病例报告:光生物调节疗法和羊胎素凝胶对严重糖尿病足溃疡的影响

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of lasers in medical sciences Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI:10.34172/jlms.2024.25
Elahe Motamedi Nasab, Joe DiDuro, Mohammad Bayat, Fatemeh Zare, Roya Derakhshan, Maryam Rahmannia, Ladan Arab Yaqoubi, Mohammad Javad Fredoni, Houssein Ahmadi, Mohammad Hossein Heidari, Babak Sabet
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引用次数: 0

摘要

导言:糖尿病患者经常会出现伤口愈合障碍这一严重并发症,从而增加足部感染和截肢的可能性。最近,研究人员一直在寻找治疗糖尿病足溃疡(DFUs)的新方法。病例报告:患者是一名 75 岁的女性,患有一型糖尿病(DM)。她的右足跖部有一个相当大的伤口(40 平方厘米的全厚皮肤伤口)(瓦格纳溃疡等级分类系统:3 级),一直未采用糖尿病足溃疡的常规治疗方法进行治疗。在本病例中,我们使用羊胎素凝胶(AF gel)和光生物调控疗法(PBMT)(400 mW/cm2; 810 nm,每周一次,持续 16 周)治疗并加速了严重的 DFU 的愈合。随着联合疗法的进展,溃疡面积明显缩小,16 周内伤口愈合,疼痛减轻。结论此次揭示的背景分析表明,PBMT 和 AF 凝胶的混合疗法对严重的 DFU 有益。为证实研究结果,我们建议在临床环境中开展更多临床试验。此外,我们还建议利用临床前模型开展更多研究,揭示联合疗法的作用机制。
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A Case Report: The Effects of Photobiomodulation Therapy and Amniotic Fluid Gel on a Severe Diabetic Foot Ulcer.

Introduction: Diabetic patients frequently experience a serious complication known as impaired wound healing, which increases the likelihood of foot infection and limb amputation. Investigators have been looking for novel methods to treat diabetic foot ulcers (DFUs) recently. Case Report: A 75-year-old woman with type one diabetes mellitus (DM) has been accepted. There was a sizable (40 cm2 full-thickness cutaneous wound) in the plantar part of her right foot (Wagner Ulcer Grade Classification System: grade 3) which had not been treated by the usual treatment for DFUs. In this present case, we used amniotic fluid gel (AF gel) and photobiomodulation therapy (PBMT) (400 mW/cm2; 810 nm, once a week for 16 weeks) to treat and speed up the healing of a harsh DFU. The size of the ulcer area significantly decreased as combination therapy progressed, and within 16 weeks, the wound was healed and the pain was reduced. Conclusion: This revealed contextual analysis demonstrated the useful effect of the mix of PBMT and AF gel on a serious DFU. To confirm the findings, we recommend conducting additional clinical trials in a clinical setting. In addition, it is recommended that additional research using preclinical models uncover the mechanism of action of the combination therapy.

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来源期刊
Journal of lasers in medical sciences
Journal of lasers in medical sciences RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
3.00
自引率
13.30%
发文量
24
期刊介绍: The "Journal of Lasers in Medical Sciences " is a scientific quarterly publication of the Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences. This journal received a scientific and research rank from the national medical publication committee. This Journal accepts original papers, review articles, case reports, brief reports, case series, photo assays, letters to the editor, and commentaries in the field of laser, or light in any fields of medicine such as the following medical specialties: -Dermatology -General and Vascular Surgery -Oncology -Cardiology -Dentistry -Urology -Rehabilitation -Ophthalmology -Otorhinolaryngology -Gynecology & Obstetrics -Internal Medicine -Orthopedics -Neurosurgery -Radiology -Pain Medicine (Algology) -Basic Sciences (Stem cell, Cellular and Molecular application and physic)
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