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Observation of therapeutic effect of lamp irradiation combined with purple gromwell oil gauze on alleviating intestinal colic in patients
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作者 Bi-Zhi Cen Yin-Song Chen +2 位作者 Li-Ping Li Jing-Wen Wu Yan-Fen Xie 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第6期1749-1755,共7页
BACKGROUND Intestinal colic is a common complication in patients who have undergone radical surgery for colorectal cancer.Traditional Chinese medicine has advantages,including safety and stability,for the treatment of... BACKGROUND Intestinal colic is a common complication in patients who have undergone radical surgery for colorectal cancer.Traditional Chinese medicine has advantages,including safety and stability,for the treatment of intestinal colic.Lamp irra-diation for abdominal ironing has been applied in the treatment of many gas-trointestinal diseases.Purple gromwell oil has the effects of clearing heat,cooling blood,reducing swelling,and relieving pain.RESULTS The general effective rate in the observation group was 95.00%,which was significantly higher than that in the control group(86.67%,P<0.05).Before treatment,there was no significant difference in the duration of symptoms between the groups(P>0.05).After 1,2,3,and 4 d of treatment,the duration of symptoms in both groups were decreased,and the duration in the observation group was significantly lower than that in the control group(96.54±9.57 vs 110.45±11.23,87.26±12.07 vs 104.44±11.68,80.45±16.21 vs 99.44±14.95,73.18±15.58 vs 92.17±14.20;P<0.05).After 1,3,5,and 7 d of treatment,the NRS scores in both groups were decreased,and the NRS scores in the observation group were significantly lower than those in the control group(3.56±0.41 vs 4.04±0.58,3.07±0.67 vs 3.74±1.02,2.52±0.76 vs 3.43±0.85,2.03±0.58 vs 3.03±0.82;P<0.05).There was no significant difference in the rate of adverse reaction occurrence between the groups(P>0.05).CONCLUSION The use of lamp irradiation combined with purple gromwell oil gauze in patients with intestinal colic after radical surgery for colorectal cancer can reduce symptom duration,alleviate intestinal colic,and improve treatment efficacy,and this approach is safe.It is worth promoting the use of this treatment in clinical practice. 展开更多
关键词 Lamp irradiation Purple gromwell oil gauze Intestinal colic Radical surgery for colorectal cancer Therapeutic effect
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Laparoscopic management of hydatid cysts using long ribbon gauze:An initial experience of 37 consecutive cases
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作者 Ashok Kumar II Nalini Kanta Ghosh +4 位作者 Anu Behari Ashish Singh Rahul Rai Somanath Malage Rajneesh Kumar Singh 《Laparoscopic, Endoscopic and Robotic Surgery》 2023年第3期109-114,共6页
