结核病与肺部健康杂志 ›› 2017, Vol. 6 ›› Issue (3): 250-253.

• 论著 • 上一篇    下一篇

结核伤口中表皮和成纤维细胞生长因子水平测定的临床意义

王力维,韩洲,卞傲傲,唐弘杰,吴常青,吴妹英   

  1. 215007 江苏省苏州市第五人民医院 外科 肺科
  • 收稿日期:2017-04-13 出版日期:2017-09-30 发布日期:2017-09-30
  • 作者简介:吴常青;吴妹英
  • 基金资助:
    苏州市科技发展计划指导项目(SYSD2014136);苏州市临床重点病种诊疗技术专项(LCZX201514);苏州市科技局民生科技项目(SS201541,SS201656);江苏省青年医学人才计划项目(QNRC2016226)

Clinical Significance of the Expression about EGF and bFGF in Tuberculosis Wound

WANG Li-wei, HAN Zhou, BIAN Ao-ao, TANG Hong-jie, WU Chang-qing, WU Mei-ying   

  1. Surgery Department & Pulmonary of the Fifth People’s Hospital of Suzhou , JiangSu Province , Suzhou,215007 China
  • Received:2017-04-13 Online:2017-09-30 Published:2017-09-30

摘要: 目的 探究结核性伤口微环境中表皮生长因子(EGF)和成纤维细胞生长因子(bFGF)水平,与普通细菌感染伤口微环境中EGF和bFGF水平比较,找出结核性伤口愈合困难的内在因素,为临床实践做出科学指导。方法 实验组30例为结核伤口患者,对照组30例为普通细菌感染伤口患者,两组于手术后第1、7、14、28、42、56、70天,分别提取伤口分泌物,检测EGF和bFGF含量,并记录伤口愈合时间。将测得数值行单变量t检验,伤口愈合建模后行Pearson相关检验。 结果 实验组EGF和bFGF术后第7天测得值分别为(0.200±0.019)ng/ml 、(0.021±0.003)ng/ml,明显低于对照组EGF和bFGF术后第7天测得值
[分别为(0.533 ± 0.023)ng/ml、(0.069±0.003)ng/ml](t=6.725,P<0.05;t=5.783,P<0.05)。实验组伤口后期术后第42天实验组EGF、bFGF测得值分别为(0.300±0.018)ng/ml、(0.062±0.003)ng/ml,与前期术后第7天实验组EGF、bFGF测得值
[分别为(0.200±0.019)ng/ml、(0.021±0.003)ng/ml]比较,EGF和bFGF明显增加,考虑结核性伤口与EGF、bFGF水平呈正相关(t’=0.813, P=0.015;t’=0.655,P=0.110);实验组和对照组伤口愈合平均时间分别为(133.170±81.390)d和(21.000±1.900),两组比较差异有统计学意义(t=8.414,P<0.05)。结论 结核性伤口微环境中EGF和bFGF含量偏低,是伤口愈合延迟的重要原因之一,改善伤口中EGF和bFGF的含量可促进愈合。

Abstract: Objective To probe the mechanism of the tuberculosis wound repairing, through detect the Epidermal growth factor( EGF) and Basic fibroblast growth factor (bFGF ) in the wound fluid, compare those contents in the normal infected wound, to direct clinical practice. Methods Respectively, we divide 30 cases of tuberculosis wound & 30 cases of normal infected wound in experimental group & comparison group. We collect the wound fluid, detect the contents of EGF、bFGF, and record the entire heal time. We use the t-test and Pearson relation test process the data. Results The contents of EGF、bFGF in the experimental group in the 7d(ng/ml): 0.200±0.019 ;0.021±0.003 evidently less than the control group in the 7d(ng/ml):0.533 ± 0.023;0.069±0.003 (t=6.725,P<0.05;t=5.783,P<0.05) ; During the experimental group the contents of EGF 、bFGF in the late stage the 42d(ng/ml):0.300±0.018,0.062±0.003, are much more than those in the early stage the 7d(ng/ml): 0.200±0.019,0.021±0.003,(t’=0.813, P=0.015)(t’=0.655,P=0.110). The average heal time of between the two groups is (133.170±81.390)d and (21.000±1.900)d(t=8.414,P<0.05), it has statistical difference. Conclusion There are less EGF、bFGF in the tuberculosis wound micro-environment. It’s the important reason of the delay healing of wound, adjust the contents of EGF、bFGF can improve the healing of wound.