关键词: Extracellular matrix Inflammatory process Leg ulcers Pressure ulcers Wound healing

Mesh : Adult Aged Aged, 80 and over Amputation Bandages Chronic Disease Cost-Benefit Analysis Extracellular Matrix Female Glucans / therapeutic use Heparitin Sulfate / analogs & derivatives Humans Inflammation Male Middle Aged Peripheral Vascular Diseases Pressure Ulcer / nursing Regeneration Surgical Wound / nursing Varicose Ulcer / nursing Wounds and Injuries / nursing

来  源:   DOI:10.12968/bjcn.2019.24.Sup9.S33   PDF(Sci-hub)

Abstract:
One of the biggest challenges faced by healthcare providers is the treatment of chronic, non-healing wounds. This paper reports for the first time in the UK the results of five case studies in which a novel regenerating matrix-based therapy, CACIPLIQ20, was used. CACIPLIQ20 is a heparan sulphate mimetic designed to replace the destroyed heparan sulphate in the extracellular matrix of wound cells. All five patients in this case series had chronic, non-healing ulcers that had not improved with conventional care. Treatment included two applications of CACIPLIQ20 per week, for a maximum of 12 weeks. Three of the five wounds healed completely, and the remaining two showed significant improvements in size and quality. The treatment was well tolerated by the patients and also led to a significant reduction in pain. Moreover, CACIPLIQ20 treatment was found to be highly cost-effective when compared to conventional care, with the potential to save healthcare systems significant resources. Further studies are needed to build a strong evidence base on the use of this product, but these preliminary findings are certainly promising.
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