再生医学:它能为我做什么?

V. Sabesan, Arjun Meiyappan, Raviteja Rudraraju, Bhavya K. Sheth, Kiran K. Chatha, Farah Tejpar Siddharth Kundal, Christian Martine
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引用次数: 0

摘要

使用间充质细胞或富血小板血浆(PRP)治疗受损或病理组织。作为再生细胞的来源,PRP治疗一直处于领先地位,有一级证据的研究强调了它在治疗膝关节OA和侧脊椎病方面的有效性。其他来源,包括骨髓和脂肪组织,已被探索作为间充质干细胞的可能来源,但未能证明比PRP制剂更有效。骨髓干细胞被浓缩成骨髓吸液浓缩液。该配方已被研究,但尚未证明在肌肉骨骼损伤治疗的有效性一级证据。摘要目的:现在患者的预期寿命更长,生活方式更积极,这推动了再生医学的发展和应用。再生医学(RM)的定义各不相同,许多公众对再生医学的含义或这些疗法背后的科学理解不完全。本研究的目的是评估患者对再生医学在治疗肌肉骨骼问题中的作用的认知和理解。方法:本横断面研究包括一项匿名自我调查,旨在评估150名参与者对再生医学及其在运动医学中的应用的认知、知识和态度。对某医院骨科患者的人口统计信息和参与者对再生医学的知识和观念进行调查。采用描述性统计方法报告调查数据。采用独立t检验和方差分析(ANOVA)对人口统计学变量进行分析。结果:在调查对象中,70%的人对RM疗法持积极态度。持积极态度的参与者在调查的各个方面得分都明显更高,包括临床效果(p<0.05)和使用或推荐RM疗法的可能性(p<0.05)。年龄较大的参与者(54岁以上)在RM的基础知识得分较高(3.63;p = 0.02)。当被问及RM是否有助于他们的病情时,有个人RM经验的参与者有更积极的反应(3.87比3.38;P =0.01),更愿意向他人推荐(3.83 vs. 3.41;p = 0.04)。结论:总体而言,参与者对RM治疗的有效性有中等程度的理解和积极的看法。我们的结果显示,尽管文献不支持这些治疗方法的有效性,但参与者对这些治疗方式持积极态度。鉴于公众对RM治疗的兴趣和渴望,应该对这一医学领域进行更多的研究。
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Regenerative medicine: what can it do for me?
damaged or pathological tissue using mesenchymal cells or platelet rich plasma (PRP). 17 Treatment with PRP has been the frontrunner as a source for regenerative cells as studies with level 1 evidence have highlighted its effectiveness in treating knee OA and lateral spondylopathy. Other sources including bone marrow and adipose tissue have been explored as possible sources of mesenchymal stem cells but have not been able to demonstrate greater effectiveness than PRP formulations. Bone marrow stem cells are concentrated into what is known as bone marrow aspirate concentrate. The formulation has been studied, but hasn’t demonstrated level 1 evidence of effectiveness in musculoskeletal injury treatment. Abstract Objectives: Patients now have longer life expectancies and more active lifestyles which is driving the growth and use of regenerative medicine. Definitions of regenerative medicine (RM) vary, with much of the public having an incomplete understanding of what regenerative medicine means or the science behind these therapies. The purpose of this study was to assess patient perceptions and understanding of the role of regenerative medicine in treating musculoskeletal problems. Methods: This cross-sectional study consisted of an anonymous self-administered survey designed to assess patient perceptions, knowledge and attitudes toward regenerative medicine and its application in sports medicine of 150 participants. The demographic information and participant’s knowledge and conceptions of regenerative medicine were surveyed from patients in an orthopedic surgery department at a single institution. Descriptive statistics were used to report survey data. Analyses were performed based on demographic variables using independent t-test and an analysis of variance (ANOVA). Results: Of the survey takers, 70% viewed RM therapies positively. Participants with a positive view scored significantly higher in all aspects of the survey including effectiveness in the clinical setting (p<0.05) and the likelihood to use or recommend RM therapies (p<0.05). Older Participants (over 54years) scored higher for basic knowledge on RM (3.63; p=0.02). Participants with personal experience with RM had a more positive response when asked if it helps their condition (3.87 vs. 3.38; p=0.01) and were more comfortable recommending it to others (3.83 vs. 3.41; p=0.04). Conclusion: Overall, participants had a moderate level of understanding and positive perception of the effectiveness of RM therapies. Our results showed participants had a positive view of these treatment modalities despite the literature not supporting the effectiveness of these therapies. More research should be dedicated to this area of medicine given the public interest and desire for RM treatments.
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