Rodríguez-Ferreyra Pablo, López-Callejas Régulo, Narváez-Robles Teresa, Rodríguez-Méndez Benjamín Gonzalo, Gayosso-Cerón Omar Israel, Mercado-Cabrera Antonio, Lule-Reyna Irene, Mondragón-Dagio Othoniel, Valencia-Alvarado Raúl, Duarte-Mote Jesús
Pediatric Burn Unit, Dr. Nicolás San Juan General Hospital, Mexico State Health Institute, Toluca 50010, Mexico.
Plasma Physics Laboratory, National Institute for Nuclear Research, Ocoyoacac 52750, Mexico.
Eur Burn J. 2025 Apr 14;6(2):20. doi: 10.3390/ebj6020020.
The effective treatment of severe burns in pediatric patients is essential for minimizing complications and promoting optimal recovery. This study investigates the use of non-thermal atmospheric pressure plasma (NTAPP) as an adjuvant therapy in combination with Epifast for the experimental group, compared to standard care involving early excisions and Epifast for the control group. A randomized controlled trial was conducted with 40 pediatric patients suffering from superficial partial-thickness and deep dermal burns. The experimental group that received NTAPP daily demonstrated a significant reduction in the need for skin grafts, requiring only 10% compared to 40% in the control group ( = 0.02). Although there were no statistically significant differences in the length of hospital stay, the experimental group showed a trend toward shorter stays (9.85 days vs. 11.65 days; = 0.38) and lower analgesic consumption (13.01 doses vs. 21.15 doses; = 0.09). Additionally, the infection rate in the NTAPP-treated group was significantly lower at 25%, compared to 37.95% in the control group ( < 0.05). These findings suggest that NTAPP enhances wound healing while reducing surgical morbidity and the risk of infections. In conclusion, this study highlights the transformative potential of NTAPP as an innovative strategy in pediatric burn management. It combines clinical efficacy with a less invasive approach, representing a significant advance in regenerative medicine and opening new avenues for research into advanced therapies.
有效治疗小儿严重烧伤对于减少并发症和促进最佳恢复至关重要。本研究调查了非热大气压等离子体(NTAPP)作为辅助治疗与Epifast联合用于实验组的情况,对照组则采用包括早期切除和Epifast的标准护理。对40名患有浅Ⅱ度和深Ⅱ度烧伤的小儿患者进行了一项随机对照试验。每天接受NTAPP治疗的实验组显示皮肤移植需求显著减少,仅为10%,而对照组为40%(P = 0.02)。虽然住院时间没有统计学上的显著差异,但实验组显示出住院时间缩短的趋势(9.85天对11.65天;P = 0.38)和镇痛药物消耗量降低(13.01剂对21.15剂;P = 0.09)。此外,NTAPP治疗组的感染率显著较低,为25%,而对照组为37.95%(P < 0.05)。这些发现表明,NTAPP可促进伤口愈合,同时降低手术发病率和感染风险。总之,本研究突出了NTAPP作为小儿烧伤管理创新策略的变革潜力。它将临床疗效与侵入性较小的方法相结合,代表了再生医学的重大进展,并为先进疗法的研究开辟了新途径。