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病例报告:富血小板血浆(PRP)在治疗糖尿病足中的应用:病例系列及文献回顾。

Case report: The use of PRP in the treatment of diabetic foot: case series and a review of the literature.

机构信息

Department of Surgery "Pietro Valdoni", Policlinico "Umberto I", Sapienza University of Rome, Rome, RM, Italy.

Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

Front Endocrinol (Lausanne). 2023 Dec 18;14:1286907. doi: 10.3389/fendo.2023.1286907. eCollection 2023.


DOI:10.3389/fendo.2023.1286907
PMID:38170077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10760803/
Abstract

BACKGROUND: Diabetes mellitus is a prevalent chronic condition that significantly impacts global health. Diabetic foot complications, such as foot ulcers, pose a substantial burden on individuals with diabetes and can lead to serious consequences, including amputation. Platelet-rich plasma (PRP) has emerged as a promising therapeutic approach for enhancing the healing of diabetic foot ulcers. METHODS: In our study, we treated 12 patients with chronic diabetic ulcers using PRP injections administered at three-week intervals. Our objective was to assess the reduction in wound size and the rate of complete healing at 6 months after the start of the treatment. Additionally, we conducted a comprehensive literature review to contextualize our findings. RESULTS: Out of the 12 patients, 8 achieved complete healing of their diabetic foot ulcers, while the remaining four showed significant improvement with more than 50% reduction in the initial lesion size. 3 patients developed mild irritation at the inoculation site. These outcomes, combined with the evidence from published studies, highlight the effectiveness of PRP in promoting the healing of diabetic foot ulcers. CONCLUSION: In conclusion, our study demonstrates the potential of platelet-rich plasma (PRP) as a successful therapeutic option for enhancing the healing process of chronic diabetic foot ulcers. The favorable outcomes observed, including a high rate of complete healing and significant wound size reduction, underscore the value of PRP treatment in managing this challenging complication. Further research and larger studies may provide additional insights into the mechanisms and long-term benefits of PRP in diabetic wound healing.

摘要

背景:糖尿病是一种常见的慢性疾病,对全球健康有重大影响。糖尿病足并发症,如足部溃疡,给糖尿病患者带来了巨大的负担,并可能导致严重后果,包括截肢。富血小板血浆(PRP)已成为一种有前途的治疗方法,可促进糖尿病足溃疡的愈合。

方法:我们在这项研究中,以每三周一次的间隔,用 PRP 注射治疗 12 例慢性糖尿病溃疡患者。我们的目的是评估治疗开始后 6 个月时伤口大小的缩小和完全愈合的速度。此外,我们进行了全面的文献回顾,以了解我们的发现。

结果:在 12 名患者中,有 8 名患者的糖尿病足溃疡完全愈合,而其余 4 名患者的溃疡明显改善,初始病变大小减少了 50%以上。3 名患者在接种部位出现轻度刺激。这些结果,加上已发表研究的证据,突出了 PRP 在促进糖尿病足溃疡愈合方面的有效性。

结论:总之,我们的研究表明,富血小板血浆(PRP)作为一种成功的治疗选择,具有增强慢性糖尿病足溃疡愈合过程的潜力。观察到的良好结果,包括高完全愈合率和显著的伤口大小缩小,强调了 PRP 治疗在管理这种具有挑战性的并发症方面的价值。进一步的研究和更大的研究可能会提供更多关于 PRP 在糖尿病伤口愈合中的机制和长期益处的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e17d/10760803/a89aca5962c5/fendo-14-1286907-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e17d/10760803/a89aca5962c5/fendo-14-1286907-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e17d/10760803/a89aca5962c5/fendo-14-1286907-g001.jpg

相似文献

[1]
Case report: The use of PRP in the treatment of diabetic foot: case series and a review of the literature.

Front Endocrinol (Lausanne). 2023

[2]
Platelet-rich plasma for the treatment of diabetic foot ulcer: a systematic review.

