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干细胞治疗烧伤创面的效果:系统评价和荟萃分析。

Effect of stem cell treatment on burn wounds: A systemic review and a meta-analysis.

机构信息

Department of Gastrointestinal Surgery, Affiliated Hospital of Hebei University, Boading, China.

Department of Burn and Plastic Surgery, Affiliated Hospital of Nantong University, Nantong, China.

出版信息

Int Wound J. 2023 Jan;20(1):8-17. doi: 10.1111/iwj.13831. Epub 2022 May 13.

Abstract

A meta-analysis was performed to evaluate the effect of stem cells treatment in managing burn wounds. A systematic literature search up to March 2022 incorporated 24 studies reported between 2013 and 2021 including 400 animals with burn wounds at the beginning of the study; 211 were using stem cells treatment, and 189 controlled. Statistical tools like the contentious method were used within a random or fixed-influence model to establish the mean difference (MD) with 95% confidence intervals (CIs) to evaluate the influence of stem cells treatment in managing burn wounds. Stem cells treatment had a significantly higher burn wound healing rate (MD, 15.18; 95% CI, 11.29-19.07, P < .001), higher blood vessel number (MD, 12.28; 95% CI, 10.06-14.51, P < .001), higher vascular endothelial growth factor (MD, 10.24; 95% CI, 7.19-13.29, P < .001), lower interleukin-1 level (MD, -98.48; 95% CI, -155.33 to -41.63, P < .001), and lower tumour necrosis factor α level (MD, -28.71; 95% CI, -46.65 to -10.76, P < .002) compared with control in animals' models with burn wounds. Stem cells treatment had a significantly higher burn wound healing rate, higher blood vessel number, higher vascular endothelial growth factor, lower interleukin-1 level, and lower tumour necrosis factor α level compared with control in animals' models with burn wounds. Further studies are required to validate these findings.

摘要

一项荟萃分析评估了干细胞治疗在管理烧伤创面中的作用。系统文献检索截至 2022 年 3 月,纳入了 2013 年至 2021 年期间报告的 24 项研究,这些研究最初纳入了 400 只患有烧伤创面的动物;其中 211 只接受了干细胞治疗,189 只接受了对照治疗。使用有争议的方法等统计工具,在随机或固定影响模型内建立平均差异(MD)和 95%置信区间(CI),以评估干细胞治疗在管理烧伤创面中的影响。与对照组相比,干细胞治疗组的烧伤创面愈合率显著更高(MD,15.18;95%CI,11.29-19.07,P<0.001),血管数量更多(MD,12.28;95%CI,10.06-14.51,P<0.001),血管内皮生长因子更高(MD,10.24;95%CI,7.19-13.29,P<0.001),白细胞介素-1 水平更低(MD,-98.48;95%CI,-155.33 至-41.63,P<0.001),肿瘤坏死因子 α 水平更低(MD,-28.71;95%CI,-46.65 至-10.76,P<0.002)。与对照组相比,干细胞治疗组的烧伤创面愈合率更高,血管数量更多,血管内皮生长因子更高,白细胞介素-1 水平更低,肿瘤坏死因子 α 水平更低,这表明干细胞治疗可能是一种有前途的治疗烧伤创面的方法。然而,需要进一步的研究来验证这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeb5/9797938/a8a30d22bcf6/IWJ-20-8-g001.jpg

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