首页|自体浓缩生长因子联合牛碱性成纤维细胞生长因子外用凝胶在创面修复中的应用

自体浓缩生长因子联合牛碱性成纤维细胞生长因子外用凝胶在创面修复中的应用

Application of autologous concentrated growth factor combined with Bovine Basic Fibroblast Growth Factor External Gel in wound repair

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目的 探讨自体浓缩生长因子(CGF)联合牛碱性成纤维细胞生长因子(bFGF)外用凝胶深度烧伤患者创面修复的应用效果.方法 选取2021年2月至2023年8月九江市第一人民医院收治的64例深度烧伤患者作为研究对象,按随机数字表法分为凝胶组(32例)与联合组(32例),凝胶组采用bFGF外用凝胶修复治疗,联合组采用CGF联合bFGF外用凝胶修复治疗,比较两组患者的创面恢复、炎症因子水平[C反应蛋白(CRP)、白细胞介素-6(IL-6)、白细胞计数(WBC)]、疼痛、瘢痕及治疗效果.结果 联合组患者的总有效率高于凝胶组,差异有统计学意义(P<0.05);治疗后,两组患者CRP、IL-6、WBC水平低于本组治疗前,且联合组低于凝胶组,差异有统计学意义(P<0.05);两组患者疼痛评分的组间比较、时间点及交互作用比较,差异有统计学意义(P<0.05);治疗7d、14d后,联合组患者的疼痛评分均低于凝胶组,差异有统计学意义(P<0.05);治疗后,联合组患者的瘢痕色素沉着、血液循环、瘢痕质地、瘢痕厚度及温哥华瘢痕量表(VSS)总评分均低于凝胶组,差异有统计学意义(P<0.05).结论 将CGF联合bFGF外用凝胶应用在烧伤创面修复中,不仅能加快皮肤创面愈合修复,降低血清炎症因子水平,减轻患者的疼痛感,还可以减少瘢痕增生.
Objective To investigate the application effect of autologous concentrated growth factor(CGF)combined with Bovine Basic Fibroblast Growth Factor(bFGF)Gel in the repair of deep burn wounds.Methods A total of sixty four patients with deep burn admitted to the first people's Hospital of Jiujiang from February 2021 to August 2023 were selected as the research objects and they were divided into gel group(32 cases)and combined group(32 cases)according to random number table method.The gel group was treated with bFGF External Gel repair,and the combined group was treated with CGF combined with bFGF External Gel repair.The wound recovery,inflammatory factor levels(C-reactive protein[CRP],interleukin-6[IL-6],white blood cell count[WBC]),pain,scar and treatment effect of the two groups were compared.Results The total effective rate of the combined group was higher than that of the gel group,and the difference was statistically significant(P<0.05).After treatment,the levels of CRP,IL-6 and WBC in the two groups were significantly lower than those before treatment,and the combined group was lower than that in the gel group,the differences were statistically significant(P<0.05).There were statistically significant differences in pain scores,time points and interactions between the two groups(P<0.05).After 7 and 14 days of treatment,the pain in the combination group was lower than that in the gel group,the difference was statistically significant(P<0.05).After treatment,the scar pigmentation,blood circulation,scar texture,scar thickness and the total score of Vancouver Scar Scale(VSS)in the combined group were lower than those in the gel group,the differences were statistically significant(P<0.05).Conclusion The application of CGF combined with bFGF gel in the repair of burn wound can not only accelerate the healing and repair of skin wound,reduce the level of serum inflammatory factors,reduce the pain of patients,but also reduce scar hyperplasia.

Autoconcentrated growth factorBovine Basic Fibroblast Growth Factor External GelBurnsWound repair

杨陆涛、曹青

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江西省九江市第一人民医院烧伤与创面修复科,江西九江 332000

自体浓缩生长因子 碱性成纤维细胞生长因子外用凝胶 烧伤 创面修复

江西省卫生健康委科技项目

202311471

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(11)
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