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自体血小板浓缩物对创面面积减少的影响:一项随机对照试验的荟萃分析。

Impact of autologous platelet concentrates on wound area reduction: A meta-analysis of randomized controlled trials.

机构信息

Department of Dermatology, Mianyang Central Hospital, School of Medicine University of Elctronic Science and Technology of China, Mianyang, China.

出版信息

Int Wound J. 2023 Dec;20(10):4384-4393. doi: 10.1111/iwj.14310. Epub 2023 Jul 18.

Abstract

This meta-analysis aimed to evaluate the impact of autologous platelet concentrates (APCs) on wound area reduction based on randomized controlled trials (RCTs). A comprehensive search was conducted in PubMed, Embase, China National Knowledge Infrastructure (CNKI), Web of Science, and the Cochrane Library to identify relevant literature. The primary outcome measure was the percentage of wound area reduction. Secondary outcome measures included wound healing time and the incidence of infection. A total of 14 studies were included in the meta-analysis. The results showed that the percentage of wound area reduction was significantly greater in the APCs group compared to conventional treatments (standardized mean difference [SMD] 1.98, 95% confidence interval [CI]: 1.27-2.68, p < 0.001). Subgroup analysis revealed that the percentage of wound area reduction varied based on wound location, follow-up duration, and type of APCs used. The healing time and incidence of infection presented no significant difference between the two groups. The findings suggest that APCs can effectively reduce wound areas when compared to conventional treatments, without increasing the risk of infection. In addition, the effectiveness of APCs in wound area reduction may vary depending on factors such as wound location, type of APCs used, and follow-up duration.

摘要

本荟萃分析旨在评估基于随机对照试验(RCT)的自体血小板浓缩物(APCs)对创面面积减少的影响。在 PubMed、Embase、中国知网(CNKI)、Web of Science 和 Cochrane 图书馆中进行了全面检索,以确定相关文献。主要结局指标是创面面积减少的百分比。次要结局指标包括创面愈合时间和感染发生率。共有 14 项研究纳入荟萃分析。结果表明,与常规治疗相比,APCs 组的创面面积减少百分比显著更大(标准化均数差 [SMD] 1.98,95%置信区间 [CI]:1.27-2.68,p<0.001)。亚组分析显示,创面位置、随访时间和 APCs 类型的不同会影响创面面积减少的百分比。两组之间的愈合时间和感染发生率无显著差异。研究结果表明,与常规治疗相比,APCs 可有效减少创面面积,而不会增加感染风险。此外,APCs 在减少创面面积方面的有效性可能取决于创面位置、使用的 APCs 类型和随访时间等因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f38/10681409/c9a7faf10c8e/IWJ-20-4384-g002.jpg

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