中国医院用药评价与分析Issue(5):612-614,3.DOI:10.14009/j.issn.1672-2124.2015.05.019
外用重组人粒细胞巨噬细胞集落刺激因子联合莫匹罗软膏对大面积烧伤残余创面的疗效及其对血管内皮细胞生长因子的影响
Efficacy of rhGM-CSF plus Topical Mupirocin Ointment for Large Residual Burn Wounds and Its Effect on Vascular Endothelial Growth Factor
祖红旭1
作者信息
- 1. 河南科技大学第一附属医院烧伤科,河南洛阳 471003
- 折叠
摘要
Abstract
OBJECTIVE:To evaluate the efficacy of rhGM-CSF plus topical mupirocin ointment for large residual burn wounds as well as its effect on vascular endothelial growth factor.METHODS:67 patients with extensive burns (127 wounds) were randomly assigend to either observation group (35 cases/69 wounds) treated with rhGM-CSF plus topical mupirocin ointment or control group(32 cases/58 wounds) treated with topical mupirocin ointment alone.The response rate, wound healing rate, average healing time, wound bacterial clearance rate and mean optical density value of vascular endothelial growth factor in the two groups were compared.RESULTS: The total response rate and the wound healing rate in the observation group were significantly higher than in the control gorup [92.75%(64/69) and 91.30%(63/69) vs.75.86%(44/58) and 77.59%(45/58)];the mean wound healing time was significantly shorter in the observation group than in the control group [(18.07 ±4.26) days vs.(23.18 ±3.72) days]; the wound bacterial clearance rate in the observation group was significantly higher than in the cotnrol group [ ( 84.62%(22/26) vs.40.74%(11/27);the mean optical density value of vascular endothelial growth factor in the observation group was significantly higher than in the cotnrol group(0.23 ±0.03 vs.0.17 ±0.02), and all the differences were statistically significant ( P <0.05 ) .CONCLUSIONS: The additional of topical rhGM-CSF to mupirocin ointment resulted in remarkable efficacy for residual burn wounds in patients with extensive burn and significantly elevated expression of vascular endothelial growth factor, which thus is of great clinical research value.关键词
rhGM-CSF/莫匹罗软膏/大面积烧伤残余创面/效果/血管内皮细胞生长因子Key words
rhGM-CSF/Mupirocin ointment/Large residual burn wounds/Effects/Vascular endothelial growth factor分类
医药卫生引用本文复制引用
祖红旭..外用重组人粒细胞巨噬细胞集落刺激因子联合莫匹罗软膏对大面积烧伤残余创面的疗效及其对血管内皮细胞生长因子的影响[J].中国医院用药评价与分析,2015,(5):612-614,3.