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粉防己碱在减轻深Ⅱ°烧伤创面早期加深效果的初步实验研究(1)
http://www.100md.com 2017年10月8日 《医学信息》 2017年第19期
     摘要:目的 初步探讨粉防己碱在减轻深Ⅱ°烧伤创面早期加深中的效果。方法 選健康新西兰大白兔20只,体重(2.50±0.30)kg,采用铜梳烫伤法在其背腹部两侧进行深Ⅱ°烧伤动物造模,共4处,将4处创面随时分为4组,每组20个部位,分别对4组创面给予5、25、50 g/L的粉防己碱与面霜基质(对照)外用,换药1次/d,每日观察创面变化并拍照计算间隙正常皮肤的宽度,3 d后处死动物并取创面组织行病理组织学检查,统计Ⅲ°创面个数,并对数据进行统计、分析。结果 对照组伤后24 h间隙区可见大量瘀斑,部分区域坏死,48 h坏死面积增大,72 h进一步扩大,部分与烧伤区域融合。实验组大致无明显差异,伤后24 h间隙区可见少量瘀斑,48 h时瘀滞区局部坏死,72 h时较前局部扩大,未见与烧伤区域融合情况发生。与对照组相比,实验各组均有统计学意义(P<0.05),在实验组内,72 h时5 g/L组健康创面面积(39.67±4.29)mm2明显低于25 g/L组的(48.52±1.27)mm2(P<0.05)。而72 h加深的创面中25g/L明显低于5 g/L与对照组(P<0.05)。结论 小剂量粉防己碱一定程度上能减轻深Ⅱ°烧伤创面早期加深。
, 百拇医药
    关键词:深Ⅱ°烧伤;创面加深;粉防己碱

    中图分类号:R644 文献标识码:A 文章编号:1006-1959(2017)19-0056-03

    Preliminary Experimental Study on the Effect of Tetrandrine on Deepening Deep Ⅱ° Burn Wounds

    ZHANG You-lai,WANG Xiao,DENG Ru-fei,LAI Qing-hong,XIN Guo-hua

    (Department of Burns,the First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China)
, 百拇医药
    Abstract:Objective To investigate the effect of tetrandrine on the deepening of deep Ⅱ° burn wounds.Methods 20 healthy New Zealand white rabbits, weight(2.50±0.30)kg,using copper comb burn method at the back of the abdomen on both sides of deep second degree burn animal model,a total of 4,4 wounds were divided into 4 groups at any time,20 parts of each group,4 groups of wounds were given 5,25,50g/L powder of tetrandrine and cream matrix(control)external use,change dressings 1 times/d,observe the wound changes every day,and take pictures to calculate the width of the normal skin of the gap,3 d after the death of animal and wound tissues were obtained for pathological examination,the statistical number of third Ⅲ° wounds,and the data were statistically analyzed.Results In the control group,24 h after injury in the gap area shows a large number of ecchymosis,necrosis in some areas,necrotic area increased at 48 h,enlarged at 72 h,and partially fused with burn area.There was no significant difference in the experimental group,and a small amount of ecchymosis was observed at 24 h after injury.The local necrosis of the stasis area at 48 h was enlarged at 72 h,and there was no fusion with the burned area.Compared with the control group,the experimental area was statistically significant (P<0.05).In the experimental group,the healthy wound area(39.67±4.29)mm2 in the 5 g/L group was significantly lower than that in the 25 g/L group (48.52±1.27)mm2(P<0.05)at 72 h.The 25g/L in 72 h deepened wound was significantly lower than that in 5 g/L and control group(P<0.05).Conclusion Low dose of tetrandrine can alleviate the deepening of deep Ⅱ° burn wounds., 百拇医药(张友来 王晓 邓如非 赖青鸿 辛国华)
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