1. 重组人酸性成纤维细胞生长因子联合夫西地酸乳膏 局部应用对深Ⅱ度烧伤的影响.
- Author
-
李亮, 王旭文, 何丽彩, 李双, 蔺利剑, 赵龙刚, and 李雯
- Subjects
- *
FIBROBLAST growth factors , *WOUND healing , *INTERLEUKIN-2 , *INTERLEUKIN-10 , *HYPERTROPHIC scars - Abstract
Objective To observe the effect of recombinant human acidic fibroblast growth factor combined with fusidic acid cream on patients with deep second-degree burn. Methods From June 2019 to May 2020, 120 patients with deep second-degree burn were selected as the research subjects. All patients were randomly divided into control group 1, control group 2 and observation group, 40 cases in each group. In control group 1, patients were treated with scab ablation combined with recombinant human acidic fibroblast growth factor. In control group 2, patients were treated with scab ablation combined with fusidic acid cream. In the observation group, patients were treated with scab ablation, recombinant human acidic fibroblast growth factor and fusidic acid cream. All patients in 3 groups were treated continuously until wound healing. The interleukin-2 (IL-2), tumor necrosis factor-α (TNF-α), interleukin-10 (IL-10), interleukin-6 (IL-6), vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), tissue inhibitor of metalloproteinase-1 (TIMP-1) and transforming growth factor-α1 (TGF-α1) were measured before and 20 days after treatment. The wound healing time was observed, the degree of scar hyperplasia in 3 groups was evaluated by Vancouver Scar Scale (VSS) and the adverse reactions were recorded. Results The level of TNF-α and IL-6 in observation group was lower than that in control group 1 and 2 (P<0.05), the level of IL-2 and IL-10 in observation group was higher than that in control group 1 and 2 (P<0.05), and the level of VEGF, EGF, TIMP-1 and TGF-α1 in observation group was higher than that in control group 1 and 2 (P<0.05). At 10, 15 and 20 days of treatment, the wound healing rate in observation group was higher than that of control group 1 and 2 (P<0.05), and the average wound healing time of observation group was shorter than that of control group 1 and 2 (P<0.05). The scores of vascular distribution, color, thickness and softness of scar in observation group was lower than those of control group 1 and 2 (P<0.05). No obvious adverse reactions occurred in 3 groups. Conclusion Application of recombinant human acidic fibroblast growth factor combined with fusidic acid cream in the treatment of deep second-degree burn can reduce the level of pro-inflammatory factors of TNF-α and IL-6, increase the level of anti-inflammatory factors of IL-2 and IL-10, inhibit inflammation, increase the level of VEGF, EGF, TIMP-1 and TGF-α1, improve wound healing rate and reduce scar hyperplasia. The safety was high. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF