Romanelli Marco, Dini Valentina, Bertone Mariastefania, Barbanera Sabrina, Brilli Cinzia
Wound Healing Research Unit, Department of Dermatology, University of Pisa, Pisa, Italy.
Int Wound J. 2007 Mar;4(1):3-7. doi: 10.1111/j.1742-481X.2007.00300.x.
Mixed arterial/venous (A/V) ulcers are difficult to treat and slow to heal likely as a result of deficiencies in molecular and cellular elements in the wound bed. Recently, biomaterials have been developed that replace extracellular matrix (ECM) molecules and growth factors critical to the normal healing process. In this study, the effects of OASIS and Hyaloskin were evaluated to compare the effectiveness of these two ECM-based products in their ability to achieve complete wound healing of mixed A/V ulcers. After 16 weeks of treatment, patients in each group were evaluated on four criteria: complete wound healing, time to dressing change, pain and comfort. Complete wound closure was achieved in 82.6% of OASIS-treated ulcers compared with 46.2% of Hyaloskin-treated ulcers (P < 0.001). Statistically significant differences favouring the OASIS treatment group were also reported for time to dressing change (P < 0.05), pain (P < 0.05) and patient comfort (P < 0.01). Overall, OASIS was superior to Hyaloskin for the treatment of patients with mixed A/V ulcers, a population in which standard treatment options largely consist of moist wound dressings and compression therapy is typically not an option. OASIS is a useful and well-tolerated treatment for mixed A/V ulcers that has the potential to improve quality of life and reduce costs associated with standard of care.
动静脉混合性(A/V)溃疡难以治疗且愈合缓慢,这可能是由于伤口床中的分子和细胞成分不足所致。最近,已开发出生物材料来替代对正常愈合过程至关重要的细胞外基质(ECM)分子和生长因子。在本研究中,对OASIS和Hyaloskin的效果进行了评估,以比较这两种基于ECM的产品在实现动静脉混合性溃疡完全伤口愈合方面的有效性。治疗16周后,对每组患者在四个标准上进行评估:完全伤口愈合、换药时间、疼痛和舒适度。接受OASIS治疗的溃疡有82.6%实现了完全伤口闭合,而接受Hyaloskin治疗的溃疡这一比例为46.2%(P < 0.001)。在换药时间(P < 0.05)、疼痛(P < 0.05)和患者舒适度(P < 0.01)方面,也报告了有利于OASIS治疗组的统计学显著差异。总体而言,对于动静脉混合性溃疡患者的治疗,OASIS优于Hyaloskin,在这类患者中,标准治疗选择主要包括湿性伤口敷料,而通常不采用压迫疗法。OASIS是一种用于治疗动静脉混合性溃疡的有效且耐受性良好的治疗方法,有可能改善生活质量并降低与标准护理相关的成本。