自体皮肤细胞悬浮液在烧伤创面和非烧伤创面的愈合效果相当。

IF 1.8 4区 医学 Q3 CRITICAL CARE MEDICINE
Riley Shegos, Sarah Miller, Carrie Ann McGroarty, Corianne Rogers, C Scott Hultman
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引用次数: 0

摘要

烧伤通常需要先进的治疗来优化愈合,然而自体皮肤细胞悬浮液(ASCS)在不同伤口类型的比较效果尚不清楚。虽然ASCS在促进伤口愈合方面有希望,但其在烧伤和非烧伤伤口中的相对疗效尚不清楚。本研究评估了ASCS在烧伤和非烧伤患者中的效果,并假设ASCS在促进两种伤口愈合方面同样有效。本回顾性队列研究分析了100例接受ASCS治疗的全层损伤患者,比较烧伤组(n=28)和非烧伤组(n=72)。结果包括4周和8周伤口愈合、并发症发生率、年龄、住院时间、ASCS应用到出院的时间、美国麻醉医师学会评分、四肢严重程度评分、伤口大小、估计出血量、病例时间、手术室时间和随访时间。采用T检验和卡方分析,p < 0.05为差异有统计学意义。4周时,烧伤组创面愈合率为78.6%(22/28),非烧伤组创面愈合率为75%(54/72)。8周时,烧伤组闭合率为100%(28/28),非烧伤组闭合率为93%(67/72)。两组并发症发生率均为25%。烧伤组平均随访64.24天,非烧伤组平均随访89.54天。在伤口闭合或并发症方面没有发现显著差异,支持该假设。这些发现表明,ASCS是烧伤治疗方案的一个多功能和有价值的补充,无论损伤病因如何,都能提供有希望的结果。结果可以为临床指南和方案提供信息,使ASCS在烧伤以外的应用更加可靠,以优化患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Autologous Skin Cell Suspension Provides Comparable Healing in Both Burn and Non-Burn Wounds.

Burn injuries often require advanced treatments to optimize healing, yet the comparative effectiveness of autologous skin cell suspension (ASCS) across wound types remains unclear. While ASCS shows promise in enhancing wound healing, its relative efficacy in burn versus non-burn wounds is not well understood. This study evaluates ASCS outcomes in burn and non-burn patients, hypothesizing that ASCS is equally effective in promoting healing across both wound types. This retrospective cohort study analyzed 100 patients with full-thickness injuries treated with ASCS, comparing burn (n=28) and non-burn (n=72) groups. Outcomes included wound closure at 4 and 8 weeks, complication rates, age, length of stay, time from ASCS application to discharge, American Society of Anesthesiologists score, Mangled Extremity Severity Score, wound size, estimated blood loss, case time, operating room time, and follow-up duration. Statistical significance was set at p < 0.05, using T tests and Chi-square analysis. At 4 weeks, wound closure was comparable at 78.6% (22/28) for burns and 75% (54/72) for non-burns. By 8 weeks, closure reached 100% (28/28) for burns and 93% (67/72) for non-burns. Complication rates were 25% in both groups. Follow-up averaged 64.24 days for burns and 89.54 days for non-burns. No significant differences were found in wound closure or complications, supporting the hypothesis. These findings suggest that ASCS is a versatile and valuable addition to burn treatment protocols, offering promising results irrespective of injury etiology. The results can inform clinical guidelines and protocols, enabling confident application of ASCS beyond burns to optimize patient outcomes.

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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
535
审稿时长
4-8 weeks
期刊介绍: Journal of Burn Care & Research provides the latest information on advances in burn prevention, research, education, delivery of acute care, and research to all members of the burn care team. As the official publication of the American Burn Association, this is the only U.S. journal devoted exclusively to the treatment and research of patients with burns. Original, peer-reviewed articles present the latest information on surgical procedures, acute care, reconstruction, burn prevention, and research and education. Other topics include physical therapy/occupational therapy, nutrition, current events in the evolving healthcare debate, and reports on the newest computer software for diagnostics and treatment. The Journal serves all burn care specialists, from physicians, nurses, and physical and occupational therapists to psychologists, counselors, and researchers.
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