Front Endocrinol (Lausanne). 2023

[3]
Efficacy of Platelet-Rich Plasma in the Treatment of Diabetic Foot Ulcer.

Cureus. 2024-5-23

[4]
Autologous platelet-rich plasma vs conventional dressing in the management of chronic diabetic foot ulcers.

Wounds. 2022-2

[5]
Effects of different treatment measures on the efficacy of diabetic foot ulcers: a network meta-analysis.

Front Endocrinol (Lausanne). 2024

[6]
The Use of Platelet-Rich Plasma in the Treatment of Diabetic Foot Ulcers: A Scoping Review.

Cureus. 2023-8-14

[7]
Management of chronic diabetic foot ulcers using platelet-rich plasma.

J Wound Care. 2017-12-2

[8]
Platelet rich plasma for treatment of nonhealing diabetic foot ulcers: a case report.

Can J Diabetes. 2014-2

[9]
Autologous Platelet Rich Plasma Promotes the Healing of Non-Ischemic Diabetic Foot Ulcers. A Randomized Controlled Trial.

Ann Vasc Surg. 2022-5

[10]
Growth factors for treating diabetic foot ulcers.

Cochrane Database Syst Rev. 2015-10-28

引用本文的文献

[1]
A Comprehensive Literature Review on the Therapeutic Potential of Platelet-Rich Plasma for Diabetic Foot Management: Insights from a Case of a Neglected Deep Plantar Abscess.

Healthcare (Basel). 2025-5-13

[2]
Non-coding RNAs in adipose-derived stem cell exosomes: Mechanisms, therapeutic potential, and challenges in wound healing.

World J Stem Cells. 2025-4-26

[3]
Platelet concentrates in diabetic foot ulcers: A comparative review of PRP, PRF, and CGF with case insights.

Regen Ther. 2025-2-21

[4]
Effect of platelet-rich plasma on angiogenic and regenerative properties in patients with critical limb ischemia.

Regen Ther. 2025-2-6

[5]
Platelet-Rich Plasma in Diabetic Foot Ulcer Healing: Contemplating the Facts.

Int J Mol Sci. 2024-11-29

[6]
Skin Telocytes Could Fundament the Cellular Mechanisms of Wound Healing in Platelet-Rich Plasma Administration.

Cells. 2024-8-8

本文引用的文献

[1]
A Comparative Evaluation of Topical Application Versus Perilesional Injection of Platelet-Rich Plasma in Diabetic Foot Ulcer.

Int J Low Extrem Wounds. 2023-5-24

[2]
Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers.

Diabetes Care. 2023-1-1

[3]
Effectiveness of Injected Platelet-Rich Plasma in the Treatment of Diabetic Foot Ulcer Disease.

Cureus. 2022-8-23

[4]
Platelet-Rich Plasma: Optimal Use in Surgical Wounds.

Wounds. 2021-8

[5]
Objective assessment of Platelet-Rich Plasma (PRP) potentiality in the treatment of Chronic leg Ulcer: RCT on 80 patients with Venous ulcer.

J Cosmet Dermatol. 2021-10

[6]
Improving Chronic Diabetic Wound Healing through an Injectable and Self-Healing Hydrogel with Platelet-Rich Plasma Release.

ACS Appl Mater Interfaces. 2020-12-16

[7]
Autologous Platelet-Rich Plasma for Diabetic Foot Ulcer.

Trends Endocrinol Metab. 2020-12

[8]
Effectiveness of autologous PRP therapy in chronic nonhealing ulcer: A 2-year retrospective descriptive study.

J Family Med Prim Care. 2020-6-30

[9]
The Growing Epidemic of Diabetes Mellitus.

Curr Vasc Pharmacol. 2020

[10]
An optimised protocol for platelet-rich plasma preparation to improve its angiogenic and regenerative properties.

Sci Rep. 2018-1-24

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