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41.
张树芸 《中国烧伤创疡杂志》2015,(2):115-116
目的总结、探讨创疡贴治疗早期糖尿病足溃疡创面的临床疗效。方法2009年1月至2013年5月收治的21例早期糖尿病足患者,除给予调控血糖、控制感染、营养支持等全身治疗外,创面采用创疡贴包扎治疗,每日换药1~2次,观察创面愈合时间和愈合效果。结果21例早划糖尿病足患者创面全部愈合,愈合时间为6~22 d,愈后均无明显瘢痕增生。结论创疡贴治疗早期糖尿病足溃疡创面,可缓解疼痛,预防感染,促进创面愈合,值得临床推广应用。 相似文献
42.
目的探讨湿润烧伤膏联合创疡贴治疗失禁相关性皮炎的临床疗效。方法将2013年10月至2014年8月收治的34例失禁相关性皮炎患者随机分为两组,试验组(17例)采用湿润烧伤膏联合创疡贴治疗,对照组(17例)采用紫草油护理皮肤,观察两组患者皮炎创面的愈合效果及愈合时间。结果试验组治愈14例、好转3例、无效0例,对照组治愈7例、好转5例、无效5例,两组对比,差异具有统计学意义(P0.05);试验组创面平均愈合时间为轻度3.7 d±1.4 d、中度5.9 d±1.5 d、重度7.2 d±0.9 d,对照组创面平均愈合时间为轻度5.9 d±1.2 d、中度8.2 d±1.3 d、重度11.3 d±0.7 d,两组对比,差异具有统计学意义(P0.05)。结论湿润烧伤膏联合创疡贴治疗失禁相关性皮炎疗效显著,愈合时间明显短于紫草油治疗者,值得临床推广。 相似文献
43.
Background and study aims
Several studies have demonstrated the superiority of proton-pump inhibitors (PPIs) in resolving erosive gastro-oesophageal reflux disease (GORD). However, this first line of treatment can fail to control symptoms in around 30% of cases, especially in the presence of non-erosive GORD. In situations where the first line of treatment fails, there is a lack of concordance regarding the best strategy to apply. This study presents a systematic review of the trials which have tested second-line treatments after PPI failure.Methods
The study was conducted according to the PRISMA statement. The systematic review included medical trials written in English which were published between 2000 and 2016 and were retrieved from PubMed and Scopus using the keywords ‘PPI-resistant gastro-oesophageal reflux’, ‘alginate AND gastro-oesophageal reflux’, ‘hyaluronic acid AND gastro-oesophageal reflux’, ‘prokinetics AND gastro-oesophageal reflux’, ‘sucralfate AND gastro-oesophageal reflux’ and ‘baclofen AND gastro-oesophageal reflux’.Results
Ten randomised and non-randomised studies were included, which included 1515 patients of both sexes (mean age?=?49.19?years, age range?=?18–85, males?=?700; 46.2%).Conclusions
A personalised choice of the best treatment for PPI-resistant GORD should be based on the results of an upper endoscopy and pH/MII monitoring. For patients in situations where the first line of treatment fails, we encourage the execution of trials for testing double doses of PPIs against alternative medicaments. 相似文献44.
Although there have been many studies on using hydrogels as substitutes for natural extracellular matrices (ECMs), hydrogels that mimic the structure and properties of ECM remain a contentious topic in current research. Herein, a hierarchical biomimetic fiber hydrogel was prepared using a simple strategy, with a structure highly similar to that of the ECM. Cell viability experiments showed that the hydrogel not only has good biocompatibility but also promotes cell proliferation and growth. It was also observed that cells adhere to the fibers in the hydrogel, mimicking the state of cells in the ECM. Lastly, through a rat skin wound repair experiment, we demonstrated that this hydrogel has a good effect on promoting rat skin healing. Its high structural similarity to the ECM and good biocompatibility make this hydrogel a good candidate for prospective applications in the field of tissue engineering. 相似文献
45.
Nantaporn Namviriyachote Vimolmas Lipipun Yada Akkhawattanangkul Phingphol Ch 《Asian Journal of Pharmaceutical Sciences》2019,14(1):63-77
Polyurethane foam dressings for dermal wounds were formulated with natural polyols in order to improve the foam characteristics and the release of 2 active agents, silver and asiaticoside (AS) as an antimicrobial agent and an herbal wound healing agent, respectively. The foam was instantly formed by interaction of polyols and diisocyanate. Hydroxypropyl methylcellulose, chitosan and sodium alginate were individually mixed with the main polyols, polypropylene glycol, in the formulation while the active components were impregnated into the obtained foam dressing sheets. Although the type and amount of the natural polyols slightly affected the pore size, water sorption-desorption profile and compression strength of the obtained foam sheets, a prominent effect was found in the release of both active components. Among natural polyols formulations, foam sheets with alginate showed the highest silver and AS release. Non-cytotoxicity of these foam sheets to human fibroblast cells was confirmed. Antimicrobial testing on four bacteria strains showed that 1 mg/cm2 silver in formulations with 6% of natural polyols and without natural polyols had sufficient content of the silver release with comparable inhibition zone and significantly larger zone than other formulations. In pig study, the foam dressing with 6% alginate, 1 mg/cm2 silver and 5% AS could improve wound healing in both the percentage of the wound closure and histological parameters of the dermal wound without any dermatologic reactions. In conclusion, this innovative foam dressing had potential to be a good candidate for wound treatment. 相似文献
46.
