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作 者:陆钢[1] 黄志群[1] 覃艳春[2] 卢柳[1] 李树霄 林佳媚 王梓帆 苏庆右 LU Gang;HUANG Zhiqun;QIN Yanchun;LU Liu;LI Shuxiao;LIN Jiamei;WANG Zifan;SU Qingyou(Department of Burn Plastic Surgery and Wound Repair,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise,Guangxi 533000,China;Youjiang Medical University for Nationalities,Baise,Guangxi 533000,China)
机构地区:[1]右江民族医学院附属医院烧伤整形与创面修复外科,广西百色533000 [2]右江民族医学院,广西百色533000
出 处:《医药前沿》2023年第3期43-46,共4页Journal of Frontiers of Medicine
基 金:广西壮族自治区中医药管理局基金(GXZYZ20210135);百色市科学技术局科学研究与技术开发计划项目课题(20222933,20203403);大学生创新创业训练计划项目(S202110599094,202210599006)。
摘 要:湿润烧伤膏(MEBO)联合重组人碱性成纤维细胞生长因子(rh-BFGF)治疗方案主要基于中西医结合理论,其在维持创面湿润环境的同时,通过丝裂原活化蛋白激酶(MAPK)、磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B(Akt)、B细胞的κ-轻链(NF-κB)、转化生长因子-β(TGF-β/Smad)信号通路和PI3-kinase-Rac1-应激活化蛋白激酶(SAPK)、Wnt等多种信号通路防止组织脱水和细胞死亡,促进血管生成、胶原蛋白合成和成纤维细胞迁移,在烧伤创面、擦挫伤、糖尿病创面和褥疮治疗中有良好的效果。本文就MEBO联合rh-BFGF在促进皮肤创面愈合中的作用和研究进展进行综述,以期为指导MEBO联合rh-BFGF的临床治疗提供参考。MEBO combined with recombinant human basic fibroblast growth factor(rh-BFGF)is mainly based on the theory of integration of traditional Chinese and Western medicine.While maintaining the moist environment of the wound,Mitogen activated protein kinase(MAPK),phosphatidylinositol 3-kinase(PI3K)/protein kinase B(Akt),κ-light chain(NF-κB),transforming growth factor-β(TGF-β/Smad)signaling pathway and PI3-kinase-Rac1-stress-activated protein kinase(SAPK),Wnt and other signaling pathways should prevent tissue dehydration and cell death,promote angiogenesis,collagen synthesis and fibroblast migration,and there are good results in the treatment of burn wounds,bruising,diabetic wounds and bedsores.In this study,the effect and research results of MEBO combined with rh-BFGF in skin wound healing were introduced in detail,hoping to provide reference for better clinical treatment of MEBO combined with rh-BFGF and related studies.
关 键 词:湿润烧伤膏 碱性成纤维细胞生长因子 创面 综述
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