Biological stimulation of diabetic ulcers healing
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2020-05-18 07:50
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617.379-008.64:617-002.44-06-089.843 (1)
Științe medicale. Medicină (11136)
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PETRUSHENKO, V., GREBENIUK, D., APASOVA, N.. Biological stimulation of diabetic ulcers healing . In: Arta Medica , 2019, nr. 3(72), p. 159. ISSN 1810-1852.
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Arta Medica
Numărul 3(72) / 2019 / ISSN 1810-1852 /ISSNe 1810-1879

Biological stimulation of diabetic ulcers healing

CZU: 617.379-008.64:617-002.44-06-089.843

Pag. 159-159

Petrushenko V., Grebeniuk D., Apasova N.
 
National Pirogov Memorial Medical University, Vinnytsya
 
 
Disponibil în IBN: 29 aprilie 2020


Rezumat

Introduction: Despite many studies, diabetes does not respond to radical treatment, and footulcers do not heal for a long time. Aim: The aim of our study was toevaluatethe reparatory efect of platelet-rich plasma (PRP) in the treatment of patients with diabetic foot in stage 2. Materials and methods: The study included 32 patients with diagnosis of diabetic foot in stage 2. At the time of inclusion in the study, all patients had a defect of the skin and subcutaneous fat on the foot, measuring 3-6 cm2, which was not corrected by traditional methods for 3-4 months. All patients were divided in 2 groups: comparison group (n=18 (56.25%) – standard therapy; study group (n=14;43.75%) – standard therapy and local serial administration of PRP. The area of the ulcers was measured before manipulation, as well as at 1 week intervals until the ulcer was completely healed. Results: Our experience with PRP in the treatment of patients with diabetic foot in stage 2 demonstrated the efectiveness of this technique. A progressive, signiicant (p<0.01) decrease in the area of the ulcerative defect starting from the 14th day was noted. When using PRP, we managed to achieve complete healing of diabetic ulcers in 64.2% of patients on day 35 and in 100% of patients on day 42. Conclusion: Local administration of an PRP allows the complete healing of diabetic ulcers in stage 2 with an area of 3-6 cm2 for 6 weeks.

Cuvinte-cheie
diabetic ulcer, platelet-rich plasma, reparation.