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病例报告:富血小板血浆(PRP)在治疗糖尿病足中的应用:病例系列及文献回顾。

Case report: The use of PRP in the treatment of diabetic foot: case series and a review of the literature.

机构信息

Department of Surgery "Pietro Valdoni", Policlinico "Umberto I", Sapienza University of Rome, Rome, RM, Italy.

Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

Front Endocrinol (Lausanne). 2023 Dec 18;14:1286907. doi: 10.3389/fendo.2023.1286907. eCollection 2023.

Abstract

BACKGROUND

Diabetes mellitus is a prevalent chronic condition that significantly impacts global health. Diabetic foot complications, such as foot ulcers, pose a substantial burden on individuals with diabetes and can lead to serious consequences, including amputation. Platelet-rich plasma (PRP) has emerged as a promising therapeutic approach for enhancing the healing of diabetic foot ulcers.

METHODS

In our study, we treated 12 patients with chronic diabetic ulcers using PRP injections administered at three-week intervals. Our objective was to assess the reduction in wound size and the rate of complete healing at 6 months after the start of the treatment. Additionally, we conducted a comprehensive literature review to contextualize our findings.

RESULTS

Out of the 12 patients, 8 achieved complete healing of their diabetic foot ulcers, while the remaining four showed significant improvement with more than 50% reduction in the initial lesion size. 3 patients developed mild irritation at the inoculation site. These outcomes, combined with the evidence from published studies, highlight the effectiveness of PRP in promoting the healing of diabetic foot ulcers.

CONCLUSION

In conclusion, our study demonstrates the potential of platelet-rich plasma (PRP) as a successful therapeutic option for enhancing the healing process of chronic diabetic foot ulcers. The favorable outcomes observed, including a high rate of complete healing and significant wound size reduction, underscore the value of PRP treatment in managing this challenging complication. Further research and larger studies may provide additional insights into the mechanisms and long-term benefits of PRP in diabetic wound healing.

摘要

背景

糖尿病是一种常见的慢性疾病,对全球健康有重大影响。糖尿病足并发症,如足部溃疡,给糖尿病患者带来了巨大的负担,并可能导致严重后果,包括截肢。富血小板血浆(PRP)已成为一种有前途的治疗方法,可促进糖尿病足溃疡的愈合。

方法

我们在这项研究中,以每三周一次的间隔,用 PRP 注射治疗 12 例慢性糖尿病溃疡患者。我们的目的是评估治疗开始后 6 个月时伤口大小的缩小和完全愈合的速度。此外,我们进行了全面的文献回顾,以了解我们的发现。

结果

在 12 名患者中,有 8 名患者的糖尿病足溃疡完全愈合,而其余 4 名患者的溃疡明显改善,初始病变大小减少了 50%以上。3 名患者在接种部位出现轻度刺激。这些结果,加上已发表研究的证据,突出了 PRP 在促进糖尿病足溃疡愈合方面的有效性。

结论

总之,我们的研究表明,富血小板血浆(PRP)作为一种成功的治疗选择,具有增强慢性糖尿病足溃疡愈合过程的潜力。观察到的良好结果,包括高完全愈合率和显著的伤口大小缩小,强调了 PRP 治疗在管理这种具有挑战性的并发症方面的价值。进一步的研究和更大的研究可能会提供更多关于 PRP 在糖尿病伤口愈合中的机制和长期益处的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e17d/10760803/a89aca5962c5/fendo-14-1286907-g001.jpg

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