自体富血小板血浆在断指再植患者术后创面愈合中的效果
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卢玮(1990.9-),男,贵州贵阳人,本科,主治医师,主要从事膝关节骨性关节炎诊疗及治疗、PRP创面修复及 软组织缺损等方面工作

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R641


Effect of Autologous Platelet-rich Plasma on Postoperative Wound Healing in Patients with Replantation of Amputated Finger
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    摘要:

    目的 探究在断指再植术后患者中应用凡士林纱布+自体富血小板血浆(PRP)覆盖的效果。方法 选 取2022年3月-2023年6月于我院实施断指再植术的59例患者为研究对象,根据治疗方法不同分为对照组 (n =29)和试验组(n =30),对照组采用凡士林纱布覆盖创面,试验组采用凡士林纱布+PRP覆盖创面, 比较两组创面愈合情况、疼痛程度、恢复效果、不良反应发生情况。结果 试验组创面完全愈合时间为 (18.73±2.90)d,短于对照组的(25.68±1.89)d(P <0.05);试验组创面愈合率为(70.10±6.83)%, 高于对照组的(53.79±6.12)%(P <0.05);试验组治疗后VAS评分为(3.90±0.75)分,低于对照组的 (2.90±0.80)分(P <0.05);试验组恢复优良率为100.00%,高于对照组的96.55%(P <0.05);试验组不 良反应发生率为0,低于对照组的3.45%,但差异无统计学意义(P >0.05)。结论 在断肢再植后患者中应 用PRP覆盖于凡士林纱布修复创面的效果确切,能提高创面愈合速度,改善其疼痛程度,进而降低不良反 应发生率,值得临床应用。

    Abstract:

    Objective To explore the effect of Vaseline gauze+autologous platelet-rich plasma (PRP) coverage in patients after replantation of amputated finger. Methods A total of 59 patients who underwent replantation of amputated finger in our hospital from March 2022 to June 2023 were selected as the research objects. According to different treatment methods, they were divided into control group (n =29) and experimental group (n =29). The control group used Vaseline gauze to cover the wound, and the experimental group used Vaseline gauze+PRP to cover the wound. The wound healing, pain degree, recovery effect and adverse reactions were compared between the two groups. Results The wound healing time of the experimental group was (18.73±2.90)d, which was shorter than (25.68±1.89)d of the control group (P <0.05). The wound healing rate of the experimental group was (70.10±6.83)%, which was higher than (53.79±6.12)% of the control group (P <0.05). After treatment, the VAS score of the experimental group was (3.90±0.75)scores, which was lower than (2.90±0.80)scores of the control group (P <0.05). The excellent and good rate of recovery in the experimental group was 100.00%, which was higher than 96.55% in the control group (P <0.05). The incidence of adverse reactions in the experimental group was 0, which was lower than 3.45% in the control group, but the difference was not statistically significant (P >0.05). Conclusion The application of PRP covering Vaseline gauze to repair wounds in patients after replantation of amputated finger has a definite effect, which can improve the speed of wound healing, improve the degree of pain, and reduce the incidence of adverse reactions. It is worthy of clinical application.

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卢玮,高进.自体富血小板血浆在断指再植患者术后创面愈合中的效果[J].医学美学美容,2024,33(14):130-132.

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  • 在线发布日期: 2024-08-01