一种针对未愈合伤口激活的抗氧化剂方法-一个病例报告研究

J. F. Jiménez-García, G. Aguilera-Manrique, Laura Parra-Anguita, J. Torra-Bou, Irene Villegas-Tripiana, F. P. García-Fernández
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引用次数: 3

摘要

众所周知,氧化应激是一种损害伤口进化的病理状态,有助于炎症环境的维持和伤口愈合的停滞。这种情况特别影响老年人和有重要合并症的患者,因此愈合能力明显受损。在这项工作中,一种新的治疗方法通过一种新的抗氧化技术与天然成分已被应用,以管理氧化应激,在31例不同病因的复杂慢性伤口患者,参加了卫生西区Almería(西班牙)。在第4、8和12周进行伤口评估,主要终点包括伤口愈合的进展(愈合率百分比和Resvech 2.0评分)和疼痛缓解。抗氧化敷料治疗后第4周、8周和12周RESVECH 2.0分别下降37.28%、58.52%和67.8%,随访12周,16/31创面完全愈合(50%)。此外,还观察到伤口疼痛和生物膜的减少。总之,所分析的抗氧化方法可能是一种新的治疗策略,旨在克服复杂伤口的炎症阶段,并允许愈合过程的进展。
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An antioxidant approach directed to non-healing wounds activation - A case report study
It is well known that oxidative stress is a pathologic condition that compromises wound evolution, contributing to inflammatory environment maintaining and wound healing stagnation. This condition specially affects to aged people and to patients with important comorbidities, whereby healing capabilities are significantly impaired. In this work, a new therapeutic approach through a new antioxidant technology with natural components has been applied, in order to manage the oxidative stress, in 31 patients with complex chronic wounds of different etiologies, attended to the Sanitary West District in Almería (Spain). Wound assessments were performed at 4, 8 and 12 weeks and main endpoints included the evolution of wound healing (% of healing rate and Resvech 2.0 score) and pain relief. The treatment with antioxidant dressing produced a significant decrease of RESVECH 2.0 of 37.28%, 58.52% and 67.8% at 4, 8 and 12 weeks respectively and during the 12 week follow-up, 16/31 wounds totally healed (50%). In addition, a decrease in pain and biofilm presence in wounds were observed. In conclusion, the analyzed antioxidant approach could be a new therapeutic strategy directed to overcome the inflammatory phase in complex wounds and allow the progression over the healing process.
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