[生长激素对成人烧伤创面愈合的影响]。

Y Sun, Y Zhou, Z Jiang
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引用次数: 0

摘要

目的:探讨rHGH在成人烧伤患者创面愈合中的作用。方法:16例烧伤创面面积超过全身表面积60% (TBSA)的患者被纳入安慰剂对照前瞻性研究。他们在营养摄入量、TBSA和全厚度烧伤面积方面具有可比性。rHGH组患者皮下注射剂量0.3u的rHGH。Kg-1,每天早上8点,从POD 1开始,持续10天。对照组患者给予生理盐水作为安慰剂。所有患者均于烧伤后4天内行瘢痕切除,切除创面覆盖自体皮髓移植。在烧伤后第1天和第20天分析血清氨基酸谱。记录烧伤创面及供体部位愈合时间。术后第30天评估创面愈合率。结果:1。GH组患者自体皮髓移植与供区愈合时间、住院时间均明显短于对照组。2. 氨基酸分布在第1天两组之间没有差异,在第20天GH组显著更好。结论:rHGH能促进严重烧伤患者创面愈合,改善氨基酸谱,缩短住院时间。
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[The effect of growth hormone on wound healing rate in adult burns].

Objective: To determine the wound healing effect of rHGH in adult burn patients.

Methods: 16 patients with burn wounds covering over 60% of total body surface (TBSA) were enrolled in this placebo controlled prospective study. They were comparable in nutrient intake, TBSA, and full thickness burn area. rHGH group patients were given rHGH subcutaneously in the dose of 0.3u.Kg-1 at 8 am each morning for 10 days beginning from POD 1. The control group patients were given normal saline as placebo. All the patients received scar excision within 4 days postburn, and the excision wounds were covered with autologous skin pulp grafting. Serum amino acid profile was analyzed at day 1 and day 20 post burn. Healing time of burn wound area and donor site was recorded. Wound healing rate was assessed at day 30 after day.

Results: 1. The healing time of autologous skin pulp grafting and donor site, and the length of hospital stay were significantly shorter in GH group patients than control group. 2. The amino acid profile showed no difference between two groups at day 1 and was significantly better in GH group at day 20.

Conclusion: rHGH could enhance the wound healing rate, improve amino acid profile, and reduce the length of hospital stay of severe burn patients.

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[Clinical characteristics of burn caused by coal mine explosion]. [The flag venous flap in the dorsal finger]. [Surgical therapy of hallux valgus in the young and middle-aged female]. [Anatomical and clinical studies on the free posterior leg flap pedicled with the lateral popliteal cutaneous artery]. [Regional differences in capillary density of children's skin--an enzyme histochemical and stereological study].
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