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Efficacy and safety of a gauze pad containing hyaluronic acid in treatment of leg ulcers of venous or mixed origin: a double-blind, randomised, controlled trial.
Humbert P., Mikosinki J., Benchikhi H., Allaert F.-A.
International Wound Journal (2012) epub ahead of print - http://www.hal.inserm.fr/inserm-00723069
(22405094)
Efficacy and safety of a gauze pad containing hyaluronic acid in treatment of leg ulcers of venous or mixed origin: a double-blind, randomised, controlled trial.
Philippe Humbert () 1, 2, Jacek Mikosinki3, Hakima Benchikhi4, François-André Allaert5
1 :  Département de dermatologie
CHU Besançon – Hôpital Saint-Jacques – Université de Franche-Comté
Besançon
France
2 :  Interaction hôte-greffon-tumeur, ingénierie cellulaire et génique
INSERM : U1098 – Université de Franche-Comté – EFS
I.B.C.T. Bâtiment Inserm 240 Route de Dole/Rue F. Dolto 25000 Besançon
France
3 :  Porodnia Chorób Naczyń Obwodowych Mikomed ul
Porodnia Chorob Naczyn Obwodowych Mikomed ul
Lodz
Pologne
4 :  Service de Dermatologie
CHU Ibn Rochd
CHU Ibn Rochd Pavillon 42-1, Quartier des Hôpitaux Casablanca
Maroc
5 :  CenBiotech et Ceren ESC
CHU Dijon
France
Topical hyaluronic acid (HA) is routinely used in the local treatment of chronic wounds, but few data have been reported to date. A 60-day double-blind, randomised, controlled superiority trial was designed to investigate the efficacy and safety of a gauze pad containing HA in local treatment of venous leg ulcers, compared with its neutral vehicle. The primary endpoint was the percentage of wound size reduction after 45 days. Totally 89 patients were included. At day 45, the percentage of ulcer surface reduction was significantly greater in the HA group (73 ± 4*6%) versus neutral vehicle group (46 ± 9*6%) (P = 0*011). The number of healed ulcers was significantly higher in the HA group at day 45 (31*1% versus 9*3% respectively) and day 60 (37*8% versus 16*3% respectively; P < 0*05). At day 30, pain intensity based on visual analogue scale was significantly lower in the HA group (12*4 mm ± 2*6 versus 22*8 mm ± 3*8; P = 0*026). Tolerance of both treatments was comparable in the two groups. HA gauze pad, in local treatment of venous leg ulcers, was significantly more effective than the neutral vehicle on wound size reduction, healed ulcers rate and pain management with a good safety profile.
Sciences du Vivant/Immunologie
Anglais
1742-4801

Articles dans des revues avec comité de lecture
10.1111/j.1742-481X.2012.00957.x
International Wound Journal
Publisher Wiley-Blackwell
ISSN 1742-4801 (eISSN : 1742-481X)
internationale
08/03/2012
08/03/2012
epub ahead of print


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