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病例报告:光生物调节疗法和羊水凝胶对重度糖尿病足溃疡的影响

A Case Report: The Effects of Photobiomodulation Therapy and Amniotic Fluid Gel on a Severe Diabetic Foot Ulcer.

作者信息

Motamedi Nasab Elahe, DiDuro Joe, Bayat Mohammad, Zare Fatemeh, Derakhshan Roya, Rahmannia Maryam, Arab Yaqoubi Ladan, Fredoni Mohammad Javad, Ahmadi Houssein, Heidari Mohammad Hossein, Sabet Babak

机构信息

Department of Neonatology, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.

ProNeuroLIGHT LLC, Arizona, USA.

出版信息

J Lasers Med Sci. 2024 Jul 27;15:e25. doi: 10.34172/jlms.2024.25. eCollection 2024.

Abstract

Diabetic patients frequently experience a serious complication known as impaired wound healing, which increases the likelihood of foot infection and limb amputation. Investigators have been looking for novel methods to treat diabetic foot ulcers (DFUs) recently. A 75-year-old woman with type one diabetes mellitus (DM) has been accepted. There was a sizable (40 cm full-thickness cutaneous wound) in the plantar part of her right foot (Wagner Ulcer Grade Classification System: grade 3) which had not been treated by the usual treatment for DFUs. In this present case, we used amniotic fluid gel (AF gel) and photobiomodulation therapy (PBMT) (400 mW/cm; 810 nm, once a week for 16 weeks) to treat and speed up the healing of a harsh DFU. The size of the ulcer area significantly decreased as combination therapy progressed, and within 16 weeks, the wound was healed and the pain was reduced. This revealed contextual analysis demonstrated the useful effect of the mix of PBMT and AF gel on a serious DFU. To confirm the findings, we recommend conducting additional clinical trials in a clinical setting. In addition, it is recommended that additional research using preclinical models uncover the mechanism of action of the combination therapy.

摘要

糖尿病患者经常会出现一种名为伤口愈合受损的严重并发症,这增加了足部感染和肢体截肢的可能性。近年来,研究人员一直在寻找治疗糖尿病足溃疡(DFU)的新方法。一名75岁的1型糖尿病(DM)女性患者被纳入研究。她右脚足底有一个较大的(40厘米全层皮肤伤口)(瓦格纳溃疡分级系统:3级),常规的DFU治疗方法对其无效。在本病例中,我们使用羊水凝胶(AF凝胶)和光生物调节疗法(PBMT)(400毫瓦/平方厘米;810纳米,每周一次,共16周)来治疗并加速严重DFU的愈合。随着联合治疗的进行,溃疡面积显著减小,在16周内,伤口愈合,疼痛减轻。这项背景分析表明,PBMT和AF凝胶联合使用对严重DFU有显著疗效。为了证实这一发现,我们建议在临床环境中进行更多的临床试验。此外,建议使用临床前模型进行更多研究,以揭示联合治疗的作用机制。

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Macrophage polarization and diabetic wound healing.巨噬细胞极化与糖尿病创面愈合。
Transl Res. 2021 Oct;236:109-116. doi: 10.1016/j.trsl.2021.05.006. Epub 2021 Jun 2.

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