首页|外用重组牛碱性成纤维细胞生长因子对糖尿病足难愈创口治疗的临床疗效

外用重组牛碱性成纤维细胞生长因子对糖尿病足难愈创口治疗的临床疗效

Clinical Efficacy of Topical Recombinant Bovine Basic Fibroblast Growth Factor in the Treatment of Difficult-to-heal Wounds in Diabetic Foot

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目的 探究采用外用重组牛碱性成纤维细胞生长因子(Recombinant Bovine Basic Fibroblast Growth Fac-tor,rb-bFGF)治疗糖尿病足难愈创口的价值.方法 选取2023年1-12月威海卫人民医院骨创伤科收治的60例糖尿病足难愈创口患者为研究对象,以随机数表法分为对照组与观察组,每组30例.对照组使用常规敷料治疗,观察组应用rb-bFGF联合新型敷料治疗,比较两组患者的治疗效果.结果 两组治疗后溃疡缓解、溃疡愈合、肉芽组织出现以及上皮组织出现时间均较短,且观察组耗时更短,差异有统计学意义(P均<0.05).与治疗前比较,治疗后两组踝肱指数、足溃疡面积、视觉模拟法评分、一般症状评分均得到了显著改善,且观察组各项指标优于对照组,差异有统计学意义(P均<0.05).结论 糖尿病足难愈创口行rb-bFGF治疗可对创面的愈合起到促进作用,改善患者的临床症状,有助于促进患者转归.
Objective To explore the value of externally applied topical recombinant bovine basic fibroblast growth factor(rb-bFGF)in the treatment of difficult-to-heal wounds of diabetic foot.Methods A total of 60 patients with difficult-to-heal wounds of diabetic foot who were admitted to the Department of Orthopedic Trauma of Weihaiwei People's Hospital from January to December 2023 were selected as the research objects.They were divided into the control group and the observation group by random number table method,with 30 cases in each group.The control group was treated with conventional dressings,and the observation group was treated with rb-bFGF combined with a new type of dressing.The therapeutic effects of the two groups of patients were compared.Results After treatment,the time for ulcer relief,ulcer healing,appearance of granulation tissue and the appearance of epithelial tissue in two groups was shorter,and the observation group took a shorter time,and the differences were statistically significant(all P<0.05).Compared with before treatment,the ankle brachial index,foot ulcer area,Visual Analogue Scale score,and general symptom score of two groups were significantly improved after treatment,and the observation group had better indexes than the control group,and the differences were statistically significant(all P<0.05).Conclusion The treat-ment of rb-bFGF on the diabetic foot difficult to heal wounds can play a role in promoting the healing of wounds,im-prove the clinical symptoms of patients,help to promote the regression of patients.

Topical recombinant bovine basic fibroblast growth factorDiabetic footDifficult-to-heal woundDress-ing

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威海卫人民医院骨创伤科,山东威海 264200

外用重组牛碱性成纤细胞生长因子 糖尿病足 难愈创口 敷料

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(5)
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