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投稿时间:2024-07-23 网络发布日期:2025-09-19
投稿时间:2024-07-23 网络发布日期:2025-09-19
中文摘要: 目的 观察新鲜自体富血小板纤维蛋白治疗窦道性伤口的效果。方法 选取2023年1月至2024年1月南京医科大学附属明基医院治疗的60例窦道性伤口患者作为观察对象,对患者及伤口床进行准备后,先测量并记录治疗前窦道深度,再采用新鲜自体富血小板纤维蛋白填充窦道,每周更换一次直至伤口愈合,观察患者窦道在治疗7d、14d、21d、28 d的深度变化、愈合率及愈合时间。结果 治疗前窦道深度为(2.65±0.91)cm,采用新鲜自体富血小板纤维蛋白填充治疗7d、14d、21d和28d的窦道深度分别为(1.09±0.69)cm、(0.68±0.47)cm、(0.40±0.17)cm 和(0.23±0.06)cm,随治疗时间增加,窦道深度逐渐变浅,差异有统计学意义(F=46.432,P< 0.05)。治疗7 d、14 d、21 d和28 d窦道愈合率分别为5.00%(3/60)、51.67%(31/60)、95.00%(57/60)和95.00%(57/60),随治疗时间增加,窦道愈合率逐渐增加,差异有统计学意义(趋势χ2=31.76,P<0.05)。57例患者在28d内愈合,总愈合时间为(15.50±5.49)d。结论 新鲜自体富血小板纤维蛋白有助于窦道性伤口的愈合,一般需要干预21d才能达到较好的效果。
Abstract:Objective To observe the effect of fresh autologous platelet-rich fibrin (PRF) in the treatment of sinus wounds. Methods A total of 60 patients with sinus wounds treated at BenQ Medical Center Affiliated to NanjingMedical University, from January 2023 to January 2024 were selected. After preparing the patients and wound bed, the pre-treatment depth of the sinus was measured and recorded. Fresh autologous PRF was then used to fill the sinus, and the dressing was changed weekly until the wound healed. The depth of the sinus, healing rate, and healing time were observed on 7, 14, 21, and 28 days after treatment. Results The pre-treatment depth of the sinus was (2.65±0.91) cm. The sinus depths at 7, 14, 21, and 28 days after treatment with fresh autologous PRF were (1.09±0.69) cm, (0.68±0.47) cm, (0.40±0.17) cm, and (0.23±0.06) cm, respectively. The sinus depth gradually decreased with increasing treatment duration, and the difference was statistically significant (F=46.432, P<0.05). The healing rates at 7, 14, 21, and 28 days after treatment were 5.00% (3/60), 51.67% (31/60), 95.00% (57/60), and 95.00% (57/60), respectively. The healing rate increased progressively with prolonged treatment time, and the trend was statistically significant (trend χ2= 31.76, P<0.05). A total of 57 cases healed within 28 days of intervention, with a healing time of (15.50±5.49) days. Conclusion Fresh autologous PRF is beneficial for the healing of sinus wounds. A treatment period of approximately 21days is required to achieve optimal results.
keywords: Chronic wounds Sinus Platelet-rich fibrin Wound healing
文章编号: 中图分类号:R635 文献标志码:A
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附件
| 作者 | 单位 |
| 刘沙沙 | 南京医科大学附属明基医院伤口造口专科护理门诊, 江苏 南京 210019 |
| 薛丽丽 | 南京医科大学附属明基医院伤口造口专科护理门诊, 江苏 南京 210019 |
| 孙荣 | 南京医科大学附属明基医院伤口造口专科护理门诊, 江苏 南京 210019 |
| 刘雅慧 | 南京医科大学附属明基医院护理部, 江苏 南京 210019 |
引用文本:
刘沙沙,薛丽丽,孙荣,等.新鲜自体富血小板纤维蛋白用于慢性窦道的效果[J].中国临床研究,2025,38(9):1453-1456.
刘沙沙,薛丽丽,孙荣,等.新鲜自体富血小板纤维蛋白用于慢性窦道的效果[J].中国临床研究,2025,38(9):1453-1456.
