[1]王玉珍张丽张平安.火针联合低压无针瘢痕内注射复方倍他米松治疗瘢痕疙瘩疗效及对生长因子水平、瘢痕状态的影响[J].现代中医药,2024,(03):083-87.[doi:10.13424/j.cnki.mtcm.2024.03.016]
 WANG YuzhenZHANG LiZHANG Pingan.Effect of Fire Needle Combined with Low-PressureNeedle Free Scar Injection of Compound Betamethasoneon Treatment of Keloid and Its Impact on GrowthFactor Levels and Scar Status[J].Modern Traditional Chinese Medicine,2024,(03):083-87.[doi:10.13424/j.cnki.mtcm.2024.03.016]
点击复制

火针联合低压无针瘢痕内注射复方倍他米松治疗瘢痕疙瘩疗效及对生长因子水平、瘢痕状态的影响()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2024年03期
页码:
083-87
栏目:
出版日期:
2024-05-20

文章信息/Info

Title:
Effect of Fire Needle Combined with Low-PressureNeedle Free Scar Injection of Compound Betamethasoneon Treatment of Keloid and Its Impact on GrowthFactor Levels and Scar Status
文章编号:
1672-0571(2024)03-0083-05
作者:
王玉珍1张丽2张平安1
1.陕西中医药大学第二附属医院,陕西 咸阳 712000;
2.陕西省核工业二一五医院,陕西 咸阳 712000
Author(s):
WANG Yuzhen1ZHANG Li2ZHANG Pingan1
1.Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712000,China;
2.Shaanxi Provincial Nuclear Industry 215 Hospital,Shaanxi Xianyang 712000,China
关键词:
关键词:火针低压无针瘢痕内注射复方倍他米松瘢痕疙瘩生长因子水平瘢痕状态
Keywords:
Key words:Fire NeedleLow pressure needle free scar injection of compound betamethasoneKeloidsEffectGrowth factor levelsScar state
分类号:
R275
DOI:
10.13424/j.cnki.mtcm.2024.03.016
文献标志码:
A
摘要:
摘要:目的 观察火针联合低压无针瘢痕内注射复方倍他米松治疗瘢痕疙瘩的效果及对生长因子水平、瘢痕状态的影响。方法 选取2021年1月—2022年2月来我院就诊100例瘢痕疙瘩患者,随机分为对照组、治疗组,每组各50例,对照组采用低压无针瘢痕内注射复方倍他米松,治疗组在对照组基础上加火针治疗,对比两组疗效、生长因子水平、瘢痕状态。结果 治疗组治疗后总有效率较对照组为高(P<0.05);治疗组治疗后细胞生长因子β1(TGF-β1)、血小板源生长因子(PDGF)、表皮细胞生长因子(EGF)指标水平均较对照组为低,成纤维细胞生长因子(FGF)指标水平较对照组为高(P<0.05);观察组治疗后瘢痕状态评分均较对照组低(P<0.05)。结论 火针联合低压无针瘢痕内注射复方倍他米松治疗瘢痕疙瘩疗效明显,可调节生长因子水平,还能改善瘢痕状态,促进其恢复,值得推广。
Abstract:
Abstract:Objective To observe the effect of fire needle combined with low-pressure needle free scar injection of compound betamethasone on the treatment of keloids and its impact on growth factor levels and scar status.Methods 100 patients with scar tissue who visited our hospital from January 2021 to February 2022 were selected and randomly divided into a control group and an observation group,with 50 cases in each group.The control group received low-pressure needle free injection of compound betamethasone into the scar,while the observation group received fire needle treatment in addition to the control group.The therapeutic effects,growth factor levels,and scar status of the two groups were compared.Results The total effective rate of the observation group after treatment was higher than that of the control group (P<0.05);After treatment,the levels of TGF-β1,PDGF,EGF,and other indicators in the observation group were lower than those in the control group,while the levels of fibroblast growth factor (FGF) were higher than those in the control group (P<0.05);The scar status scores of the observation group after treatment were lower than those of the control group (P<0.05).Conclusion The combination of fire needle and low-pressure needle free scar injection of compound betamethasone has a significant therapeutic effect on scar tissue,can regulate growth factor levels,improve scar status,and promote its recovery.It is worth promoting.

