首页|rb-bFGF联合CO2点阵激光治疗面部痤疮凹陷性瘢痕的临床研究

rb-bFGF联合CO2点阵激光治疗面部痤疮凹陷性瘢痕的临床研究

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目的 探讨重组牛碱性成纤维细胞成长因子(Recombinant Bovine Basic Fibroblast Growth Factor,rb-bFGF)联合CO2点阵激光治疗在面部痤疮凹陷性瘢痕患者中的应用价值.方法 选取2020年4月—2023年3月江南大学附属儿童医院(无锡市儿童医院)收治的120例面部痤疮凹陷性瘢痕患儿作为研究对象,采用随机数表法将其均分为两组,每组60例.对照组采用CO2点阵激光治疗,观察组增用rb-bFGF治疗,比较两组症状改善情况、痤疮瘢痕权重(Echelle d'Evaluation Clinique des Cicatrices d'acne,ECCA)评分、kolcaba舒适状况量表(General Comfort Questionaire,GCQ)评分、白细胞介素1β(Interleukin-1β,IL-1β)水平、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)水平与不良反应情况.结果 观察组水肿消退时间为(1.56±0.53)d,短于对照组的(1.81±0.52)d,观察组结痂时间为(9.62±1.67)d,短于对照组的(11.02±2.17)d,观察组红斑消退时间为(14.40±4.15)d,短于对照组的(16.44±4.02)d,差异有统计学意义(t=2.608、3.960、2.735,P均<0.05).观察组ECCA评分、TNF-α水平、IL-1β水平均低于对照组,GCQ评分高于对照组,差异有统计学意义(P均<0.05).两组不良反应对比,差异无统计学意义(P>0.05).结论 rb-bFGF联合CO2点阵激光治疗凹陷性瘢痕的效果显著,可快速改善临床病症,且治疗过程安全性较好.
Clinical Study on rb-bFGF Combined with CO2 Fractional Laser in the Treatment of Facial Acne Depressed Scars
Objective To explore the application value of recombinant bovine basic fibroblast growth factor(rb-bFGF)combined with CO2 fractional laser treatment in patients with facial acne depressed scars.Methods A total of 120 children with facial acne depressed scars admitted to the Children's Hospital Affiliated to Jiangnan University(Wuxi Children's Hospital)from April 2020 to March 2023 were selected as the study objects and divided into two groups us-ing the random number table method,with 60 cases in each group.The control group was treated with CO2 fractional laser,and the observation group was additionally treated with rb-bFGF.The two groups were compared on symptom improvement,Echelle d'Evaluation Clinique des Cicatrices d'acne(ECCA)score,kolcaba comfort score questionaire(GCQ),interleukin-1β(IL-1β)level,tumor necrosis factor-α(TNF-α)level and adverse reactions.Results The edema subsidence time in the observation group was(1.56±0.53)d,which was shorter than(1.81±0.52)d in the con-trol group,the scab formation time in the observation group was(9.62±1.67)d,which was shorter than(11.02±2.17)d in the control group,the erythema subsidence time in the observation group was(14.40±4.15)d,which was shorter than(16.44±4.02)d in the control group,the differences were statistically significant(t=2.608,3.960,2.735,all P<0.05).The ECCA score,the level of TNF-α,and the level of IL-1β of the observation group were lower than those of the control group,and the GCQ score was higher than that of the control group,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion rb-bFGF combined with CO2 fractional laser has a significant effect on the treatment of depressed scars,can quickly improve clinical symptoms,and the treatment process is safe.

Facial acneDepressed scarsCO2 fractional laserrb-bFGF

王亚竹、周哲文、李娣

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江南大学附属儿童医院(无锡市儿童医院)皮肤科,江苏无锡 214000

面部痤疮 凹陷性瘢痕 CO2点阵激光 重组牛碱性成纤维细胞成长因子

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(9)