Department of Gastrointestinal Surgery, Affiliated Hospital of Hebei University, Boading, China.
Department of Burn and Plastic Surgery, Affiliated Hospital of Nantong University, Nantong, China.
Int Wound J. 2023 Jan;20(1):8-17. doi: 10.1111/iwj.13831. Epub 2022 May 13.
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.
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。