首页|重组牛碱性成纤维细胞生长因子联合复合皮修复糖尿病患者功能部位皮肤软组织缺损的临床效果

重组牛碱性成纤维细胞生长因子联合复合皮修复糖尿病患者功能部位皮肤软组织缺损的临床效果

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目的 探讨重组牛碱性成纤维细胞生长因子(recombinant bovine basic fibroblast growth factor,rb-bFGF)+复合皮(刃厚皮+真皮支架)修复糖尿病患者部位皮肤软组织缺损的效果。方法 收集2019年2月至2022年2月安阳市人民医院收治的不同原因所致的糖尿病功能部位皮肤缺损创面病例60例,根据不同治疗方案分成试验组(n=30)和对照组(n=30),试验组采用rb-bFGF+复合皮(刃厚皮+真皮支架)修复,对照组采用中厚皮片进行修复。统计两组术后14d皮片成活率、创面愈合时间和手术次数,并于术后1、3和6个月进行随访,观察术后6个月随访期内是否出现皮肤破溃,评估患者满意度。结果 试验组皮片成活率(95。1±6。3)%较对照组(79。2±9。4)%明显升高(P<0。01),创面愈合时间和手术次数优于对照组(P<0。05);术后6个月,试验组满意度(93。3%)明显高于对照组(60。0%),差别有统计学意义(χ2=10。25,P=0。01)。结论 重组牛碱性成纤维细胞生长因子+复合皮修复糖尿病皮肤缺损创面可获得较好的临床效果。
Clinical effect of recombinant bovine basic fibroblast growth factor and compound skin on repairing skin and soft tissues defects on functional regions in diabetics
Objective To investigate the effect of recombinant bovine basic fibroblast growth factor(rb-bF-GF)+compound skin(thick skin+dermal stent)in repairing skin and soft tissue defects in diabetic pa-tients.Methods A total of 60 cases of skin defects in diabetic functional sites caused by different causes were collected from February 2019 to February 2022,and were divided into experimental group(n=30)and control group(n=30)according to different treatment options,and the experimental group was repaired by recombinant bovine alkaline fibroblast growth factor(rb-bFGF)+compound skin(blade thick skin+dermal stent),and the control group was repaired by medium thick skin sheet.The survival rate,wound healing time and number of surgeries were counted for 14 days after surgery,and follow-up was conducted 1,3 and 6 months after surgery to observe whether skin breaks occurred during the 6-month postoperative follow-up period to evaluate patient satisfaction.The t-test and χ2 test were performed on the data.Results Compared with the control group[(79.2±9.4)%],the survival rate of skin flakes in the experimental group[(95.1±6.3)%]was significantly higher(P<0.01),and the wound healing time and number of oper-ations were better than those in the control group(P<0.05),and the satisfaction rate of the experimental group(93.3%)was significantly higher than that of the control group(60.0%)6 months after surgery,which was statistically significant(χ2=10.25,P=0.01).Conclusion Recombinant bovine alkaline fibroblast growth factor+composite skin may obtain good clinical results in the repair of diabetic skin defect wounds,which is worthy of clinical promotion.

DiabeticAcellular dermisWound repairSkin and soft tissue defectClinical effects

刘海涛、韩志新、牛大伟、杜卫祺

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天津市第三中心医院整形美容科,天津 300170

天津市重症疾病体外生命支持重点试验室

天津市人工细胞工程技术研究中心

天津市肝胆疾病研究所

安阳市人民医院整形烧伤科,河南 455000

武警部队河北省总队医院急诊医学科,河北 石家庄 050000

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糖尿病 脱细胞真皮 皮肤修复 皮肤软组织缺失

河南省医学科技攻关计划联合共建项目安阳市科技攻关项目安阳市科技攻关项目

LHGJ201912742021C01SF0472023C01SF149

2023

慢性病学杂志

慢性病学杂志

ISSN:
年,卷(期):2023.24(12)
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