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富血小板血浆治疗对烧伤后增生性瘢痕的疗效研究

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目的 探索自体富血小板血浆(PRP)对烧伤后增生性瘢痕的治疗作用.方法 选取 2016 年 9 月至2023 年6 月第九O九医院收治的80 例烧伤后增生性瘢痕患者为研究对象,按照随机数表法将患者分为试验组42 例和对照组38 例.对照组进行常规Meek皮肤移植治疗,试验组进行PRP联合Meek皮肤移植治疗,2 组3 个月和6 个月后随访,比较2 组临床疗效,温哥华瘢痕评定量表(VSS)和疼痛VAS评分以及瘢痕血流灌注量.结果 试验组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);治疗3 个月时,试验组的厚度,柔软性和总评分显著低于对照组,差异有统计学意义(P<0.05);治疗6 个月时,试验组VSS各项评分及总评分均显著低于对照组,差异有统计学意义(P<0.05);治疗3 个月和6 个月时,试验组VAS评分均低于对照组,差异有统计学意义(P<0.05);治疗3 个月和6 个月时,试验组瘢痕血流灌注量均显著低于对照组,差异有统计学意义(P<0.01).结论 PRP治疗可显著提高临床疗效,降低VSS和VAS评分,改善瘢痕血流灌注量,可推荐用于治疗烧伤后增生性瘢痕.
Study on the Therapeutic Effect of Platelet Rich Plasma on Hypertrophic Scars after Burns
Objective To explore the therapeutic effect of autologous platelet rich plasma(PRP)on hypertrophic scars after burns.Methods 80 patients with hypertrophic scars after burns treated at the Ninth Hospital from September 2016 to June 2023 were randomly divided into an experimental group of 42 cases and a control group of 38 cases.The control group received routine Meek skin transplantation treatment,while the experimental group received PRP combined with Meek skin transplantation treatment.Both groups were followed up for 3 and 6 months to analyze the clinical efficacy,Vancouver Scar Scale(VSS),Pain VAS score,and scar blood flow perfusion between the two groups.Results The total effective rate in the experimental group was higher than that in the control group,and the dif-ference was statistically significant(P<0.05).At 3 months of treatment,the thickness,flexibility,and overall score of the experimental group were significantly lower than those of the control group(P<0.05).At 6 months of treatment,the VSS scores and overall score of the experimental group were significantly lower than those of the control group(P<0.05);At 3 and 6 months of treatment,there was a significant differ-ence in VAS scores between the experimental group and the control group(P<0.05);at 3 and 6 months of treatment,the scar blood flow perfusion in the experimental group was significantly lower than that in the control group(P<0.01).Conclu-sion PRP treatment can significantly improve clinical efficacy,reduce VSS and VAS scores,improve scar blood flow perfu-sion,and can be recommended for the treatment of hypertrophic scars after burns.

BurnsHypertrophic scarsPlatelet rich plasmaTreatment

刘胜利、蔡杰、杨贵珍、郑健生、陈待庆、戴泽宇

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363000 福建漳州,第九〇九医院(厦门大学附属东南医院)烧伤整形科

350005 福州,福建医科大学附属第一医院

363000 福建漳州,第九〇九医院(厦门大学附属东南医院)卫勤处医疗办

烧伤 增生性瘢痕 富血小板血浆 治疗

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(7)