Objective:The laparoscopic approach is becoming the standard of care for many surgical disorders.However,in the case of hydatid cysts,laparoscopic management is challenging due to the risk of spillage of hydatid fluid... Objective:The laparoscopic approach is becoming the standard of care for many surgical disorders.However,in the case of hydatid cysts,laparoscopic management is challenging due to the risk of spillage of hydatid fluid,which can cause an anaphylactic reaction and recurrence.Here,we report our initial experience with laparoscopic partial pericystectomy of hydatid cysts using long ribbon gauze to decrease intra-operative spillage.Method:This was a retrospective study(between January 2010 and December 2021)in the Department of Surgical Gastroenterology,Sanjay Gandhi Postgraduate Institute of Medical Science,a tertiary care referral center in northern India.Here,we have included 37 consecutive patients with hydatid cysts of the liver and spleen.Diagnosis was made by laboratory and imaging findings(abdominal sonography or contrast enhanced CT scans).All patients were managed with laparoscopic partial pericystectomy.Intraoperatively,a betadine-soaked long ribbon gauze,high-pressure suction canula,and an endo-bag were used in all patients.The collected data included patient demography,location,size,and number of cysts,WHO type,operative time,blood loss,postoperative complications,hospital stay and follow-up.Result:In our series,the mean age was 38.4±13.6 years,15(40.5%)were men and 22(59.5%)were women.The right lobe of the liver was the most commonly affected site(21,56.8%).The mean operative time was 80.0±32.0 min,and intraoperative blood loss was 23.6±11.5 mL.Bile leak was present in 6(16.2%)patients.There was no mortality.The hospital stay was 5(3,9)days,and no recurrence was observed at a median follow-up of 36 months.Conclusion:Laparoscopic partial pericystectomy using this technique is safe in the management of hydatid cysts.Simply,proper packing and safe removal of soaked gauzes can minimize the incidence of postoperative complications and recurrence. 展开更多
关键词 Hydatid cyst Laparoscopic partial pericystectomy Long ribbon gauze
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The Application Value of Sanitary Wipes and Medical Alcohol+Gauze Disinfection Method in the Management and Use of Medical Equipment
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作者 Afen Zheng Chunmei Zhang 《Journal of Clinical and Nursing Research》 2023年第6期162-166,共5页
Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surge... Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surgery medical instruments and equipment were randomly sampled as observation samples,and they were grouped using the random number table method(40 instruments in each group).One group was managed with sanitary wipes and medical alcohol+gauze disinfection method(observation group),and the other group was managed with medical alcohol+gauze disinfection method(control group).The degree of contamination on the surface of instruments and equipment and the staff satisfaction of both groups was noted and compared.Results:After cleaning and disinfection,the relative luminescence luminosity(RLU)value of the surface contamination of the sample instruments and equipment decreased significantly(P<0.05);and after cleaning and disinfection,the relative luminescence luminosity(RLU)of the observation group’s instruments and equipment decreased significantly,and the value was lower than that of the control group,(P<0.05);the results of the nursing job satisfaction questionnaire showed that the scores of each survey item in the observation group were higher than those in the control group,(P<0.05).Conclusion:Integrating sanitary wipes and medical alcohol+gauze disinfection method into the management and use of medical equipment not only improves the disinfection of medical instruments but also improves the job satisfaction of nursing staff.Therefore,this method should be popularized. 展开更多
