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血清促红细胞生成素水平与深Ⅱ度烧伤创面愈合关系的临床研究
作者:刘华 陶宏军 
单位:重庆三峡中心医院百安分院
关键词:促红细胞生成素 创面愈合 烧伤 
分类号:
出版年·卷·期(页码):2014·42·第六期(633-636)
摘要:

【摘要】 目的 探讨血清促红细胞生成素(EPO)水平与深Ⅱ度烧伤创面愈合的关系。方法 52例中度烧伤患者,随机选择深Ⅱ度烧伤创面90个,另有30例健康志愿者为对照组,用ELISA法检测对照组及烧伤第12d血清EPO的水平,患者按EPO的中位数倍数(MOM)分为:<0.5MOM、≥0.5-≤2.5MOM和>2.5MOM三组,对创面的创面愈合时间、创面面积愈合率及6个月后的瘢痕评分进行评价。结果 烧伤患者血清EPO 水平显著高于正常人群(P <0.05);<0.5MOM组9例,≥0.5-2.5≤MOM组33例, >2.5MOM组11例,创面愈合时间在<0.5MOM组同>2.5MOM组比较有显著性差异(P<0.05),三组的创面面积愈合率与瘢痕评分有显著差异(均为P<0.05);相关性分析表明:EPO 水平与深Ⅱ度烧伤创面愈合时间与瘢痕评分呈负相关性(均为P<0.05)、创面面积愈合率呈正相关性(P<0.05)。结论 血清促红细胞生成素可以促进深Ⅱ度烧伤创面愈合。

【Abstract】Objective To explore the relationship of the serum levels of Erythropoietin and wound healing of deep partial thickness burn. Methods 52 patients with moderate burns were chosen, 90 wounds of deep second degree burn were randomly selected and 30 healthy volunteers as control group.The levels of erythropoietin(EPO) were determined in control group and patients in day 2 after burns with enzyme-linked immunosorbent assay (ELISA). 52 patients were separated into 3 groups: <0.5MOM,≥0.5-≤2.5MOM and >2.5MOM according to the median multiples of EPO (MOM). wound healing rate , wound healing time and scar score 6 month after burns were evaluated. Results.The levels of EPO in patients with moderate burns was significantly higher than the healthy volunteers(P<0.05), 9 cases were at <0.5MOM group, 33 cases were at ≥0.5-2.5≤MOM group,11 cases were at >2.5MOM group, There was significant difference at the wound healing time in the <0.5MOM group and>2.5MOM group(P<0.05), there were significant difference at the wound healing rate and scar score in the three groups(all were P<0.05). The correlation analysis showed the serum level of EPO was positively related with the wound healing rate(P<0.05). the serum level of EPO was negatively correlated with the wound healing time and the scar score(all were P<0.05). Conclusions Serum erythropoietin can promote wound healing of deep second degree burn.

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