首页|富血小板纤维蛋白治疗慢性难愈性创面的疗效观察

富血小板纤维蛋白治疗慢性难愈性创面的疗效观察

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目的 探讨富血小板纤维蛋白(platelet-rich fibrin,PRF)治疗慢性难愈性创面的疗效.方法 选例时间:2022 年 1 月至 2022 月 12 月,选取 150 例河南省三门峡市中心医院收治的慢性难愈性创面患者,分为对照组(75 例,常规处理)和观察组(75 例,常规处理+富血小板纤维蛋白).比较两组临床相关指标.结果 观察组治疗 14 d后创面愈合率更高,创面达修复标准准备时间、创面愈合时间更短,观察组换药次数更少(两组间相比);治疗前及治疗7、14 d后,两组疼痛评分降低,且观察组更低(两组间治疗7、14 d后相比);两组血清VEGF水平、FMD值升高(治疗14 d后相较于治疗前),且观察组处于较高水平(组间进行对比);两组创面量化积分、外周血WBC、ESR、血清CRP水平均降低(治疗14 d后相较于治疗前),且观察组处于较低水平(组间进行对比),P<0.05.结论 PRF治疗慢性难愈性创面,可有助于促进患者创面愈合,减少换药次数,减轻疼痛,下调炎性因子指标含量,升高创面相关生长因子水平,进而提高临床治疗效果.
Therapeutic effect of platelet-rich fibrin on chronic refractory wounds
Objective To analyze the efficacy of platelet-rich fibrin(PRF)in the treatment of chronic refractory wounds.Methods From January 2022 to December 2022,150 patients with chronic refractory wounds in Sanmenxia Central Hospital of Henan Province were selected and divided into control group(75 cases,routine treatment)and observation group(75 cases,routine treatment + platelet-rich fibrin).Clinical correlation indexes were compared between the two groups.Results After 14 days of treatment,the wound healing rate of the observation group was higher,the wound preparation time was shorter,and the dressing times of the observation group were less(compared with the two groups).Before treatment and after 7 and 14 days of treatment,pain scores were lower in both groups,and lower in the observation group(compared with 7 and 14 days of treatment between the two groups).Serum VEGF levels and FMD values were increased in the two groups(after 14 days of treatment compared with before treatment),and the observation group was at a higher level(comparison between groups).Wound quantization score,peripheral blood WBC,ESR and serum CRP levels were all decreased in both groups(compared with before treatment after 14 days),and the observation group was at a lower level(compared between groups),P<0.05.Conclusion PRF in the treatment of chronic refractory wounds can help to promote wound healing,reduce dressing changes,relieve pain,reduce inflammatory factor index content,increase the level of wound related growth factor,and thus improve clinical treatment effect.

chronic refractory woundPlatelet rich fibrinInflammatory factor

王朋、郝改琳、刘琼花、赵艳、段继红

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三门峡市中心医院 创面修复中心,河南 三门峡,472000

慢性难愈性创面 富血小板纤维蛋白 炎性因子

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(1)
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