Plastic and Reconstructive Surgery·Clinical Research Article
Research on multicenter randomized controlled clinical trial of human-like collagen scar repair gel in the treatment of proliferative hypertrophic scar
Cai Jinglong, Chen Xiaodong, Li Xueli, Xu Pan, Cui Xiaomei, Zhang Chunyang, Wu Huajuan, Li Yunfei
Published 2020-04-25
Cite as Chin J Plast Surg, 2020, 36(4): 423-428. DOI: 10.3760/cma.j.cn114453-20190915-00272
Abstract
ObjectiveTo evaluate the clinical efficacy of human-like collagen scar repair gel in the treatment of proliferative hypertrophic scar.
MethodsThe clinical effect of smear-like silicone ointment on patients with hypertrophic scars after prolonged injury or 4-6 months after surgery, the difference of curative effects between 3-18 years old juvenile group and 19-45 years old adult group, were analyzed by multicenter randomized controlled clinical study. Among them, 58 cases were treated with human-like collagen scar repair gel, 39 cases in adult group and 19 cases in minor group; 30 cases were using Silicone Gel, 20 cases in adult group and 10 cases in minor group. The differences in scar color, thickness, blood vessel distribution, softness, patient's self-conscious symptoms, clinical efficacy scores and adverse reactions were analyzed before and after application of the products at 4, 8, 12 and 24 weeks.
ResultsThe scores of the two groups before treatment were slightly higher than those of the control group except the softness and thickness score test group (P<0.05). There was no significant difference in the remaining parameters (P>0.05). The efficacy scores at the 4th, 8th, 12th and the 24th week after application of the two groups showed that there were significant differences in the therapeutic indicators after treatment for different time (P<0.05) and age grouping. There was no significant difference between juvenile group and adult group (P>0.05). There was a statistically significant difference in the time points of different clinical evaluation scores (P<0.05). There was no interaction between the evaluation time and the experimental control group and age group (P>0.05); and not affected by group or age grouping (P>0.05), no adverse reactions occurred in either group.
ConclusionsHuman-like collagen scar repair gel is safe and effective in the treatment of proliferative hypertrophic scar, and the clinical efficacy is not inferior to Silicone gel.
Key words:
Hypertrophic scar; Human-like collagen scar repair gel; Silicone gel
Contributor Information
Cai Jinglong
Clinic of Cai Jinglong Medical Beauty, Beijing Cai Jinglong Scar Research Center, Beijing 100144, China
Chen Xiaodong
Department of Dermatology, Nantong University Affiliated Hospital, Nantong 226001, China
Li Xueli
Department of Dermatology, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou 450003, China
Xu Pan
Department of Dermatology, Nantong University Affiliated Hospital, Nantong 226001, China
Cui Xiaomei
Department of Dermatology, Nantong University Affiliated Hospital, Nantong 226001, China
Zhang Chunyang
Department of Dermatology, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou 450003, China
Wu Huajuan
Department of Dermatology, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou 450003, China
Li Yunfei
Department of Dermatology, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou 450003, China