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甲基丙烯酸酯粉末敷料(Altrazeal粉末)与光生物调节疗法联合应用对1例糖尿病患者严重糖尿病足溃疡愈合的影响:病例报告

The Combined Effects of a Methacrylate Powder Dressing (Altrazeal Powder) and Photobiomodulation Therapy on the Healing of a Severe Diabetic Foot Ulcer in a Diabetic Patient: A Case Report.

作者信息

Derakhshan Roya, Ahmadi Houssein, Bayat Mohammad, Mehboudi Leila, Pourhashemi Erfan, Amini Abdollah, Vatandoust Dorsa, Aghamiri Shahin, Asadi Robabeh, Sabet Babak

机构信息

Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Department of Biology and Anatomical Sciences, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.

出版信息

J Lasers Med Sci. 2022 Sep 19;13:e38. doi: 10.34172/jlms.2022.38. eCollection 2022.

Abstract

Weakened wound healing is a popular, severe complication of patients with diabetes which poses a risk for foot infection and amputation. Researchers have searched for new treatments for treating diabetic foot ulcers (DFUs) in recent years. In this case report, for the first time, we applied photobiomodulation therapy (PBMT) and Altrazeal powder together to treat a severe case of DFU in a 47-year-old woman who was suffering from type 1 diabetes. Along with the progress of combination therapy, we observed that the ulcer area was significantly reduced, and the wound healed within 16 weeks. Furthermore, dermatitis and purulent secretion were treated, and the pain was reduced. This reported case study indicated the beneficial effect of the combination of PBMT and Altrazeal powder for the healing of a severe DFU in a patient with type one diabetes. The combined application of PBMT plus Altrazeal powder demonstrated an additive effect. Further clinical trials in the clinical setting are suggested to validate the results further. Besides, more studies in preclinical models are suggested to find the mechanism of the action of combination therapy.

摘要

伤口愈合减弱是糖尿病患者常见且严重的并发症,会引发足部感染和截肢风险。近年来,研究人员一直在寻找治疗糖尿病足溃疡(DFU)的新方法。在本病例报告中,我们首次将光生物调节疗法(PBMT)和Altrazeal粉末联合应用于一名患有1型糖尿病的47岁女性严重DFU病例的治疗。随着联合治疗的推进,我们观察到溃疡面积显著减小,伤口在16周内愈合。此外,皮炎和脓性分泌物得到治疗,疼痛减轻。该病例研究表明,PBMT和Altrazeal粉末联合应用对1型糖尿病患者严重DFU的愈合具有有益效果。PBMT加Altrazeal粉末的联合应用显示出相加效应。建议在临床环境中进行进一步的临床试验以进一步验证结果。此外,建议在临床前模型中进行更多研究以探究联合治疗的作用机制。

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