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富血小板血浆敷料与生理盐水敷料治疗糖尿病足溃疡的疗效:在奥里萨邦南部一家三级护理医院进行的对比研究

Efficacy of Platelet-Rich Plasma Dressing Versus Normal Saline Dressing in the Management of Diabetic Foot Ulcers: A Comparative Study Conducted in a Tertiary Care Hospital in Southern Odisha.

作者信息

Jain Lavanya, Sethy Manoj K, Jena Anil K, Pattanaik Abinash, Mishra Rajinder K, Bhakta Madhumita, Behera Abhimanyu

机构信息

General Surgery, Maharaja Krishna Chandra Gajapati (MKCG) Medical College and Hospital, Berhampur, IND.

Community Medicine, Maharaja Krishna Chandra Gajapati (MKCG) Medical College and Hospital, Berhampur, IND.

出版信息

Cureus. 2025 Jul 1;17(7):e87106. doi: 10.7759/cureus.87106. eCollection 2025 Jul.

Abstract

Background and objectives Diabetic foot ulcers (DFUs) present significant challenges due to their chronicity and potential complications. This study aims to compare the efficacy of platelet-rich plasma (PRP) versus normal saline dressing (NSD) in promoting wound healing and reducing complications among diabetic patients. Materials and methods This comparative study enrolled diabetic patients with foot ulcers, randomly assigned to either PRP or NSD treatment groups. Demographic data, ulcer characteristics, and treatment outcomes were meticulously recorded and analyzed. Statistical tests, including paired and independent samples t-tests, chi-square tests, and descriptive statistics, were employed to assess differences between the groups. Results Both groups exhibited similar age distributions, with PRP showing a slightly wider range. Sex distribution was identical between the NSD and PRP groups. PRP therapy demonstrated significant wound size reduction compared to NSD, with notable improvements in ulcer healing rates and reduced rates of complications and surgical interventions. Microbiological analysis revealed comparable infection rates between groups, with PRP potentially reducing infection-related complications. Interpretation and conclusion PRP therapy appears to offer superior efficacy over NSD in promoting DFU healing, as evidenced by substantial reductions in ulcer size and lower rates of complications. This study supports PRP as a promising treatment modality for DFUs, potentially enhancing clinical outcomes and reducing healthcare burdens.

摘要

背景与目的 糖尿病足溃疡(DFUs)因其慢性病程和潜在并发症而带来重大挑战。本研究旨在比较富血小板血浆(PRP)与生理盐水敷料(NSD)在促进糖尿病患者伤口愈合及减少并发症方面的疗效。材料与方法 本比较研究纳入患有足部溃疡的糖尿病患者,随机分为PRP治疗组或NSD治疗组。详细记录并分析人口统计学数据、溃疡特征及治疗结果。采用配对和独立样本t检验、卡方检验及描述性统计等统计方法评估两组间差异。结果 两组年龄分布相似,PRP组范围稍宽。NSD组和PRP组性别分布相同。与NSD相比,PRP治疗使伤口大小显著减小,溃疡愈合率显著提高,并发症及手术干预发生率降低。微生物学分析显示两组感染率相当,PRP可能降低与感染相关的并发症。解读与结论 溃疡大小显著减小及并发症发生率降低表明,PRP治疗在促进DFU愈合方面似乎比NSD疗效更佳。本研究支持PRP作为一种有前景的DFU治疗方式,可能改善临床结局并减轻医疗负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f5/12314219/a262b902e894/cureus-0017-00000087106-i01.jpg

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