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局部注射富血小板血浆对不愈合的手部伤口有效。

Local injection of platelet-rich plasma is effective for non-healing hand wounds.

作者信息

Chen Jiangqiang, Chen Zuhui, Zheng Weibin, Shen Xiangqian

机构信息

Department of Plastic Surgery, Tiantai County People's Hospital Tiantai County, Taizhou 317200, Zhejiang, China.

Department of Plastic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine Hangzhou 310003, Zhejiang, China.

出版信息

Am J Transl Res. 2025 May 15;17(5):3505-3513. doi: 10.62347/CRQK7620. eCollection 2025.

Abstract

OBJECTIVE

To evaluate the clinical efficacy of local platelet-rich plasma (PRP) injections in treating non-healing hand wounds.

METHODS

Data of 80 patients with non-healing hand wounds were retrospectively selected for this study. Among them, 48 patients in the research group received local PRP injections, while 32 patients in the control group were treated with conventional dressing changes. The outcomes assessed included treatment efficacy, safety, frequency of dressing change, wound healing time, duration of hospitalization, treatment costs, wound healing rate, wound infection rate, Vancouver Scar Scale (VSS) scores, Bates-Jensen Wound Assessment Tool (BWAT) scores, Visual Analogue Scale (VAS) scores, serum wound growth factors, and patient satisfaction with wound appearance.

RESULTS

The research group demonstrated significantly superior outcomes compared to the control group, including higher overall treatment efficacy and wound healing rates. Furthermore, the research group exhibited a significantly lower incidence of adverse events, reduced frequency of dressing changes, shorter wound healing time, reduced hospitalization duration, lower treatment costs, and a lower infection rate. Post-treatment assessments revealed significantly lower VSS, BWAT, and VAS scores in the research group. Additionally, the upregulation of serum wound growth factors was more pronounced in the research group following treatment.

CONCLUSIONS

Local PRP injection demonstrates clear efficacy in the management of non-healing hand wounds.

摘要

目的

评估局部注射富血小板血浆(PRP)治疗手部难愈性伤口的临床疗效。

方法

本研究回顾性选取了80例手部难愈性伤口患者的数据。其中,研究组48例患者接受局部PRP注射,而对照组32例患者采用传统换药治疗。评估的结果包括治疗效果、安全性、换药频率、伤口愈合时间、住院时间、治疗费用、伤口愈合率、伤口感染率、温哥华瘢痕量表(VSS)评分、贝茨-詹森伤口评估工具(BWAT)评分、视觉模拟量表(VAS)评分、血清伤口生长因子以及患者对伤口外观的满意度。

结果

研究组的各项结果均显著优于对照组,包括总体治疗效果和伤口愈合率更高。此外,研究组不良事件发生率显著更低,换药频率降低,伤口愈合时间缩短,住院时间缩短,治疗费用降低,感染率更低。治疗后评估显示,研究组的VSS、BWAT和VAS评分显著更低。此外,治疗后研究组血清伤口生长因子的上调更为明显。

结论

局部PRP注射在手部难愈性伤口的治疗中显示出明显疗效。

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