Autologous platelet-rich gel treatment for diabetic chronic cutaneous ulcers: A meta-analysis of randomized controlled trials

作者：Li, Yan; Gao, Yunyi; Gao, Yun; Chen, Dawei; Wang, Chun; Liu, Guanjian; Yang, Xin; Ran, Xingwu^*

来源：Journal of Diabetes, 2019, 11(5): 359-369.

DOI：10.1111/1753-0407.12850

• autologous platelet-rich gel
• diabetic chronic cutaneous ulcers
• effectiveness
• meta-analysis
• safety

BackgroundIn recent years, many studies have reported that autologous platelet-rich gel (APG) is an effective adjuvant treatment for chronic cutaneous ulcers in diabetics. The aim of this study was to explore the efficacy and safety of APG for the topical treatment of diabetic chronic cutaneous ulcers.
MethodsThe China Biology Medicine (CBM), China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals (VIP), Chinese Wanfang database, PubMed, EMBASE, EBSCOhost, and Cochrane Library were systematically searched for relevant studies published up to 18 October 2017. Fixed- and random-effects models were used to calculate risk ratios (RR), odds ratios (ORs), and mean difference (MD) with 95% confidence intervals (95% CI). Subgroup analyses were conducted according to the Diabetic Foot Wagner Classification.
ResultsFifteen randomized control trials (RCTs) with 829 patients were eligible for inclusion in this analysis. Compared with standard care or conventional treatment, APG significantly improved the healing rate (RR 1.39; 95% CI 1.29, 1.50; P<0.00001), shortened the healing time (MD -9.18; 95% CI -11.32, -7.05; P<0.00001), and reduced the incidence of infection (OR 0.34; 95% CI 0.15, 0.77; P=0.009).
ConclusionsCurrent evidence suggests that APG is effective and safe, and is feasible for use as an adjuvant treatment for diabetic ulcers, especially chronic refractory ulcers. However, more RCTs with a good design and of a high quality are needed before the use of APG can be implemented widely.
?? ?? ???,??????????????(autologous platelet-rich gel,APG)????????????????????????????APG????????????????????
?? ??????????????,????????,????????,?????????,PubMed,EMBASE,EBSCOhost?Cochrane library???,?????2017?10?18?,????????Meta????????????????????????(risk ratios,RR)????(odds ratios,OR)???(mean difference,MD)????95%????(95% confidence intervals,95%CI)??????,???????????????????
?? ???15?????????829??????????????Meta??????:????????????,APG????????(RR 1.39;95% CI 1.29,1.50;P < 0.00001),???????(MD -9.18;95% CI -11.32,-7.05;P < 0.00001),????????(OR 0.34;95% CI 0.15,0.77;P = 0.009)?
??
????????? APG???,????????????,???????????????????????????APG??????,???????????????????????????

• 出版日期2019-5
• 单位四川大学