解毒化瘀法对烧伤患者创面愈合及相关炎性因子的影响
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李烨(1978.8-),男,河南安阳人,本科,副主任医师,主要从事烧伤整形科工作

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R644

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保定市科技计划项目(编号:2141ZF224)


Effect of Jiedu Huayu Method on Wound Healing and Related Inflammatory Factors in Burn Patients
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    摘要:

    目的 探讨在烧伤患者中采用解毒化瘀法对创面愈合及炎性因子的影响。方法 选择2021年 1月-2023年1月我院收治80例烧伤患者为研究对象,采用随机数字表法分为常规组和试验组,各40例。常 规组采取磺胺嘧啶银涂抹治疗,试验组在常规组基础上联合解毒化瘀法治疗,比较两组成纤维细胞水平、 炎症因子水平及围术期指标。结果 试验组治疗后成纤维细胞数、成纤维细胞S期比例、成纤维细胞G2/M期 比例高于常规组,成纤维细胞G1期比例低于常规组(P <0.05);试验组治疗后超敏C反应蛋白、白介素 6、肿瘤坏死因子α、脑钠肽水平低于常规组(P <0.05);试验组换药次数、创面愈合时间、抗生素使用 时间、住院时间低于常规组(P<0.05)。结论 采用解毒化瘀法可促使烧伤患者创面愈合,降低成纤维细 胞G1期比例,改善患者炎性因子水平,进而改善患者预后,值得临床应用。

    Abstract:

    Objective To investigate the effect of Jiedu Huayu method on wound healing and inflammatory factors in burn patients. Methods From January 2021 to January 2023, 80 burn patients admitted to our hospital were selected as the research objects. They were divided into conventional group and experimental group by random number table method, with 40 patients in each group. The conventional group was treated with silver sulfadiazine smear, the experimental group was treated with Jiedu Huayu method on the basis of the conventional group. The levels of fibroblasts, inflammatory factors and perioperative indexes were compared between the two groups. Results After treatment, the number of fibroblasts, the proportion of fibroblasts in S phase and the proportion of fibroblasts in G2/M phase in the experimental group were higher than those in the conventional group, and the proportion of fibroblasts in G1 phase was lower than that in the conventional group (P <0.05). After treatment, the levels of high-sensitivity C-reactive protein, interleukin-6, tumor necrosis factor-α and brain natriuretic peptide in the experimental group were lower than those in the conventional group (P <0.05). The number of dressing changes, wound healing time, antibiotic use time and hospitalization time in the experimental group were lower than those in the conventional group (P <0.05). Conclusion Jiedu Huayu method has a significant effect on promoting wound healing in burn patients, reduce the proportion of fibroblasts in G1 phase, improve the level of inflammatory factors in patients, and improve the prognosis of patients, which is worthy of clinical applicat ion.

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李烨,曹永峰,闫蓓蓓,等.解毒化瘀法对烧伤患者创面愈合及相关炎性因子的影响[J].医学美学美容,2024,33(13):38-41.

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  • 在线发布日期: 2024-07-29
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