Regenerative Therapy for Chronic Obstructive Pulmonary Disease, a Retrospective Study of Benefits and Safety

J. Coleman, Melissa Rubio
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引用次数: 2

Abstract

This is a retrospective case series of 568 patients suffering from Chronic Obstructive Pulmonary Disease (COPD) treated with autologous cells and platelet rich plasma (PRP) during 2015. Our objectives were to determine any benefits of treatment as well as any risks to the patient. Quality of Life (QoL) was measured using the Clinical COPD Questionnaire (CCQ). There was a statistically significant improvement in the average self-reported improvement greater than 0.4, in all of our protocols. The proportion of patients experiencing significant improvement in QoL at the 6-month follow-up ranges from 68.2 to 80.0%, depending on the treatment protocol. This study shows that autologous cell therapy with PRP positively affected the QoL of 73% of patients treated using our protocols. Pulmonary function was also measured but no significant changes were observed in the Forced Expiratory Volume at 1 second (FEV1) or the FEV1 to Forced Vital Capacity (FVC) ratio: (FEV1/FVC) values from baseline. Neither age nor gender correlated with the QoL response. There were no complications related to the therapy noted in any patient. We postulate that the natural history of the disease in responding patients was positively changed during the duration of therapy and with little, if any, risk to the patient.
慢性阻塞性肺疾病的再生治疗,疗效和安全性的回顾性研究
这是2015年568例慢性阻塞性肺疾病(COPD)患者接受自体细胞和富血小板血浆(PRP)治疗的回顾性病例系列。我们的目标是确定治疗的任何益处以及对患者的任何风险。使用临床COPD问卷(CCQ)测量生活质量(QoL)。在我们所有的方案中,自我报告的平均改善大于0.4,在统计学上有显著的改善。在6个月的随访中,生活质量显著改善的患者比例从68.2到80.0%不等,具体取决于治疗方案。这项研究表明,自体细胞治疗与PRP积极影响73%的患者使用我们的方案治疗的生活质量。也测量了肺功能,但与基线相比,1秒用力呼气量(FEV1)或FEV1与用力肺活量(FVC)之比(FEV1/FVC)没有明显变化。年龄和性别与生活质量反应无关。所有患者均未发现与治疗相关的并发症。我们假设,在治疗期间,反应患者的疾病自然史发生了积极的变化,对患者的风险很小,如果有的话。
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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