Severe burn
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 60 years old; 2. Patients admitted within 48h after injury; 3. Total burn size between 40% to 80%; TBSA or third degree burn size from 20% to 60%; 4. Patients with good compliance and signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients having severe shock or severe inhalation injury lead to dying when admitted to hospital; 2. Severe electrical burns, compound injury or poisoning required for other important treatment; 3. Patients having occurred severe gastrointestinal bleeding or with severe gastrointestinal disease before injury or having done gastrointestinal surgery; 4. Patients having diabetes or serious heart, brain, lung, liver, kidney and other diseases before injury; 5. Patients having cancer, mental illness before injury; 6. pregnancy and breast-feeding women; 7. Patients using corticosteroids or immunosuppressor treating for other diseases; 8. Patients who can not complete system treatment for medical expenses and other reasons.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Growth hormone mRNA in peripheral blood cells;Serum level ofGrowth Hormone, Insulin growth factor 1, Insulin-like growth factor binding protein 3, Motilin, Gastrin, Diamine oxidase, D- lactic acid, Endotoxin, Tumor necrosis factor -a, Interleukin-6;Wound healing rate, wound healing time;Routine blood + C - reactive protein;Coagulation routine;Urine routine;Conventional stool+occult blood test;Blood biochemical items + troponin (cTn) I + beta 2 - microglobulin (MG);Arterial blood gas analysis;Culture and sensitivity of bacteria from blood and wound;Urine Lactulose/Mannitol ratio;PCNA index and apoptosis rate of epidermal cells in donor site;Ln in the basement membrane; | — |
Countries
China
Contacts
Jinan Central Hospital Affiliated to Shandong University