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Cold Atmospheric Plasma for Clinical Purposes: Promising Results in Patients and Future Applications

机译：用于临床目的的冷大气血浆：患者有希望的结果和未来的应用

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摘要

Infected chronic wounds are both socioeconomic and medical problem. Cold atmospheric plasma (CAP) has already proven its efficacy in killing bacteria on agar plates but also the first prospective randomized controlled trial in patients. As an add-on therapy CAPs proved a highly significant decrease in bacterial load in 5 min plasma-treated wounds (34%, p<10~(-6), n = 291, 36 patients) in comparison with wounds that received only standard wound care. This reduction is found in all kinds of germs, even multiresistant ones. Two minutes of plasma treatment led to a significant reduction in bacterial load as well (40%, p<0.016, n = 70, 14 patients). The treatment is very well tolerated and no side effects occurred until now (in total more than 2,000 treatments in over 220 patients). The results of this study revealed the potential of atmospheric argon plasma treatment as a new approach to kill bacteria in terms of mutiresistancy. With the same CAP device other dermatologic diseases were treated successfully, e.g. Hailey-Hailey disease. New plasma devices using surrounding ambient air have not only greater bactericidal but also virucidal properties. These devices may herald a new era in public, personal, pet, and food hygiene, same as in decontamination. Investigations of human compatibility are promising.
机译：慢性伤口感染既是社会经济问题，也是医学问题。低温大气血浆（CAP）已经证明可以杀死琼脂平板上的细菌，而且是首例针对患者的前瞻性随机对照试验。与仅接受标准伤口相比，CAPs作为一种附加疗法证明了在5分钟的血浆处理伤口中细菌载量大大降低（34％，p <10〜（-6），n = 291，36位患者）伤口护理。在所有种类的细菌中都发现了这种减少，甚至是多重耐药菌。两分钟的血浆处理也导致细菌载量显着降低（40％，p <0.016，n = 70，14位患者）。该疗法具有很好的耐受性，到目前为止没有副作用发生（总共220例患者中有2,000多种疗法）。这项研究的结果揭示了大气氩等离子体处理作为杀灭细菌的新方法的潜力。使用相同的CAP设备成功治疗了其他皮肤病，例如Hailey-Hailey病。使用周围环境空气的新型等离子体设备不仅具有更强的杀菌性能，而且还具有杀毒性能。这些设备可能预示着公共卫生，个人卫生，宠物和食品卫生的新纪元，与去污一样。对人类兼容性的研究很有希望。

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