Department of Hematology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.
Int Wound J. 2024 Mar;21(3):e14486. doi: 10.1111/iwj.14486. Epub 2023 Nov 6.
A meta-analysis was conducted to investigate the effects of platelet-rich plasma (PRP) in the treatment of burn wounds and to provide a scientific basis for clinical drug therapy. We searched PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure and Wanfang databases to identify randomised controlled trials (RCTs) on PRP in treating burn wounds, with the control group being treated with conventional treatments and the intervention group being treated with PRP alone or combined with PRP on the basis of the control group. The search duration was each database's inception to September 2023. The literature was screened, data were extracted and quality was assessed by two independent researchers. Data analysis was performed using the Review Manager 5.4 software. Eighteen RCTs comprising 1463 patients were included in the analysis. The meta-analysis revealed that the application of PRP significantly improved the wound healing rate (standardised mean difference [SMD]: 1.11, 95% confidence interval [CI]: 0.54-1.67, p < 0.001), shortened wound healing time (SMD: -1.69, 95% CIs: -2.21 to -1.17, p < 0.001) and reduced the incidence of adverse events (7.03% vs. 18.93%, odds ratio [OR]: 0.32, 95% CI: 0.20-0.53, p < 0.001), and also significantly reduced patients' pain (SMD: -1.86, 95% CI: -2.47 to -1.25, p < 0.001) of burn patients when compared with the control group. This study showed that PRP is effective in repairing burn wounds, promoting wound healing, reducing the incidence of adverse events and reducing patient pain, making it worthy of clinical promotion and application.
一项荟萃分析旨在探讨富血小板血浆(PRP)在治疗烧伤创面中的作用,为临床药物治疗提供科学依据。我们检索了 PubMed、Embase、Cochrane 图书馆、中国知网和万方数据库,以确定 PRP 治疗烧伤创面的随机对照试验(RCT),对照组采用常规治疗,干预组在对照组基础上单独或联合 PRP 治疗。检索时间为每个数据库的创建时间到 2023 年 9 月。两名独立的研究人员筛选文献、提取数据并评估质量。使用 Review Manager 5.4 软件进行数据分析。纳入的 18 项 RCT 共 1463 例患者。荟萃分析显示,应用 PRP 可显著提高创面愈合率(标准化均数差 [SMD]:1.11,95%置信区间 [CI]:0.54-1.67,p<0.001),缩短创面愈合时间(SMD:-1.69,95%CI:-2.21 至-1.17,p<0.001),降低不良事件发生率(7.03%比 18.93%,比值比 [OR]:0.32,95%CI:0.20-0.53,p<0.001),并显著减轻烧伤患者的疼痛(SMD:-1.86,95%CI:-2.47 至-1.25,p<0.001),与对照组相比。这项研究表明,PRP 在修复烧伤创面、促进创面愈合、降低不良事件发生率和减轻患者疼痛方面有效,值得临床推广应用。