Yeung Chi-Yung, Hsieh Pai-Shan, Wei Lin-Gwei, Hsia Li-Chuan, Dai Lien-Guo, Fu Keng-Yen, Dai Niann-Tzyy
Ann Plast Surg. 2018 Feb;80(2S Suppl 1):S66-S69. doi: 10.1097/SAP.0000000000001328.
Platelet-rich plasma (PRP) is a kind of plasma that is rich in platelets after processing. It includes various growth factors and cytokines, which speed up the process of wound healing and hemostasis. The PRP solution used in this study is diluted from lyophilized PRP powder, which decreased the possibility of contamination, facilitated the storage, and prolonged the storage life. From in vitro fibroblast proliferation testing, the numbers of PRP supplement were performed for 1, 4, and 7 times by continuous replacement of culture medium each day. Four times of lyophilized PRP supplement was selected for clinical study due to sufficient promotion of fibroblast proliferation. Next, 27 patients of deep second-degree burn wound were included in this study. Patients were assigned to two groups: PRP group (n = 15) and control group (n = 12). A concentration of 1.0 × 10 platelets/cm (wound area) according to wound size was sprayed on the wound evenly. Function was mainly assessed by the percentage of wound closure and bacteria picking out rate in 2 and 3 weeks. The wound closure at 3 weeks showed a significant difference in PRP group (P < 0.05). The healing rate of PRP group reached nearly 80% and made a breakthrough of 90% in 3 weeks, showing a significant difference compared with the control group (P < 0.05). Lyophilized PRP can be considered as an effective treatment to increase healing rate in patients with deep second-degree burn injury.
富血小板血浆(PRP)是一种经过处理后富含血小板的血浆。它包含多种生长因子和细胞因子,可加速伤口愈合和止血过程。本研究中使用的PRP溶液由冻干PRP粉末稀释而成,降低了污染可能性,便于储存并延长了保质期。通过体外成纤维细胞增殖测试,每天通过连续更换培养基对PRP补充剂进行1次、4次和7次添加。由于对成纤维细胞增殖有充分促进作用,所以选择4次冻干PRP补充剂用于临床研究。接下来,本研究纳入了27例深二度烧伤创面患者。患者被分为两组:PRP组(n = 15)和对照组(n = 12)。根据伤口大小,将浓度为1.0×10个血小板/cm(伤口面积)的PRP均匀喷洒在伤口上。主要通过2周和3周时伤口闭合百分比和细菌检出率来评估功能。PRP组在3周时的伤口闭合情况有显著差异(P < 0.05)。PRP组的愈合率在3周时达到近80%,并突破了90%,与对照组相比有显著差异(P < 0.05)。冻干PRP可被视为提高深二度烧伤患者愈合率的一种有效治疗方法。
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