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我们是否应将富血小板血浆用作治疗“急性伤口”、“烧伤”和“激光治疗”的辅助疗法:一项综述及进一步研究的质量标准清单建议。

Should we use platelet-rich plasma as an adjunct therapy to treat "acute wounds," "burns," and "laser therapies": A review and a proposal of a quality criteria checklist for further studies.

作者信息

Picard Frédéric, Hersant Barbara, Bosc Romain, Meningaud Jean-Paul

机构信息

Department of Maxillofacial and Plastic & Reconstructive Surgery, Henri Mondor Hospital, Creteil, France.

出版信息

Wound Repair Regen. 2015 Mar-Apr;23(2):163-70. doi: 10.1111/wrr.12266.

Abstract

Platelet-rich plasma seems to help wound healing. The goal of this review is to determine if the adjunction of platelet-rich plasma enhances the clinical outcome of acute wounds, burns, and laser therapies. A PubMed and Cochrane library search was performed by two reviewers with the senior author as a consultant. Medical Subject Headings search terms used were the following: ["Platelet-rich plasma" OR "Platelet gel" OR "Platelet growth factor"] AND ["Acute wound" OR "Wound" OR "Burn" OR "Laser"]. We included controlled studies assessing the clinical outcome of acute wounds, burns, and laser therapies treated by platelet-rich plasma. Nine randomized controlled studies, six prospective controlled studies, and two retrospective controlled studies were included. Regarding acute wounds, three randomized controlled trials found a statistical benefit regarding either the healing time, the return back to work time, the quality of life, or the pain and three prospective controlled studies found a statistical difference regarding the velocity of healing. Platelet-rich plasma decreased the intensity or duration of erythema after laser therapy in four randomized studies. Regarding the long-term outcome of laser therapies, two studies found a statistical benefit and two others did not. Platelet-rich plasma accelerates acute wound healing and decreases erythema after laser therapies. Its use on burns has not been enough studied.

摘要

富含血小板血浆似乎有助于伤口愈合。本综述的目的是确定添加富含血小板血浆是否能提高急性伤口、烧伤和激光治疗的临床效果。两名审稿人在资深作者作为顾问的情况下进行了PubMed和Cochrane图书馆检索。使用的医学主题词检索词如下:["富含血小板血浆" 或 "血小板凝胶" 或 "血小板生长因子"] 以及 ["急性伤口" 或 "伤口" 或 "烧伤" 或 "激光"]。我们纳入了评估富含血小板血浆治疗急性伤口、烧伤和激光治疗临床效果的对照研究。包括九项随机对照研究、六项前瞻性对照研究和两项回顾性对照研究。关于急性伤口,三项随机对照试验在愈合时间、重返工作岗位时间、生活质量或疼痛方面发现了统计学益处,三项前瞻性对照研究在愈合速度方面发现了统计学差异。四项随机研究表明,富含血小板血浆可降低激光治疗后红斑的强度或持续时间。关于激光治疗的长期效果,两项研究发现了统计学益处,另外两项则未发现。富含血小板血浆可加速急性伤口愈合并减少激光治疗后的红斑。其在烧伤方面的应用研究不足。

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