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中药脱痂膏对烧伤创面的作用
引用本文:葛绳德,刘世康,戴方平,韦多,王璐,白刚,陈玉林,孙家玲,俞为荣. 中药脱痂膏对烧伤创面的作用[J]. 第二军医大学学报, 1999, 20(3): 167-168
作者姓名:葛绳德  刘世康  戴方平  韦多  王璐  白刚  陈玉林  孙家玲  俞为荣
作者单位:第二军医大学长海医院烧伤科,上海,200433
摘    要:目的:探讨外用中药脱痂膏对深度烧伤创面的脱痂机制。方法:取经脱痂膏和Ag-SD霜换药的深Ⅱ度烧伤创面组织标本及渗液,用抗CD68单抗标记深度烧伤创面组织中的巨噬细胞,并计数创面渗液细菌,比较两组间的差异。结果:使用脱痂膏的创面组织含有较多的CD68+细胞(巨噬细胞),而创面渗液细菌数量与Ag-SD组无明显区别。结论:脱痂膏通过招引巨噬细胞至创面局部,吞噬和分解坏死组织,从而达到脱痂的目的。

关 键 词:烧伤  脱痂膏  巨噬细胞

The effect of Traditional Chinese Medicine Tuojiagao on burn wound
Yu Weirong,Sun Jialing,Chen Yulin,Bai Gang,Wang Lu,Wei Duo,Dai Fangping,Liu Shikang,Ge Shengde. The effect of Traditional Chinese Medicine Tuojiagao on burn wound[J]. Former Academic Journal of Second Military Medical University, 1999, 20(3): 167-168
Authors:Yu Weirong  Sun Jialing  Chen Yulin  Bai Gang  Wang Lu  Wei Duo  Dai Fangping  Liu Shikang  Ge Shengde
Abstract:Objective: To study the mechanism of Traditional Chinese Medicine Tuojiagao in cleaning necrotic and denatured tissue in deep burn wound. Methods: Two groups of patients with deep burn wound were studied: (1) Traditional Chinese Medicine Tuojiagao group, (2) Ag-SD frost group. Tissue and exudate of the wound were collected. Macrophages were marked with anti-CD68 antibody in tissue slides. The bacteria of wound exudate were counted. Results: The sections from wounds after using Tuojiagao have more CD68+ cells (macrophages) than Ag-SD group, and no difference of bacteria count was found between the 2 groups. Conclusion: Tuojiagao could clean necrotic tissue through recruiting macrophages to scavenge and break down it.
Keywords:burns  Tuojiagao  macrophages
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