文章摘要
彭梅,曾宪容,潘福琼,等.高压氧联合湿性愈合治疗大鼠皮肤慢性难愈合溃疡的疗效研究[J].中华物理医学与康复杂志,2020,42(2):117-119
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高压氧联合湿性愈合治疗大鼠皮肤慢性难愈合溃疡的疗效研究
  
DOI:DOI:10.3760/cma.j.issn.0254-1424.2020.02.005
中文关键词: 高压氧  湿性愈合  难愈合溃疡  疗效
英文关键词: Hyperbaric oxygen  Wet healing  Skin ulcers
基金项目:四川省人民医院苗圃课题(30305031044)
作者单位
彭梅 四川省医学科学院 四川省人民医院高压氧治疗中心成都 610072 
曾宪容 四川省医学科学院 四川省人民医院高压氧治疗中心成都 610072 
潘福琼 四川省医学科学院 四川省人民医院高压氧治疗中心成都 610072 
黄玲岭 四川省医学科学院 四川省人民医院高压氧治疗中心成都 610072 
毛红梅 四川省医学科学院 四川省人民医院高压氧治疗中心成都 610072 
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中文摘要:
      目的 观察高压氧联合湿性愈合治疗大鼠皮肤慢性难愈合溃疡的疗效。 方法 将60只雄性SD大鼠分为普通治疗组、湿性愈合组、联合治疗组,每组20只。大鼠常规饲养1周后造模,造模前6 h禁食,制成慢性皮肤溃疡模型。普通治疗组大鼠按一般性皮肤溃疡治疗,湿性愈合组大鼠按湿性愈合治疗,联合治疗组大鼠在湿性愈合治疗基础上,辅以6个疗程的高压氧治疗。治疗2个疗程、4个疗程、6个疗程时,计算各组大鼠的创面愈合率,采用组织病理学分析对大鼠皮肤创面的恢复情况进行评定。 结果 与普通治疗组同时间点比较,湿性愈合组和联合治疗组大鼠2个疗程、4个疗程、6个疗程的创面愈合率均较高(P<0.05)。与湿性愈合组同时间点比较,联合治疗组大鼠2个疗程[(51.0±8.7)%]、4个疗程[(75.0±5.6)%]、6个疗程[(88.0±4.4)%]的创面愈合率均较高(P<0.05)。与普通治疗组比较,湿性愈合组和联合治疗组大鼠组织病理学评分较优异(P<0.05)。与湿性愈合组比较,联合治疗组大鼠组织病理学评分较优异(P<0.05)。 结论 单一湿性愈合治疗慢性皮肤溃疡的疗效优于普通治疗,高压氧联合湿性愈合治疗慢性皮肤溃疡的疗效更为优异。
英文摘要:
      Objective To explore the effect of combining hyperbaric oxygen inhalation with wet healing in the treatment of chronic refractory ulcers of the skin. Methods Sixty male Sprague-Dawley rats were randomly formed into a general treatment group (group A), a wet healing group (group B), and a hyperbaric oxygen + wet healing group (group C), each of 20. Chronic and refractory skin ulcers were induced on all of the rats after one week of routine feeding and 6 hours of fasting. Six courses (once daily for 10 days/course)of the three treatments were then administered. After 2, 4 and 6 courses of treatment the wound healing rate and recovery were analyzed using histopathological methods. Results After 2, 4 and 6 courses of treatment, the average wound healing rates of groups B and C were significantly higher than group A′s average, and that of group C was significantly better than that of group B. After 6 courses of treatment, group C′s average histopathology score was significantly higher than that of group B, and those of groups B and C were both significantly higher than group A′s average. Conclusion Single wet healing is better than common treatment for chronic skin ulcers, but hyperbaric oxygen inhalation can further improve its effectiveness.
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