自体富血小板血浆对消化性溃疡愈合的影响:一项随机对照试验。

IF 2 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Gastroenterology Research and Practice Pub Date : 2022-07-15 eCollection Date: 2022-01-01 DOI:10.1155/2022/7944849
Ting Xu, Yin Tian, Yi Wang, Zhongmei Yi, Chenchen Li, Shichun Wang, Yahan Fan, Chunyan Yao, Guiyong Peng, Hua Lu
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引用次数: 2

摘要

目的:消化性溃疡是一种多因素、复杂的疾病,在世界范围内影响广泛。我们提出了一种治疗消化性溃疡的新方法,并观察了其疗效。方法:选取2016 - 2017年重庆地区消化性溃疡患者,随机分为两组:单纯使用雷贝拉唑的对照组和采用自体PRP (aPRP)联合雷贝拉唑治疗的富血小板血浆(PRP)组。通过溃疡大小和症状评分评估治疗效果。结果:本研究共纳入27例患者,其中对照组12例,PRP组15例。我们的研究结果显示,所有参与者均在30天内愈合,PRP组与对照组在不同自变量上的愈合时间无显著差异。但回归分析显示,PRP组的愈合时间比对照组短6.99天,且初诊症状评分较高的患者在治疗过程中需要更长的愈合时间。内镜检查结果显示,与对照组相比,PRP组修复后的溃疡更接近于正常胃粘膜组织。结论:本研究显示了令人鼓舞的初步结果,aPRP对消化性溃疡患者有积极的效果,似乎是治疗难治性消化性溃疡的较好选择。虽然需要进一步的随访研究来确定aPRP的疗效持续时间,但该方法将有助于改善消化性溃疡的临床治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effects of Autologous Platelet-Rich Plasma on Healing of Peptic Ulcers: A Randomized Controlled Trial.

Effects of Autologous Platelet-Rich Plasma on Healing of Peptic Ulcers: A Randomized Controlled Trial.

Effects of Autologous Platelet-Rich Plasma on Healing of Peptic Ulcers: A Randomized Controlled Trial.

Effects of Autologous Platelet-Rich Plasma on Healing of Peptic Ulcers: A Randomized Controlled Trial.

Purpose: Peptic ulcer is a multifactorial and complex disease and affects a wide range of people worldwide. We provided a novel therapeutic approach for peptic ulcer and observed its effect.

Methods: Peptic ulcer patients were enrolled from 2016 to 2017 in Chongqing and randomly assigned to two groups: a control group that used only rabeprazole and a platelet-rich plasma (PRP) group that received a combination therapy of autologous PRP (aPRP) and rabeprazole. The therapeutic effect was assessed via the ulcer size and symptom score.

Results: A total of 27 patients were included (12 patients in the control group and 15 patients in the PRP group) in this study. Our results showed that all participants have healed in 30 days, and there was no significant difference in healing time between the PRP group and the control group in different independent variables. However, regression analysis revealed that the healing time was 6.99 days shorter in the PRP group than that in the control group, and patients with higher symptom scores in the initial examination need more time to heal during treatment. Endoscopic results showed that the repaired ulcer in the PRP group was more similar to the normal gastric mucosa tissue than that the control group.

Conclusion: This study showed an encouraging preliminary result that aPRP has a positive result in patients with peptic ulcer and seems to be a better choice for refractory peptic ulcer treatment. Although further follow-up studies are needed to determine the duration of efficacy of aPRP, the approach will be helpful in improving the clinical treatment of peptic ulcer.

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来源期刊
Gastroenterology Research and Practice
Gastroenterology Research and Practice GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
0.00%
发文量
91
审稿时长
1 months
期刊介绍: Gastroenterology Research and Practice is a peer-reviewed, Open Access journal which publishes original research articles, review articles and clinical studies based on all areas of gastroenterology, hepatology, pancreas and biliary, and related cancers. The journal welcomes submissions on the physiology, pathophysiology, etiology, diagnosis and therapy of gastrointestinal diseases. The aim of the journal is to provide cutting edge research related to the field of gastroenterology, as well as digestive diseases and disorders. Topics of interest include: Management of pancreatic diseases Third space endoscopy Endoscopic resection Therapeutic endoscopy Therapeutic endosonography.
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