关键词 Medical equipment management Sanitary wipes Medical alcohol gauze disinfection
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Hometown of Gambiered Canton Gauze, Jin Hui's Fashion Show
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作者 Linda Zhao 《China's Foreign Trade》 2017年第6期58-59,共2页
On October 29,"Hometown of Gambiered Canton Gauze,Jinhui Fashion Show"was held during"Mercedes-Benz China International Fashion Week"(2018 Spr ing and Summer series).Made of Gambiered Canton Gauze ... On October 29,"Hometown of Gambiered Canton Gauze,Jinhui Fashion Show"was held during"Mercedes-Benz China International Fashion Week"(2018 Spr ing and Summer series).Made of Gambiered Canton Gauze that is unique in the Pearl River Delta in Guangdong and listedas national intangible cultural heritage,the dresses for the show were co-designed by 展开更多
关键词 Jin Hui’s Fashion Show Hometown of Gambiered Canton gauze
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Comparison Effectiveness Breast Milk and Dry Sterile Gauze to Treatment Umbilical Cord
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作者 Aris Hartono Nasrul Hadi Purwanto 《Open Journal of Nursing》 2016年第2期94-99,共6页
Infection of the umbilical cord has been the cause of illness and death constantly in different countries. Each year 500,000 infants die from neonatal tetanus and 460,000 infants die from bacterial infections. One way... Infection of the umbilical cord has been the cause of illness and death constantly in different countries. Each year 500,000 infants die from neonatal tetanus and 460,000 infants die from bacterial infections. One way that is currently being developed is the use breast milk. Various kinds of content of nutrients and substances that exist in breast milk may reduce the risk of incidence of the infection so that the baby can avoid the incidence of umbilical cord infection. This type of research is quasy experiments with static group comparison. The research data are obtained by researchers using observation sheet, then the data are tabulated. Results of the observation of the time required in the treatment of breast milk and umbilical cord using dry Sterile gauze then compare and conclusions draw an average release time of each media. From the results, the average time of the release of the umbilical cord using breast milk is for 127.41 hours and the average time of the release of the umbilical cord using dry Sterile gauze is for 157.38 hours. From the results of correlation Mann Whitney test with significance level α = 0.05 is obtained significance value (p) of 0.00. It takes a more active research and in a greater scope to conduct more studies in the use of breast milk to use for umbilicard cord of the baby. That requires the active participation of various stakeholders to provide support in implementing it. 展开更多