参考文献/References:

[1]李初颖,皮龙泉,金美彤,等.基于生物信息学分析预测瘢痕疙瘩发病过程中的核心基因及互作miRNA的研究[J].中国皮肤性病学杂志,2020,34(12):1372-1378.
[2]卢娜,余南生,梁栋龙.氨基酮戊酸光动力疗法对增生性瘢痕成纤维细胞前胶原基因表达的影响[J].中国中西医结合皮肤性病学杂志,2020,19(3):224-227.
[3]AULT P,PLAZA A,PARATZ J.Scar massage for hypertrophic burns scarring-a systematic review[J].Burns,2018,44(1):24-38.
[4]张明子,张文超,龙飞,等.瘢痕疙瘩基础、临床研究以及临床转化的研究进展和现状分析[J].中国科学(生命科学),2021,51(8):1140-1147.
[5]薛佳杰,任忠亮,马平,等.复方倍他米松联合曲安奈德序贯注射治疗瘢痕疙瘩的疗效及作用机制研究[J].海南医学,2022,33(15):1966-1970.
[6]吴盘红,王丽,李庆娟,等.毫火针治疗Ⅳ级重度痤疮后瘢痕的临床效果评价[J].中华整形外科杂志,2020,36(12):1324-1330.
[7]吴志华,史建强,陈秋霞.皮肤性病诊断与治疗[M].北京:科学出版社,2008:153~154
[8]中国整形美容协会瘢痕医学分会常务委员会专家组.中国瘢痕疙瘩临床治疗推荐指南[J].中国美容整形外科杂志,2018,29.
[9]吴丽珍,后晨蓉,谢振谋,等.曲安奈德联合玻璃酸酶注射辅助浅层X线放射治疗多发性瘢痕疙瘩的有效性研究[J].中华整形外科杂志,2021,37(1):79-83.
[10]林楠,李铭,郭志辉,等.不同质量浓度5-氟尿嘧啶联合曲安奈德治疗瘢痕疙瘩的多中心前瞻性随机对照临床研究[J].中华烧伤杂志,2021,37(5):437-445.
[11]卢会秀,曹海育,李建英,等.Cynergy脉冲染料激光联合倍他米松、5-氟尿嘧啶局部封闭治疗瘢痕疙瘩的效果[J].中国医药导报,2021,18(10):84-87.
[12]张小刚,马驰蛟,邬天刚,等.点阵激光联合复方倍他米松注射液对增生性瘢痕患者血清TGF-β1、BMP-7、EGF水平变化及预后的影响[J].医学临床研究,2018,35(1):33-36.
[13]任虎.毫火针联合CO2点阵激光术对瘢痕疙瘩患者皮肤炎症及瘢痕状况的改善作用分析[J].辽宁中医杂志,2020,47(10):164-167.
[14]吴风琴,王莉,刘明明,等.清理术与火针治疗寻常痤疮的疗效及安全性对比观察[J].中国美容医学,2021,30(5):115-118.
[15]周秀,吴欢.火针洞式联合提脓药捻引流术治疗乳腺脓肿的疗效及对乳房美观的影响[J].中国美容医学,2021,30(9):126-128,181.
[16]史玉仓,周志红,刘艳芳,等.慢病毒介导hsa-miR-199a-5p通过转化生长因子-β/Smad通路抑制瘢痕疙瘩成纤维细胞纤维化的研究[J].中华整形外科杂志,2022,38(5):570-577.
[17]周哲,宋海峰,曹天宇,等.牵张力作用下瘢痕疙瘩间充质干细胞通过旁分泌作用促进血管生成[J].中国皮肤性病学杂志,2019,33(8):869-874.
[18]吴佳纹,袁景奕,刘晶,等.A型肉毒素与复方倍他米松注射液联用治疗瘢痕疙瘩患者的疗效及安全性研究[J].现代生物医学进展,2018,18(23):4434-4438.
[19]秦晓民,朱梓波,李锦锦,等.曲安奈德注射液联合火针治疗瘢痕疙瘩临床观察[J].湖北中医药大学学报,2022,24(3):82-84.
[20]贾爱芳,孔桂蕾,郭丽娟,等.火针加中药外敷治疗烧伤增生瘢痕的临床研究[J].现代消化及介入诊疗,2019(A01):0911.
[21]许洁,汪洋,佟冬青,等.3.6%5-氨基酮戊酸光动力联合火针治疗重度痤疮临床观察[J].中国中西医结合皮肤性病学杂志,2019,18(3):234-236.

备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2021SF-408)
更新日期/Last Update: 2024-05-20