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评估人羊膜在静脉性溃疡和糖尿病性溃疡治疗中的应用及有效性:随机对照试验的系统评价和荟萃分析

Assessing the Application and Effectiveness of Human Amniotic Membrane in the Management of Venous and Diabetic Ulcers: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

作者信息

Alomairi Abeer A, Alhatlani Rama A, Alharbi Shahad M, Alqurain Zainab J, Alanazi Ibtihal Z, Alanazi Sarah A, Alkhmis Zainab, Samandar Alaa F, Arif Sultan

机构信息

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

College of Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Qassim, SAU.

出版信息

Cureus. 2024 Mar 21;16(3):e56659. doi: 10.7759/cureus.56659. eCollection 2024 Mar.

Abstract

This study aimed to assess the efficacy of human amniotic membranes (HAM) in treating venous and diabetic ulcers, which often pose challenges in healing. A systematic review and meta-analysis were conducted, evaluating 10 relevant studies involving 633 participants. Findings revealed that HAM treatment significantly accelerated ulcer closure, demonstrating over 90% complete healing compared to standard care. Despite moderate heterogeneity among studies, the results strongly suggested the effectiveness and safety of HAM therapy for venous and diabetic leg ulcers. Further research with larger study cohorts is recommended to bolster the existing evidence supporting HAM in managing these challenging wounds.

摘要

本研究旨在评估人羊膜(HAM)治疗静脉性溃疡和糖尿病性溃疡的疗效,这些溃疡在愈合方面常常具有挑战性。进行了一项系统评价和荟萃分析,评估了10项涉及633名参与者的相关研究。结果显示,与标准护理相比,HAM治疗显著加速了溃疡愈合,实现了超过90%的完全愈合。尽管各研究之间存在中度异质性,但结果有力地表明了HAM疗法治疗静脉性和糖尿病性腿部溃疡的有效性和安全性。建议开展更大样本队列的进一步研究,以加强现有支持HAM治疗这些具有挑战性伤口的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b41/11032220/73be6f591e18/cureus-0016-00000056659-i01.jpg

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