关键词 Umbilical Cord Breast Milk Dry Sterile gauze
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Effect of uterine water bag + gauze packing on coagulation function and stress response of patients with postpartum hemorrhage
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作者 Li Zeng 《Journal of Hainan Medical University》 2018年第13期46-49,共4页
Objective:To study the effect of uterine water bag + gauze packing on coagulation function and stress response of patients with postpartum hemorrhage.Methods: Patients who gave birth and had postpartum hemorrhage in t... Objective:To study the effect of uterine water bag + gauze packing on coagulation function and stress response of patients with postpartum hemorrhage.Methods: Patients who gave birth and had postpartum hemorrhage in the hospital between June 2014 and May 2017 were chosen as the research subjects and divided into the combined group who received uterine water bag + gauze packing hemostasis, the control group 1 who received uterine water bag hemostasis and the control group 2 who received gauze packing hemostasis. The overall clinical efficacy was observed, and the serum levels of blood coagulation function indexes and stress response indexes were determined before treatment and after hemostatic treatment.Results: The intraoperative blood loss, postoperative blood loss and the change of hemoglobin before treatment and after hemostatic treatment of combined group were less than those of control group 1 and control group 2;compared with those of same group before treatment, serum APTT and PT levels as well as FDP, ET-1, ANG-II, ALD, NE, E, TNF-α, IL-6, ICAM1 and VCAM1 contents after hemostatic treatment were significantly lower whereas PAI-1 and AT-III contents were significantly higher, and serum APTT and PT levels as well as FDP, ET-1, ANG-II, ALD, NE, E, TNF-α, IL-6, ICAM1 and VCAM1 contents of combined group after hemostatic treatment were significantly lower than those of control group 1 and control group 2 whereas PAI-1 and AT-III contents were significantly higher than those of control group 1 and control group 2.Conclusion: uterine water bag + gauze packing treatment of postpartum hemorrhage can achieve better efficacy than monotherapy and improve the coagulation function and stress response. 展开更多
关键词 POSTPARTUM HEMORRHAGE UTERINE water BAG gauze packing COAGULATION function Stress response
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Effect of gauze combined with water bag packing on the coagulation function, RAS system and stress response of patients with placenta previa complicated with postpartum hemorrhage
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作者 Li Zeng 《Journal of Hainan Medical University》 2017年第20期61-64,共4页
