外用重组人酸性成纤维细胞生长因子对烧烫伤创面愈合的效果

Effect of topical application of recombinant human acidic fibroblast growth factor on healing of burn and scald wounds

  • 摘要:
    目的 分析外用重组人酸性成纤维细胞生长因子(rh-aFGF)对烧烫伤创面愈合的效果。
    方法 选取240例烧烫伤患者为研究对象,并分为观察组和对照组,每组120例。对照组给予复方多黏菌素B软膏治疗,观察组给予rh-aFGF与复方多黏菌素B软膏联合治疗。比较2组患者创面愈合时间、创面愈合率、创面病原菌阳性检出率以及创面炎症反应情况。
    结果 用药28 d后,观察组患者的创面愈合时间短于对照组,创面愈合率高于对照组,差异有统计学意义(P < 0.05)。用药后7、14、21、28 d, 观察组烧烫伤创面的病原菌检出率低于对照组,差异有统计学意义(P < 0.05)。2组创面炎症反应情况比较,差异有统计学意义(P < 0.05)。
    结论 rh-aFGF用于烧烫伤创面的效果较好,可有效促进创面愈合,缩短愈合时间,以及减轻创面炎症反应。

     

    Abstract:
    Objective To analyze the effect of topical recombinant human acidic fibroblast growth factor (rh-aFGF) on wound healing in burn and scald patients.
    Methods A total of 240 burn patients were selected as the study subjects and divided into observation group and control group, with 120 cases in each group. The control group was treated with compound polymyxin B ointment, while the observation group received rh-aFGF combined with compound polymyxin B ointment. The wound healing time, wound healing rate, positive detection rate of wound pathogens and wound inflammatory response were compared between the two groups after treatment.
    Results After 28 days of medication, the wound healing time of patients in the observation group was significantly shorter, and the wound healing rate was significantly higher than that in the control group (P < 0.05). The detection rate of pathogens in the burn wounds of the observation group was significantly lower than that of the control group at 7, 14, 21, and 28 days after treatment (P < 0.05). There was a statistically significant difference in wound inflammatory response between the two groups (P < 0.05).
    Conclusion The rh-aFGF is effective in treatment of burn and scald wound, and it is conductive to promoting wound healing, shortening healing time, and reducing wound inflammatory responses.

     

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