Objective To explore the effect of hirudin on the apoptosis of the human hypertrophic scar fibroblast(HSFb)cultivated in vitro.Methods Experiment of isolate cultivating HSFb and cells after 4-7 generations were used in subsequent experiments.The expression of Bax and Bcl-2 in HSFb were analyzed by Western blot.Results Hirudin had an inhibitive effect on the proliferation of HSFb;Immunohistochemistry and Western blot results showed that hirudin increased the expression of Bax,but inhibited the expression of Bcl-2,compared with the control group,the difference was statistically significant(P0.05).Conclusion Hirudin of experimental concentration has significant inhibitory effects on HSFb.