis , ambas etapas corresponden a la fase proliferativa de cicatrización lo cual indica que egresaron en vías de curación. De esta forma de demostró el impacto positivo de este tratamiento.
Chronic wounds cause a significant financial and social burden worldwide , they are one of the most important problems facing the health system by decreasing the quality of life of sufferers and their caregivers. (18) The physiological effects of oxygen treatment on wound tissue include activation of immune cells, changes in cytokine production, and modulation of inflammatory and bactericidal mediators. Hyperbaric oxygen improve healing, in particular for diabetic foot ulcers. (25) Through this retrospective, observational and cross-sectional study the positive impact of the use of hyperbaric oxygen in chronic wounds was demonstrated in patients which were undergoing hyperbaric oxygen therapy at Alcivar Hospital in January 2013 to January 2014; in which the result was that 66% of patients were in re-epithelialization stage and 32% was angiogenesis stage, both stages correspond to the proliferative phase of healing indicating that discharged in the process of healing. In this way it demonstrated the positive impact of this treatment.
Chronic wounds cause a significant financial and social burden worldwide , they are one of the most important problems facing the health system by decreasing the quality of life of sufferers and their caregivers. (18) The physiological effects of oxygen treatment on wound tissue include activation of immune cells, changes in cytokine production, and modulation of inflammatory and bactericidal mediators. Hyperbaric oxygen improve healing, in particular for diabetic foot ulcers. (25) Through this retrospective, observational and cross-sectional study the positive impact of the use of hyperbaric oxygen in chronic wounds was demonstrated in patients which were undergoing hyperbaric oxygen therapy at Alcivar Hospital in January 2013 to January 2014; in which the result was that 66% of patients were in re-epithelialization stage and 32% was angiogenesis stage, both stages correspond to the proliferative phase of healing indicating that discharged in the process of healing. In this way it demonstrated the positive impact of this treatment.
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Oxigenación hiperbárica, Hospital Alcívar, Heridas y lesiones, Terapia por inhalación de oxígeno, Cantón Guayaquil, Ecuador