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康复新联合碱性成纤维细胞生长因子治疗慢性创面的临床疗效

  • 摘要: 目的:探讨康复新联合碱性成纤维细胞生长因子(basic fibroblast growth factor, b-FGF)治疗慢性创面的临床疗效。方法:60例慢性创面患者随机分为3组:康复新组(n=20),给予单纯康复新治疗;b-FGF组(n=20),给予b-FGF治疗;联合用药组(n=20),给予康复新和b-FGF联合治疗。治疗3周后评估各治疗组创面愈合时间和治疗有效率;治疗过程中连续收集创面渗出液,采用ELISA法测定渗出液中白细胞介素-2(IL-2)蛋白表达水平。结果:治疗3周后,联合用药组创面愈合时间较康复新组和b-FGF组缩短,联合用药组治疗有效率高于康复新组和b-FGF组,差异均有统计学意义(P<0.05)。ELISA法测定结果显示,治疗后第3天,联合用药组渗出液中IL-2蛋白表达水平较康复新组和b-FGF组均明显增加,差异均有统计学意义(P<0.05)。结论:康复新联合b-FGF有助于提高慢性创面愈合速度,值得临床推广。

     

    Abstract: Objective:To evaluate the clinical efficacy of Kangfuxin combined with basic fibroblast growth factor in the treatment of chronic wound. Methods:A total of 60 patients with chronic wound were randomly divided into 3 groups with 20 patients in each group: Kangfuxin group, basic fibroblast growth factor group, and combined group. The wound healing rate and clinical efficacy in each group was evaluate and compared 3 weeks after treatment. The wound exudates in each group were continuously collected during the period of treatment wound exudate, and the IL-2 levels in wound exudates were measured by ELISA in each group. Results:The wound healing duration was significantly shorter in combined group than that in either Kangfuxin group or basic fibroblast growth factor group. The clinical efficacy in combined group was higher than that in either Kangfuxin group or basic fibroblast growth factor group (P<0.05). Additionally, the IL-2 level in combined group was significantly higher than that in either Kangfuxin group or basic fibroblast growth factor group 3 days after the treatment (P<0.05). Conclusions:The combined treatment of Kangfuxin and basic fibroblast growth factor is effective in improving the healing efficacy of chronic wound.

     

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