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富血小板血浆(PRP)在巴马小型猪深Ⅱ度烧伤创面愈合中的作用

The Role of Autologous PRP on Deep Partial-Thickness Burn Wound Healing in Bama Pigs.

机构信息

Department of Burns & Plastic Surgery, Zibo Central Hospital Affiliated to Shandong University, Zibo, Shandong Province, PR China.

Department of Burns & Plastic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong Province, PR China.

出版信息

J Burn Care Res. 2020 May 2;41(3):657-662. doi: 10.1093/jbcr/iraa012.

Abstract

In this study, we aimed to evaluate the therapeutic effects of autologous platelet-rich plasma (PRP) on deep partial-thickness burns in Bama pigs. Deep partial-thickness burn wounds were created on the back of Bama pigs. The reepithelialization time was compared between the PRP and control groups. The mean score of Ki67 (+) cells and α-SMA (+) vessels, the mean thickness of epidermis and dermis of the healing wounds were determined via H&E staining and immunohistochemical assay. The levels of the growth factors epidermal growth factor (EGF), basic fibroblast growth factor (bFGF), and vascular endothelial growth factor (VEGF) were examined by ELISA. Our data showed that the time to wound reepithelialization was shorter in the PRP group compared with the control group. The thickness of the epidermis was larger in the PRP group compared with the control group. On the 7th and 14th days after the treatment, the mean score of Ki67 (+) cells and α-SMA (+) vessels were higher in the PRP group compared with the control group. The PRP group showed higher levels of growth factors (EGF, bFGF, and VEGF) compared with the control group by ELISA. The results indicated that PRP could improve wound healing process of deep partial-thickness burns in Bama pigs. The PRP increased the thickness of epidermis of the healed wounds, cell proliferation, and angiogenesis. We demonstrated that applying PRP had a greater potential for the treatment of deep partial-thickness burns.

摘要

在这项研究中,我们旨在评估自体富血小板血浆(PRP)治疗巴马猪深Ⅱ度烧伤的疗效。在巴马猪背部造成深Ⅱ度烧伤创面。比较 PRP 组和对照组的创面上皮化时间。通过 H&E 染色和免疫组化检测 Ki67(+)细胞和α-SMA(+)血管的平均评分、愈合创面的表皮和真皮的平均厚度。通过 ELISA 检测生长因子表皮生长因子(EGF)、碱性成纤维细胞生长因子(bFGF)和血管内皮生长因子(VEGF)的水平。我们的数据表明,PRP 组创面上皮化时间较对照组缩短。PRP 组表皮厚度大于对照组。治疗后第 7 天和第 14 天,PRP 组 Ki67(+)细胞和α-SMA(+)血管的平均评分均高于对照组。ELISA 显示 PRP 组生长因子(EGF、bFGF 和 VEGF)水平高于对照组。结果表明 PRP 可改善巴马猪深Ⅱ度烧伤的创面愈合过程。PRP 增加了愈合创面的表皮厚度、细胞增殖和血管生成。我们证明了应用 PRP 治疗深Ⅱ度烧伤具有更大的潜力。

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