中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
29期
1-2
,共2页
杨登齐%李秀丽%孙进华%冯世海
楊登齊%李秀麗%孫進華%馮世海
양등제%리수려%손진화%풍세해
酸性成纤维细胞生长因子%碱性成纤维细胞生长因子%Ⅲ度烧伤
痠性成纖維細胞生長因子%堿性成纖維細胞生長因子%Ⅲ度燒傷
산성성섬유세포생장인자%감성성섬유세포생장인자%Ⅲ도소상
Acidic fibroblast growth factor%Basic fibroblast growth factor%Ⅲdegree burns
目的:比较重组人酸性成纤维细胞生长因子(rh-aFGF)与碱性成纤维细胞生长因子(bFGF)治疗Ⅲ度烧伤的临床疗效差异。方法:入选4个研究医院47例深重度烧伤患者,分为治疗组24例和对照组23例。入院72 h内均给予相应的削痂手术、皮片移植、抗感染及营养支持治疗。治疗组给予aFGF治疗(削痂术后冲洗,皮片处理,术后换药)。对照组给予bFGF治疗,给药方法同aFGF给药方法完全一致。两组连续治疗8周,观察创面愈合情况、皮瓣成活及不良反应发生情况。结果:治疗组患者完全愈合时间、30 d愈合率、皮片成活面积分别为(44.2±4.2)d、75.0%、(94.7±5.8)%;对照组分别为(48.8±4.6)d、43.5%、(87.4±6.4)%。另外治疗组1例(4.2%)发生脓毒血症,对照组发生5例(21.7%)。治疗过程两组均未发生明显的不良反应。结论:rh-aFGF促进愈合,提高皮瓣成活作用,改善重度烧伤患者预后优于bFGF。
目的:比較重組人痠性成纖維細胞生長因子(rh-aFGF)與堿性成纖維細胞生長因子(bFGF)治療Ⅲ度燒傷的臨床療效差異。方法:入選4箇研究醫院47例深重度燒傷患者,分為治療組24例和對照組23例。入院72 h內均給予相應的削痂手術、皮片移植、抗感染及營養支持治療。治療組給予aFGF治療(削痂術後遲洗,皮片處理,術後換藥)。對照組給予bFGF治療,給藥方法同aFGF給藥方法完全一緻。兩組連續治療8週,觀察創麵愈閤情況、皮瓣成活及不良反應髮生情況。結果:治療組患者完全愈閤時間、30 d愈閤率、皮片成活麵積分彆為(44.2±4.2)d、75.0%、(94.7±5.8)%;對照組分彆為(48.8±4.6)d、43.5%、(87.4±6.4)%。另外治療組1例(4.2%)髮生膿毒血癥,對照組髮生5例(21.7%)。治療過程兩組均未髮生明顯的不良反應。結論:rh-aFGF促進愈閤,提高皮瓣成活作用,改善重度燒傷患者預後優于bFGF。
목적:비교중조인산성성섬유세포생장인자(rh-aFGF)여감성성섬유세포생장인자(bFGF)치료Ⅲ도소상적림상료효차이。방법:입선4개연구의원47례심중도소상환자,분위치료조24례화대조조23례。입원72 h내균급여상응적삭가수술、피편이식、항감염급영양지지치료。치료조급여aFGF치료(삭가술후충세,피편처리,술후환약)。대조조급여bFGF치료,급약방법동aFGF급약방법완전일치。량조련속치료8주,관찰창면유합정황、피판성활급불량반응발생정황。결과:치료조환자완전유합시간、30 d유합솔、피편성활면적분별위(44.2±4.2)d、75.0%、(94.7±5.8)%;대조조분별위(48.8±4.6)d、43.5%、(87.4±6.4)%。령외치료조1례(4.2%)발생농독혈증,대조조발생5례(21.7%)。치료과정량조균미발생명현적불량반응。결론:rh-aFGF촉진유합,제고피판성활작용,개선중도소상환자예후우우bFGF。
Objective:To compare recombinant human acidic fibroblast growth factor (rh-aFGF) and basic differences in the clinical efficacy of a fibroblast growth factor (bFGF) treatment ofⅢdegree burns. Method:The study enrolled four hospital 47 cases of deep burns patients in both groups were given admission within 72 h corresponding tangential excision,skin graft,anti-infective and nutritional support. AFGF treatment group of 24 patients given treatment (tangential excision after washing,skin graft treatment,postoperative dressing). BFGF control group of 23 patients received treatment with aFGF administration method of administration method exactly. Two continuous treatment 21 days,observe wound healing,skin flap survival and adverse events. Result:The complete healing time,30 d healing rate of skin graft survival area were (44.2±4.2)d,75.0%,(94.7±5.8)%,the control group were(48.8±4.6)d,43.5%,(87.4±6.4)%. 1 patient (4.2%) occurred sepsis in treatment group,the control group had five(21.7%).There were no adverse reactions occur in treatment process. Conclusion:rh-aFGF to promote healing and improve skin flap survival role in improving patients with severe burns to heal than bFGF.