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评价一种用羊水配方制成的凝胶对糖尿病足溃疡愈合效果的影响:一项三盲临床试验。

Evaluation of the effect of a gel made with amniotic fluid formulation on the healing of diabetic foot ulcers: A triple-blind clinical trial.

机构信息

Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Marine Pharmaceutical Science Research Center, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Front Public Health. 2022 Dec 15;10:1025391. doi: 10.3389/fpubh.2022.1025391. eCollection 2022.

Abstract

AIM

The aim of this study was to evaluate the effect of a gel made with amniotic fluid (AF) formulation on wound healing in diabetic foot ulcers.

METHODS

This clinical trial was performed on 92 type 2 diabetic patients referring to the Diabetes Clinic of Golestan Hospital of Ahvaz, southwest of Iran in 2019-2020. Patients were randomly divided into three groups of intervention and one placebo group. The wounds of the three intervention groups were dressed with gauze impregnated with an AF formulation gel while wounds of the control group were dressed with plain gauze without any topical agent. Chi-square tests and generalized estimating equations (GEE) with a significance level of 0.05 were used to analyze the data.

RESULTS

At the end of the eighth week of intervention, there was a statistically significant difference among the four groups in terms of wound grade, wound color, condition of the tissues surrounding the wound, the overall condition of the wound, and the duration of wound healing ( < 0.05).

CONCLUSIONS

Based on our experience with the patients in the present study, we believe that AF represents a useful and safe option for the treatment of chronic diabetic foot ulcers.

CLINICAL TRIAL REGISTRATION

https://en.irct.ir/trial/51551, Identifier: IRCT20201010048985N1.

摘要

目的

本研究旨在评估一种羊水(AF)制剂凝胶对糖尿病足溃疡愈合的影响。

方法

本临床试验于 2019 年至 2020 年在伊朗西南部阿瓦兹戈尔斯坦医院糖尿病诊所对 92 例 2 型糖尿病患者进行。患者随机分为三组干预组和一组安慰剂组。三组干预组的伤口用浸渍有 AF 制剂凝胶的纱布包扎,而对照组的伤口用没有任何局部药物的普通纱布包扎。采用卡方检验和广义估计方程(GEE),以 0.05 的显著性水平分析数据。

结果

干预的第八周结束时,四组在伤口分级、伤口颜色、伤口周围组织状况、伤口整体状况和伤口愈合时间方面存在统计学差异(<0.05)。

结论

根据本研究中患者的经验,我们认为 AF 是治疗慢性糖尿病足溃疡的一种有用且安全的选择。

临床试验注册

https://en.irct.ir/trial/51551,标识符:IRCT20201010048985N1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/9798771/2b3f2b09120d/fpubh-10-1025391-g0001.jpg

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