Slaninka Igor, Fibír Aleš, Kaška Milan, Páral Jiří
Department of Surgery, Faculty of Medicine of Charles University and University Hospital Hradec Králové, Czech Republic.
Department of Surgery, Faculty of Medicine of Charles University in Hradec Králové, Czech Republic.
J Wound Care. 2020 Jan 2;29(1):36-41. doi: 10.12968/jowc.2020.29.1.36.
OBJECTIVE: To demonstrate that the use of platelet-rich plasma (PRP) enhances both the quality of healing and the time required for wound healing at a skin graft donor site. METHODS: Patients who had dermo-epidermal skin grafts taken from the thigh area were included in a prospective, randomised clinical study. PRP was applied to one donor site and then covered with Vaseline-impregnated, open-weave gauze and gauze, while the contralateral donor site on the other thigh served as a control and was covered with the open-weave gauze and gauze without PRP. RESULTS: A total of 24 patients took part in the study, of which three developed infections and were thus removed from the study. Use of PRP reduced the wound healing time of the dermo-epidermal graft donor sites by a mean 17.8% and median 18 days. On average, the treated donor sites healed in 14.9 days compared with 18.4 days for the control group. The median was 14 days compared with 18 days in the control group (p=0.026). In one patient, healing was slower on the side where PRP was applied. In 20 patients, healing of the donor site was accelerated where PRP was applied. CONCLUSION: The study demonstrated a beneficial effect of PRP, as healing time was shortened. Using PRP to heal wounds could be beneficial for patients for whom commonly available wound healing therapies have failed, as well as for high-risk patient groups for whom problematic wound healing may be expected.
目的:证明使用富血小板血浆(PRP)可提高皮肤移植供区的愈合质量并缩短伤口愈合所需时间。 方法:从大腿部位取真皮-表皮皮肤移植的患者纳入一项前瞻性随机临床研究。将PRP应用于一个供区,然后用凡士林浸渍的、开放式编织纱布和纱布覆盖,而另一侧大腿的对侧供区作为对照,用不含PRP的开放式编织纱布和纱布覆盖。 结果:共有24名患者参与研究,其中3名发生感染,因此被排除在研究之外。使用PRP使真皮-表皮移植供区的伤口愈合时间平均缩短了17.8%,中位数缩短了18天。平均而言,治疗后的供区在14.9天愈合,而对照组为18.4天。中位数分别为14天和18天(p = 0.026)。在1名患者中,应用PRP一侧的愈合较慢。在20名患者中,应用PRP的供区愈合加速。 结论:该研究证明了PRP的有益效果,因为愈合时间缩短了。对于常用伤口愈合疗法无效的患者以及预期伤口愈合有问题的高危患者群体,使用PRP愈合伤口可能有益。
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