Objective: To study the effect of gauze combined with water bag packing on the coagulation function, RAS system and stress response of patients with placenta previa complicated with postpartum hemorrhage. Methods: A t... Objective: To study the effect of gauze combined with water bag packing on the coagulation function, RAS system and stress response of patients with placenta previa complicated with postpartum hemorrhage. Methods: A total of 69 patients with placenta previa complicated with postpartum hemorrhage who were treated in the hospital between March 2013 and September 2016 were selected and randomly divided into the research group who accepted gauze combined with water bag packing, the control group A who accepted gauze packing and the control group B who accepted water bag packing. The coagulation function indexes, RAS system indexes and stress response indexes were measured 12 h after delivery. Results:D-D, FDP, REN, AT-II, ALD, NE, E, MDA and ET-1 contents as well as APTT, TT and PT levels of research group 12 hours after delivery were lower than those of control group A and control group B, and D-D, FDP, REN, AT-II, ALD, NE, E, MDA and ET-1 contents as well as APTT, TT and PT levels of control group A were not significantly different from those of control group B. Conclusion: Gauze combined with water bag packing for placenta previa complicated with postpartum hemorrhage can improve the coagulation function and inhibit the excessive activation of RAS system and stress response. 展开更多
关键词 POSTPARTUM HEMORRHAGE PLACENTA previa gauze PACKING Water bag PACKING RENIN-ANGIOTENSIN system Stress response
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止血囊与纱条填塞分别联合腹主动脉临时阻断术应用于伴胎盘植入孕妇剖宫产术中止血的价值
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作者 徐亚 何静媛 《川北医学院学报》 2024年第1期26-29,共4页
目的:探讨止血囊与纱条填塞分别联合腹主动脉临时阻断术用于伴胎盘植入孕妇剖宫产术中止血的价值。方法:回顾性分析伴胎盘植入且有意愿保留子宫的185例孕妇的临床资料,按照手术止血方法不同分为止血囊组(n=92)和纱条组(n=93)。对比两组... 目的:探讨止血囊与纱条填塞分别联合腹主动脉临时阻断术用于伴胎盘植入孕妇剖宫产术中止血的价值。方法:回顾性分析伴胎盘植入且有意愿保留子宫的185例孕妇的临床资料,按照手术止血方法不同分为止血囊组(n=92)和纱条组(n=93)。对比两组手术相关指标(腹主动脉临时阻断时间、止血成功率、填塞物脱落率、填塞时间)、围术期出血量、纤维蛋白原(FIB)、凝血酶原时间(PT)、活化部分凝血酶原时间(APTT),统计并发症总发生率。结果:止血囊组腹主动脉临时阻断时间和填塞时间短于纱条组(P<0.05),术中及术后2、24 h出血量均少于纱条组(P<0.05),止血成功率高于纱条组(P<0.05),填塞物脱落率和术后并发症总发生率均低于纱条组(P<0.05),术后24 h FIB高于纱条组(P<0.05),PT和APTT低于纱条组(P<0.05)。结论:腹主动脉临时阻断术联合止血囊以及纱条均可有效改善伴胎盘植入剖宫产术中出血,止血囊成功率和安全性更高。 展开更多
关键词 胎盘植入 剖宫产 止血囊 纱条填塞 腹主动脉临时阻断术 术中止血
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伤科黄水联合骨一方预防股骨粗隆间骨折早期深静脉血栓的临床观察
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作者 沈钊雄 吴峰 冯周莲 《中国中医急症》 2024年第7期1229-1232,共4页
目的观察加速康复外科理念(ERAS)指导下伤科黄水外敷联合骨一方内服预防股骨粗隆间骨折(FIF)早期深静脉血栓(DVT)的临床效果。方法将120例FIF患者随机分为治疗组与对照组各60例。对照组采用ERAS方案治疗,治疗组在对照组基础上使用伤科... 目的观察加速康复外科理念(ERAS)指导下伤科黄水外敷联合骨一方内服预防股骨粗隆间骨折(FIF)早期深静脉血栓(DVT)的临床效果。方法将120例FIF患者随机分为治疗组与对照组各60例。对照组采用ERAS方案治疗,治疗组在对照组基础上使用伤科黄水外敷及骨一方内服。对比两组入院第1、3、7天D-二聚体(D-D)、血红蛋白(HGB)、红细胞沉降率(ESR)、C反应蛋白(CRP)及全血还原黏度高、低切(ηbrH、ηbrL)、血浆黏度(ηp);第2、7天查血管超声对比DVT发生率。结果基线资料及入院后第1天D-D、HGB、ESR、CRP、ηbrH、ηbrL、ηp差异均无统计学意义(P>0.05)。两组D-D、ESR、CRP、ηbrH、ηbrL、ηp含量均随时间延长呈先升高后降低的趋势。入院后第3、7天,治疗组低于对照组(P<0.05)。治疗组DVT发生率为3.33%(2例),低于对照组的13.33%(8例)(P<0.05)。结论基于ERAS理念,伤科黄水外敷联合骨一方内服能减轻FIF患者炎症反应、降低凝血及纤溶活性、改善血流瘀滞,降低DVT发生率。 展开更多
关键词 股骨粗隆间骨折 深静脉血栓 加速康复外科 伤科黄水 骨一方
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“菊苓方”纱布敷料对妊娠合并贫血患者剖宫产术后切口愈合疗效研究
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作者 朱丽红 袁宁霞 +2 位作者 王敏 杨小颀 张小菜 《陕西中医药大学学报》 2024年第3期110-114,共5页
