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富血小板血浆:医学与美容皮肤科新兴应用的全面综述

Platelet-Rich Plasma: A Comprehensive Review of Emerging Applications in Medical and Aesthetic Dermatology.

作者信息

White Christopher, Brahs Allyson, Dorton David, Witfill Kristin

机构信息

Dr. White is with Dermatology Partners in Strongsville, Ohio.

Drs. Brahs, Dorton, and Witfill are with the Department of Dermatology, HCA Healthcare/USF Morsani College of Medicine, Largo Medical Center, in Largo, Florida.

出版信息

J Clin Aesthet Dermatol. 2021 Nov;14(11):44-57.

PMID:34980960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8675348/
Abstract

Platelet-rich plasma (PRP) has been integrated into numerous treatment regimens for medical and aesthetic dermatology. While some of these approaches are well-established, many uses are underreported in the literature. We sought to identify and summarize the emerging dermatologic applications for PRP by conducting a comprehensive PubMed search of studies published between 2000 and 2020. These studies were reviewed to synthesize collection methods, treatment schedule, adverse effects, and the impact of therapy for new and emerging uses for PRP. In general, we identified positive treatment outcomes for skin rejuvenation, scar revision, alopecia, pigmentary disorders, lichen sclerosus, leprosy-induced peripheral neuropathy, plaque psoriasis, and nail disorders. Widely, therapy was well-tolerated and suitable for all reported phototypes. The variations in collection and application sequences make concrete recommendations difficult to discern, underscoring the need for a standardized approach to preparation and treatment methods. We hope this review serves as an outline for new and interesting uses for PRP and will help readers familiarize themselves with this exciting technology for comfortable integration into their practices.

摘要

富含血小板血浆(PRP)已被纳入众多医学和美容皮肤科的治疗方案中。虽然其中一些方法已得到充分确立,但许多应用在文献中报道较少。我们通过对2000年至2020年间发表的研究进行全面的PubMed检索,试图识别和总结PRP在皮肤科的新兴应用。对这些研究进行了综述,以综合PRP新的和新兴应用的采集方法、治疗方案、不良反应及治疗效果。总体而言,我们确定PRP在皮肤年轻化、瘢痕修复、脱发、色素沉着紊乱、硬化性苔藓、麻风引起的周围神经病变、斑块状银屑病和指甲疾病的治疗中取得了积极效果。广泛来说,该疗法耐受性良好,适用于所有报道的光类型。采集和应用顺序的差异使得难以辨别具体的推荐方案,这突出了对制备和治疗方法采用标准化方法的必要性。我们希望这篇综述能为PRP的新的和有趣的应用提供一个概述,并帮助读者熟悉这项令人兴奋的技术,以便将其顺利融入他们的实践中。

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JAAD Case Rep. 2020 Mar 25;6(4):348-350. doi: 10.1016/j.jdcr.2020.02.009. eCollection 2020 Apr.
2
Effects of autologous platelet-rich plasma injections on facial skin rejuvenation.自体富血小板血浆注射对面部皮肤年轻化的影响。
Exp Ther Med. 2020 Apr;19(4):3024-3030. doi: 10.3892/etm.2020.8531. Epub 2020 Feb 17.
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Autologous Platelet-Rich Gel Treatment of Chronic Nonhealing Ulcerated Tophaceous Gout.自体富血小板凝胶治疗慢性不愈合溃疡性痛风石性痛风。
Indian J Dermatol. 2020 Mar-Apr;65(2):141-144. doi: 10.4103/ijd.IJD_157_18.
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Combined intralesional triamcinolone acetonide and platelet rich plasma versus intralesional triamcinolone acetonide alone in treatment of keloids.联合皮损内曲安奈德和富血小板血浆与单独皮损内曲安奈德治疗瘢痕疙瘩。
J Dermatolog Treat. 2022 Feb;33(1):150-156. doi: 10.1080/09546634.2020.1730742. Epub 2020 Mar 4.
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Effectiveness of platelet rich plasma in burn wound healing: a systematic review and meta-analysis.富血小板血浆在烧伤创面愈合中的疗效:系统评价和荟萃分析。
J Dermatolog Treat. 2022 Feb;33(1):131-137. doi: 10.1080/09546634.2020.1729949. Epub 2020 Feb 21.
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Autologous activated platelet-rich plasma (AA-PRP) and non-activated (A-PRP) in hair growth: a retrospective, blinded, randomized evaluation in androgenetic alopecia.自体激活血小板丰富血浆 (AA-PRP) 和非激活 (A-PRP) 在头发生长中的作用:雄激素性脱发的回顾性、盲法、随机评估。
Expert Opin Biol Ther. 2020 Mar;20(3):327-337. doi: 10.1080/14712598.2020.1724951. Epub 2020 Feb 14.
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Effectiveness and safety of autologous platelet-rich plasma therapy with total contact casting versus total contact casting alone in treatment of trophic ulcer in leprosy: An observer-blind, randomized controlled trial.富含自体血小板的血浆治疗联合全面接触式加压包扎与单纯全面接触式加压包扎治疗麻风性营养性溃疡的疗效和安全性:一项观察者盲、随机对照试验。
Indian J Dermatol Venereol Leprol. 2020 May-Jun;86(3):262-271. doi: 10.4103/ijdvl.IJDVL_571_18.
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Platelet-derived bio-products: Classification update, applications, concerns and new perspectives.血小板衍生生物制品:分类更新、应用、关注点及新视角。
Transfus Apher Sci. 2020 Feb;59(1):102716. doi: 10.1016/j.transci.2019.102716. Epub 2019 Dec 31.
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The Physician's Guide to Platelet-Rich Plasma in Dermatologic Surgery Part II: Clinical Evidence.《皮肤科手术中富血小板血浆的医师指南》第二部分:临床证据。
Dermatol Surg. 2020 Apr;46(4):447-456. doi: 10.1097/DSS.0000000000002148.
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Dermatol Surg. 2020 Mar;46(3):348-357. doi: 10.1097/DSS.0000000000002147.