Potential therapeutic effects of topical recombinant human erythropoietin on burn wound healing: A preliminary randomized double-blind controlled clinical trial.

IF 3.2 3区 医学 Q2 CRITICAL CARE MEDICINE
Burns Pub Date : 2024-09-17 DOI:10.1016/j.burns.2024.09.004
Fatemeh Saghafi, Farhad Mohammadi, Farahnaz Hoseinzade, Maryam Jafarpoor, Mohammad Jalili Manesh, Adeleh Sahebnasagh
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Abstract

Background: Burn injuries can cause significant mortality and morbidity. This study aimed to evaluate the efficiency of topical recombinant human erythropoietin (rhEPO) on enhancing burn wound healing.

Methods: In this randomized double-blind controlled clinical trial, we enrolled 40 participants aged 18 years and older who were referred to a burn center during the first 24 h of burning. The participants with no concurrent comorbidities had superficial and deep second-degree burns, no respiratory burns, no face and perineum burns, no keloid formation, or a healed, fully epithelialized, hypertrophic burn scar. Topical rhEPO or nitrofurazone/Vitamin A was administered every other day, and the patients were scheduled for follow-up visits to receive wound cleansing, debridement, and dressing changes. Burn wound healing response to treatment was measured as the study main outcome.

Results: At the second follow-up visit, all parameters were significantly lower in the rhEPO group compared with the control group except for itchiness. The results of the next two follow-up sessions were also the same. The total value of the modified Vancouver Scar Scale (VSS) at days 5, 7, and 14 was significantly lower in the rhEPO group compared with the routine of care group. Trial Registry Date: 2022-03-02, Trial Registry number: IRCT20190810044500N23 CONCLUSIONS: The results of the present study suggested that topical rhEPO is a potential option in burn wounds and patient satisfaction, without causing intolerable side effects.

局部重组人促红细胞生成素对烧伤伤口愈合的潜在治疗效果:一项初步随机双盲对照临床试验。
背景:烧伤可导致严重的死亡率和发病率。本研究旨在评估外用重组人促红细胞生成素(rhEPO)促进烧伤创面愈合的效果:在这项随机双盲对照临床试验中,我们招募了 40 名年龄在 18 岁及以上、在烧伤后 24 小时内转诊至烧伤中心的患者。无并发症的参与者均为浅二度烧伤和深二度烧伤,无呼吸道烧伤,无面部和会阴部烧伤,无瘢痕疙瘩形成,或已愈合、完全上皮化的增生性烧伤瘢痕。外用 rhEPO 或硝呋酮/维生素 A 每隔一天使用一次,并安排患者接受伤口清洁、清创和换药随访。烧伤创面愈合反应是研究的主要结果:结果:在第二次随访时,与对照组相比,rhEPO 组除瘙痒外,其他参数均明显降低。随后两次随访的结果也相同。与常规护理组相比,rhEPO 组在第 5、7 和 14 天的改良温哥华疤痕量表(VSS)总值明显降低。试验登记日期:2022-03-02,试验登记号:IRCT20190810044500N23 结论:本研究结果表明,外用 rhEPO 是治疗烧伤创面的一种潜在选择,可提高患者满意度,且不会产生难以忍受的副作用。
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来源期刊
Burns
Burns 医学-皮肤病学
CiteScore
4.50
自引率
18.50%
发文量
304
审稿时长
72 days
期刊介绍: Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.
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