To cite this article: Int J Dent Hygiene 10 , 2012; 284–289 DOI: 10.1111/j.1601‐5037.2010.00493.x Genovesi AM, Ricci M, Marchisio O, Covani U.Periodontal dressing may influence the clinical outcome of non surgical periodontal treatment: a split‐mouth study. Abstract: Introduction: After scaling and root planning (SRP), healing induces the formation of a junctional long epithelium rather than a new connective attachment. We hypothesize that the placement of a periodontal dressing will be able to prevent detachment of coagulum inducing proper healing and improving periodontal parameters. Materials and methods: This split‐mouth study included 30 patients with periodontitis with ages ranging from 35 to 70 years. Probing pocket depth (PD), probing attachment level (PAL), bleeding on probing index (BoP) and plaque index (PI) were assessed before and after therapy. The group of patients received SRP in a span of 24 h. Then, a periodontal dressing was applied on the test side and it was removed after 1 week. Results: Control group: The difference between PD values at baseline and after therapy was 1.6 ± 0.6 mm. The difference in PAL (ΔPAL) measurement was 1.4 ± 0.4. Test group: there was a greater PD reduction, this being 2.4 ± 0.6 mm on average. The difference in PAL was 2.5 ± 0.4 mm. Conclusions: Our results clearly suggest that the use of a periodontal dressing improves the periodontal parameters after an SRP procedure. This is probably due to clot stabilization and prevention of bacterial colonization during wound healing. 相似文献
47.
Alireza Moshaverinia Xingtian Xu Chider Chen Kentaro Akiyama Malcolm L. Snead Songtao Shi 《Acta biomaterialia》2013,9(12):9343-9350
Dental-derived mesenchymal stem cells (MSCs) are promising candidates for cartilage regeneration, with a high capacity for chondrogenic differentiation. This property helps make dental MSCs an advantageous therapeutic option compared to current treatment modalities. The MSC delivery vehicle is the principal determinant for the success of MSC-mediated cartilage regeneration therapies. The objectives of this study were to: (1) develop a novel co-delivery system based on TGF-β1 loaded RGD-coupled alginate microspheres encapsulating periodontal ligament stem cells (PDLSCs) or gingival mesenchymal stem cells (GMSCs); and (2) investigate dental MSC viability and chondrogenic differentiation in alginate microspheres. The results revealed the sustained release of TGF-β1 from the alginate microspheres. After 4 weeks of chondrogenic differentiation in vitro, PDLSCs and GMSCs as well as human bone marrow mesenchymal stem cells (hBMMSCs) (as positive control) revealed chondrogenic gene expression markers (Col II and Sox-9) via qPCR, as well as matrix positively stained by Toluidine Blue and Safranin-O. In animal studies, ectopic cartilage tissue regeneration was observed inside and around the transplanted microspheres, confirmed by histochemical and immunofluorescent staining. Interestingly, PDLSCs showed more chondrogenesis than GMSCs and hBMMSCs (p < 0.05). Taken together, these results suggest that RGD-modified alginate microencapsulating dental MSCs make a promising candidate for cartilage regeneration. Our results highlight the vital role played by the microenvironment, as well as value of presenting inductive signals for viability and differentiation of MSCs. 相似文献
48.
目的评价自制洗必泰凝胶对粪肠球菌的抑菌效果。方法于2011年9月至2012年3月在辽宁省疾病控制中心微生物实验室采用纸片扩散法药敏实验测定生理盐水(A组)、Vitepex(B组)、2%洗必泰溶液(c组)和洗必泰凝胶(D组)对粪肠球菌形成的抑菌环直径并进行统计学分析。结果C组和D组的抑菌环直径明显大于B组,差异有统计学意义(p〈0.01);C组和D组抑菌环直径的差异无统计学意义(P〉0.05);4组组内各时间点抑菌环直径差异均无统计学意义(P〉0.05)。结论洗必泰凝胶是根管再治疗的理想消毒药物。 相似文献
49.
Hakan Yabanoglu Ozgur Basaran Cem Aydogan Ozlem Kurt Azap Feza Karakayali Gokhan Moray 《International surgery》2013,98(4):416-423
The aim of this study was to compare the effects of four different topical antimicrobial dressings on a multi-drug resistant Pseudomonas aeruginosa contaminated full-thickness burn wound rat model. A total of 40 adult male Wistar albino rats were used. The control group (group 1), silver sulfadiazine (1%) group 2, chlorhexidine acetate (0.5%) group 3, citric acid (3%) group 4, and silver-coated dressing group 5 were compared to assess the antibacterial effects of a daily application to a 30% full-skin thickness burn wound seeded 10 minutes earlier with 108 CFU (colony forming unit)/0.5 mL of a multi-drug resistant Pseudomonas aeruginosa strain. Five groups (1 control group and 4 treatment groups) were compared. The administration of third-degree burns to all rats was confirmed based on histopathologic data. The tissue cultures from groups 2 and 5 exhibited significant differences compared to those of the other 3 groups, whereas no significant differences were observed between groups 1, 3, and 4. The effectiveness of the treatments was as follows: 1% silver sulfadiazine > silver-coated dressing > 3% citric acid > 0.5% chlorhexidine acetate > control group. Our results supported the efficacy of topical therapy by silver sulfadiazine and silver-coated dressing on infections caused by multi-drug resistant Pseudomonas spp. 相似文献
50.
Xianchao Ding Lei ShiChang Liu Bingwei Sun 《Burns : journal of the International Society for Burn Injuries》2013