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

IF 1.6 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
American journal of translational research Pub Date : 2025-05-15 eCollection Date: 2025-01-01 DOI:10.62347/CRQK7620
Jiangqiang Chen, Zuhui Chen, Weibin Zheng, Xiangqian Shen
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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.

局部注射富血小板血浆对手部未愈合伤口有效。
目的:评价局部富血小板血浆(PRP)注射治疗手部未愈合伤口的临床疗效。方法:回顾性分析80例未愈合手外伤患者的资料。其中研究组48例患者采用局部PRP注射,对照组32例患者采用常规换药治疗。评估的结果包括治疗效果、安全性、换药次数、伤口愈合时间、住院时间、治疗费用、伤口愈合率、伤口感染率、温哥华疤痕量表(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、血清伤口生长因子和患者对伤口外观的满意度。结果:研究组总体治疗效果和创面愈合率明显优于对照组。此外,研究组的不良事件发生率明显降低,换药次数减少,伤口愈合时间缩短,住院时间缩短,治疗费用降低,感染率降低。治疗后评估显示研究组的VSS、BWAT和VAS评分明显降低。此外,研究组在治疗后血清创面生长因子的上调更为明显。结论:局部注射PRP治疗手部伤口不愈合效果明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American journal of translational research
American journal of translational research ONCOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
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