藻酸盐敷料和凡士林纱布对瘢痕皮肤供皮区创面愈合及相关分子表达的影响

被引:21
作者
邬天刚 [1 ]
冯登超 [2 ]
机构
[1] 陕西省汉中市人民医院整形外科
[2] 延安大学附属医院烧伤整形手外科
关键词
藻酸盐; 瘢痕; 供皮区; 肉芽组织; 血管新生;
D O I
10.13210/j.cnki.jhmu.20160517.004
中图分类号
R644 [烧伤及烫伤(灼伤)];
学科分类号
100227 [皮肤病学];
摘要
目的:研究藻酸盐敷料和凡士林纱布对烧烫伤皮肤创面愈合及相关分子表达的影响。方法:选择2010年5月2015年10月在我院接受植皮治疗的大面积烧伤患者64例,随机分为藻酸盐组和凡士林组,并采用不同的敷料进行供皮区换药。观察创面愈合情况并检测创面组织中转化生长因子-β1(TGF-β1)、碱性成纤维细胞生长因子(b FGF)、血管内皮生长因子(VEGF)、表皮细胞生长因子(EGF)的mRNA含量和蛋白含量。结果:藻酸盐组平均创面愈合时间显著短于凡士林组[(12.6±1.8)d vs(17.2±2.1)d],且换药后3、6、9 d时的创面愈合情况优于凡士林组(P<0.05);藻酸盐组创面组织中TGF-β1、bFGF、VEGF、EGF的mRNA含量和蛋白含量均显著高于凡士林组(P<0.05)。结论:藻酸盐敷料能够促进瘢痕皮肤供皮区的创面愈合,有利于肉芽组织形成、血管新生以及上皮化过程。
引用
收藏
页码:1911 / 1913+1917 +1917
页数:4
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