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一项关于超脉冲二氧化碳激光分次治疗后外用细胞生长因子的随机豚鼠研究。

A randomized guinea pig study on external cell growth factors after fractional ultrapulsed CO(2) laser therapy.

作者信息

Ai Jun-Jun, Zha Wei-Feng, Guo Bo, Song Wei-Min

机构信息

Department of Dermatology, Affiliated Hangzhou Clinical College of Anhui Medical University, Hangzhou, PR China.

出版信息

J Cosmet Laser Ther. 2013 Aug;15(4):219-24. doi: 10.3109/14764172.2012.758370. Epub 2013 Mar 6.

Abstract

BACKGROUND AND OBJECTIVES

The Fractional Ultrapulsed CO2 laser has been successfully used in treating fine wrinkles, acne scars, and photoaged skin. However, the downtime typically lasts a week or more. The purpose of this study was to observe the efficacy of external cell growth factors after Fractional Ultrapulsed CO2 laser therapy.

METHODS

The back skin of 20 male guinea pigs were divided into four regions after hair removal, then these four regions were irradiated with Fractional Ultrapulsed CO2 laser, respectively. These 80 incised wounds were randomly divided into three therapeutic groups and a control group. The general condition of the wound healing was observed grossly. The determination of physiological functions was done and biopsies were harvested at different time points to compare the change of skin flexibility and fibroblasts number.

RESULTS

The wound healing time of therapeutic groups shortened when compared with the control group. The flexibility of skin and the number of fibroblasts were also more than the control group. The effects of combined application of rhEGF and rb-bFGF therapeutic group were most conspicuous.

CONCLUSIONS

Combined application of rhEGF with rb-bFGF could be more beneficial to the wound after Fractional Ultrapulsed CO2 laser therapy. It could accelerate the wound healing and increase the flexibility of wound skin, so the significance was important to direct clinical application.

摘要

背景与目的

超脉冲二氧化碳点阵激光已成功应用于治疗细纹、痤疮瘢痕和光老化皮肤。然而,其停工期通常持续一周或更长时间。本研究的目的是观察超脉冲二氧化碳点阵激光治疗后外用细胞生长因子的疗效。

方法

将20只雄性豚鼠背部皮肤脱毛后分为四个区域,然后分别用超脉冲二氧化碳点阵激光照射。将这80个切口随机分为三个治疗组和一个对照组。大体观察伤口愈合的一般情况。进行生理功能测定,并在不同时间点取活检组织,比较皮肤柔韧性和成纤维细胞数量的变化。

结果

与对照组相比,治疗组伤口愈合时间缩短。皮肤柔韧性和成纤维细胞数量也多于对照组。重组人表皮生长因子(rhEGF)和重组牛碱性成纤维细胞生长因子(rb-bFGF)联合应用治疗组效果最显著。

结论

rhEGF与rb-bFGF联合应用对超脉冲二氧化碳点阵激光治疗后的伤口更有益。它可以加速伤口愈合,增加伤口皮肤的柔韧性,对指导临床应用具有重要意义。

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