载药缓释敷料对兔开放创面愈合的影响
DOI:
作者:
作者单位:

解放军总医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Therapeutic effects of medicine loaded dressing on rabbit model of open injury
Author:
Affiliation:

Orthopaedic Department,General Hospital of People’s Liberation Army,Beijing,100853

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘要:[目的]研制止血、止痛、抗菌多功能一体的应用于开放战创伤的新型敷料并评价其疗效。[方法]将壳聚糖、醋酸、聚乙烯醇、蒸馏水溶液、氨甲环酸、罗哌卡因以及纳米银按照一定的比例和浓度配置溶液并通过静电纺丝制备纤维膜。通过紫外线分光光度计测定此三种药物的体外累积释放度。制作开放伤兔模型,选择16只大耳白兔随机分为新型敷料组和传统敷料组,评估出血量、兔疼痛评分、C反应蛋白(CRP)、创口组织病理切片中5个多形核粒细胞(PMN)最多的高倍镜视野PMN的平均值、创口完全愈合需要的时间。[结果]此三种药物累积释放量达到50%时需要大约12小时,而20小时时达到释放平衡;实验组失血量、术后第1天平均疼痛指数、术后第3天CRP、PMN均数及伤口愈合时间显著低于对照组,而术后第7天疼痛指数、术后第1天CRP及术后第1天PMN均数两组无显著差别。[结论]载氨甲环酸、罗哌卡因及纳米银的壳聚糖/聚乙烯醇静电纺丝纤维缓释敷料可稳定缓释药物,并对兔战创伤模型具有止血、止痛、抗感染及促进伤口愈合的作用。

    Abstract:

    [Objective] To investigate and prepare novel dressing with multifunction including hemostasis, analgesia and antibacterium applying to open war injury and to evaluate the effects. [Method] put chitosan, ethylic acid, PVA, distilled water, ropivacaine and nano-silver together according to certain ratio and concentration and electrospun the solution into fibrous membrane. Measure the accumulative releasing rate in vitro by spectrophotometer. Establish rabbit model of open war injury. 16 rabbits were randomly divided into novel dressing group and traditional dressing group. Blood loss, pain score, CRP, average amount of PMN from five high power field (HPF) with the highest amount of PMN in the histopathological section of wound and duration of complete healing of wound.[Result] It cost about 10 to 15 hours for the accumulative releasing rate of the three medicine to reach 50% and cost about 20 hours to get releasing balance. The dressing can continuously release medicine for 50 hours. The blood loss, pain score of postoperative 1 day, CRP, average of PMN and duration of wound healing of postoperative 3 days of experimental group are significantly lower than those of control group. Pain score of postoperative 7 days, CRP, average of PMN of postoperative 1 day had no significant difference between the two groups. [Conclusion] nanofibers as novel wound releasing dressing electrospun with chitosan/PVA containing tranexamic, ropivacaine and nano-silver can continuously release medicine for 2 days and has hemostasis, analgesia, antibacterium and promoting wound healing effects on the wound of open war injury of rabbit model.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-02-04
  • 最后修改日期:2021-05-13
  • 录用日期:2021-06-22
  • 在线发布日期:
  • 出版日期: