Department of Endocrinology and Metabolism, The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing City 400060, China.
Department of Endocrinology and Metabolism, The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing City 400060, China.
Transfus Apher Sci. 2024 Oct;63(5):103989. doi: 10.1016/j.transci.2024.103989. Epub 2024 Aug 10.
Continuous passive pressure suction and APG gel therapy effect diabetic foot IL-6, CRP, wound healing, and hospitalization.
Clinicopathological data from 102 diabetic foot ulcer patients treated at our institution between March 2018 and May 2022 was examined. Tables generated 51 joint and controlling teams randomly. The observation team received passive pressure suction and APG gel whereas the controlled team received conventional treatment. Teams monitored therapy outcomes, adverse responses, wound healing, hospital stay, and costs. Both teams compared blood uric acid, cystatin C, homocysteine, and serum IL-6, IL-10, and CRP before and after medication.
The joint team had higher hospitalization costs, shorter stays, and faster wound healing than the controlled team. Diaparity was significant (P < 0.05). The united team worked 100 %, unlike the controlling team. This difference was significant (P < 0.05). Both teams showed significant decreases in CRP, IL-6, and IL-10 levels after therapy (P < 0.05). After therapy, both the combined and controlled teams had substantial differences in blood CRP, IL-6, and IL-10 levels (P < 0.05). Both teams had significantly decreased uric acid, cystatin C, and homocysteine after treatment. The combined team showed significantly decreased uric acid, cystatin C, homocysteine levels following therapy compared to the control team (P < 0.05).
The joint team experienced considerably fewer adverse events (3.92 % vs. 17.65 %) than the controls team (P < 0.05). Permanent passive pressure suction and APG gel therapy lower inflammatory response, blood uric acid, cystatin C, and homocysteine, speeding wound healing, reducing side effects.
连续被动压力抽吸和 APG 凝胶治疗对糖尿病足 IL-6、CRP、伤口愈合和住院时间的影响。
对 2018 年 3 月至 2022 年 5 月在我院治疗的 102 例糖尿病足溃疡患者的临床病理资料进行了检查。随机生成 51 个联合和对照小组。观察组接受被动压力抽吸和 APG 凝胶治疗,对照组接受常规治疗。两组均监测治疗结果、不良反应、伤口愈合、住院时间和费用。两组均在用药前后比较血尿酸、胱抑素 C、同型半胱氨酸及血清 IL-6、IL-10、CRP 水平。
联合组住院费用较高,住院时间较短,愈合较快,与对照组比较差异有统计学意义(P<0.05)。联合组治疗有效率为 100%,对照组为 80%,差异有统计学意义(P<0.05)。两组治疗后 CRP、IL-6、IL-10 水平均显著降低(P<0.05)。治疗后联合组与对照组血 CRP、IL-6、IL-10 水平差异均有统计学意义(P<0.05)。两组治疗后血尿酸、胱抑素 C、同型半胱氨酸均显著降低,联合组治疗后血尿酸、胱抑素 C、同型半胱氨酸水平均显著低于对照组(P<0.05)。
联合组不良反应发生率(3.92%比 17.65%)明显低于对照组(P<0.05)。持续被动压力抽吸和 APG 凝胶治疗可降低炎症反应、血尿酸、胱抑素 C、同型半胱氨酸水平,促进伤口愈合,减少不良反应。