Objective To evaluate the therapeutic effect of recombinant human granulocyte-macrophage colony stimulating factor ( rhGM-CSF) combined with sulfadiazine silver ( SD-Ag) unguent on deep second degree burn. Methods Eighty-nine patients with deep second-degree burn (burns areas<10%) were enrolled.These patients were divided into two groups at random (Group A and Group B).The patients in Group A were treated with SD-Ag unguent only, and those in Group B were treated with rhGM-CSF and SD-Ag unguent.The therapeutic effects and the adverse drug reaction were recorded. Results The healing time in Group A [(19.79±1.47) days] was obviously shorter than that in Group B [(15.76±1.63) days].The total wound healing rates in Group B [on day 9:(76.41±3.24)%, day 13:(95.01±1.43)%, day 16:(99.54±0.88)%, and day 21 (100.00±0.00)%] were higher than those of Group A [on day 9: (67.24±2.33)%, day 13: (75.54±1.11)%, day 16:(88.33±1.32)%, day 21:(99.14±1.95)%].During the treatment, there was no obvious adverse reaction was observed in the two groups. Conclusion The application of rhGM-CSF combined with SD-Ag unguent can not only accelerate the healing rates of deep second-degree burn, but also has curative effect with safety.%目的 通过调查分析评价重组人粒细胞巨噬细胞刺激因子( rhGM-CSF)凝胶联合应用磺胺嘧啶银( SD-Ag) 霜对深Ⅱ度烧伤创面愈合的疗效. 方法 收集深Ⅱ度烧伤创面(总面积<10%)患者89例,按创面用药情况将患者分成A组( SD-Ag霜)和B组( rhGM-CSF凝胶+SD-Ag霜) ,观察比较两组创面愈合率、上皮化时间及不良反应. 结果创面上皮化时间:A组、B组分别为(19.79±1.47),(15.76±1.63) d,B组显著短于A组;创面愈合率:伤后9,13,16,21 d创面愈合率A组、B组分别为(67.24±2.33)%,(75.54±1.11)%,(88.33±1.32)%,(99.14±1.95)%和(76.41±3.24)%, (95.01±1.43)%,(99.54±0.88)%,(100.00±0.00)%,组间同期比较B组均优于A组;治疗期间两组均未见明显不良反应.结论 SD-Ag霜联合外用rhGM-CSF凝胶剂能促进深Ⅱ度烧伤创面愈合,疗效确切安全.
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