目的观察“菊苓方”纱布敷料对妊娠合并贫血患者剖宫产术后切口愈合的影响。方法将172例妊娠合并贫血的剖宫产患者随机分为治疗组和对照组,每组86人。治疗组选用“菊苓方”纱布敷料为患者腹部切口换药,对照组选用无菌纱布敷料换药。记... 目的观察“菊苓方”纱布敷料对妊娠合并贫血患者剖宫产术后切口愈合的影响。方法将172例妊娠合并贫血的剖宫产患者随机分为治疗组和对照组,每组86人。治疗组选用“菊苓方”纱布敷料为患者腹部切口换药,对照组选用无菌纱布敷料换药。记录患者术后第3天切口局部(颜色、肿胀、灼热、疼痛)的评分,切口愈合等级,切口愈合不良发生率等,对比两组的疗效。结果治疗组患者在术后第3天腹部切口愈合的情况中,在切口肿胀、切口颜色、切口疼痛缓解等方面明显优于对照组,差异均有统计学意义(均P<0.05);治疗组切口愈合不良发生率小于对照组(1.16%vs 9.30%)。结论“菊苓方”纱布敷料明显提高妊娠合并贫血患者剖宫产术后切口愈合质量,同时提高切口愈合率,提升患者生活质量,达到整体快速康复的目的。 展开更多
关键词 剖宫产 妊娠合并贫血 切口愈合 菊苓方 纱布敷料
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基于“天人合一”思想的香云纱服饰可持续设计探究
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作者 赵丽妍 朱杏 《设计》 2024年第7期1-3,共3页
为推进绿色低碳服装发展,服饰可持续设计不失为一种积极尝试。香云纱所蕴含的生态造物思想以及生态哲学理论都是现代工艺在可持续发展中值得汲取的营养。通过论证“天人合一”思想与可持续设计理念的同一性,对香云纱的生态哲学与可持续... 为推进绿色低碳服装发展,服饰可持续设计不失为一种积极尝试。香云纱所蕴含的生态造物思想以及生态哲学理论都是现代工艺在可持续发展中值得汲取的营养。通过论证“天人合一”思想与可持续设计理念的同一性,对香云纱的生态哲学与可持续属性做深入探究。根据“天人合一”内涵演绎出可持续设计原则,指导香云纱服饰创新设计。本研究可以为服装行业推行可持续设计提供值得借鉴的途径和方法。 展开更多
关键词 可持续设计 天人合一 香云纱服饰 服饰设计 可持续发展
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基于酚醛反应显色原理的莨纱绸鉴别方法研究
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作者 马江容 郭胜南 +3 位作者 周子祥 周文娟 马明波 周文龙 《丝绸》 CAS CSCD 北大核心 2024年第7期84-90,共7页
为了高效地鉴别莨纱绸的真伪,根据芳香醛与薯莨色素发生酚醛缩合反应的机理,将香草醛、4-甲氧基肉桂醛和4-(二甲基氨基)肉桂醛配制成的鉴别试剂分别与薯莨色素溶液混合,观察溶液颜色变化并探究鉴别试剂与薯莨色素溶液的最佳反应条件。... 为了高效地鉴别莨纱绸的真伪,根据芳香醛与薯莨色素发生酚醛缩合反应的机理,将香草醛、4-甲氧基肉桂醛和4-(二甲基氨基)肉桂醛配制成的鉴别试剂分别与薯莨色素溶液混合,观察溶液颜色变化并探究鉴别试剂与薯莨色素溶液的最佳反应条件。研究结果表明,3种芳香醛的混合溶液颜色均变深,其中4-(二甲基氨基)肉桂醛组颜色最深即反应最剧烈。最佳反应条件为:质量分数0.2%的4-(二甲基氨基)肉桂醛,pH值1.4,反应温度40℃,反应时间10 min。最后,将芳香醛鉴别试剂滴加到纯正莨纱绸表面,绸面颜色变深、K/S值增加,可用于莨纱绸的高效定性鉴别。 展开更多
关键词 莨纱绸 香草醛 4-甲氧基肉桂醛 4-(二甲基氨基)肉桂醛 酚醛缩合反应 定性分析
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生肌止痛方坐浴联合紫草纱条创面引流对小儿肛周脓肿术后患者的临床疗效
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作者 位艳赏 刘红振 +2 位作者 袁义朋 白二龙 王燕燕 《中成药》 CAS CSCD 北大核心 2024年第1期121-125,共5页
目的探讨生肌止痛方坐浴联合紫草纱条创面引流对小儿肛周脓肿术后患者的临床疗效。方法100例患者随机分为对照组和观察组,每组50例,对照组给予常规治疗,观察组给予生肌止痛方坐浴联合紫草纱条创面引流。检测创面水肿评分、创面分泌物评... 目的探讨生肌止痛方坐浴联合紫草纱条创面引流对小儿肛周脓肿术后患者的临床疗效。方法100例患者随机分为对照组和观察组,每组50例,对照组给予常规治疗,观察组给予生肌止痛方坐浴联合紫草纱条创面引流。检测创面水肿评分、创面分泌物评分、创面肉芽组织生长评分、FLACC评分、中医证候评分、创面愈合情况(渗出物消失时间、创面水肿消失时间、创面愈合时间)、PCT、TNF-α、sTREM-1、白细胞、SP、NPY、5-HT、肛门功能指标(直肠最大耐受容量、直肠肛管抑制反射阈、肛管高压带长度)变化。结果观察组创面愈合情况优于对照组(P<0.05)。术后14 d,2组创面水肿评分、创面分泌物评分、FLACC评分、中医证候评分、PCT、TNF-α、sTREM-1、白细胞、SP、NPY、5-HT降低(P<0.05),创面肉芽组织生长评分、直肠肛管抑制反射阈升高(P<0.05),直肠最大耐受容量减少(P<0.05),肛管高压带长度缩短(P<0.05),以观察组更明显(P<0.05)。结论生肌止痛方坐浴联合紫草纱条创面引流可抑制小儿肛周脓肿术后患者机体炎症,促进创面愈合,提升肛门功能。 展开更多
关键词 生肌止痛方 紫草纱条 坐浴 创面引流 小儿肛周脓肿
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氧化再生纤维素止血材料在猪肝脏出血创面模型中的止血效果 被引量:1
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作者 霍云 孙晓青 《中国组织工程研究》 CAS 北大核心 2024年第10期1490-1496,共7页
背景:目前植物来源的可吸收止血材料以进口为主,研发出非劣于同类进口产品的国产替代非常有必要。目的:观察氧化再生纤维素止血材料对猪肝出血模型的止血效果。方法:选取巴马小型猪24只,采用随机数字表法分为3组:假手术组(n=6)只做开腹... 背景:目前植物来源的可吸收止血材料以进口为主,研发出非劣于同类进口产品的国产替代非常有必要。目的:观察氧化再生纤维素止血材料对猪肝出血模型的止血效果。方法:选取巴马小型猪24只,采用随机数字表法分为3组:假手术组(n=6)只做开腹手术,将伤侧肝脏取出后放回原位;实验组(n=12)建立肝脏出血创面模型后将氧化再生纤维素止血材料敷于创面上;对照组(n=6)建立肝脏出血模型后将市售可吸收止血纱敷于创面上,记录止血时间和出血量。造模前及造模后不同时间点取猪前腔静脉血,进行血常规、肝肾功能分析;造模后2,6,14周,进行创面组织苏木精-伊红与Masson染色;造模后14周,进行主要脏器病理组织学观察;造模后不同时间点进行肝脏超声检查,观察材料降解吸收情况。结果与结论:①实验组与对照组猪肝脏创面止血时间与出血量比较差异均无显著性意义(P>0.05);②血液生化指标监测结果显示,3组猪造模后24 h的谷草转氨酶和谷丙转氨酶水平均高于造模前,造模后72 h这些指标基本恢复到造模前正常水平,3组间肝肾功能、血糖及炎症因子等血液生化指标值比较差异均无显著性意义(P>0.05);③创面组织苏木精-伊红与Masson染色显示,造模后2周时,两组肝脏创面可见肉芽组织形成及大量的胶原纤维沉积,有明显的纤维增生带和炎症细胞浸润,创面愈合良好;造模后14周,两组猪肝脏创面有轻度的纤维增生带、胶原纤维沉积和少量炎症细胞浸润,材料降解完全,创面愈合;苏木精-伊红染色显示主要脏器无明显的病理组织变化;④超声检查显示,随着植入时间的延长,两组材料逐渐降解,至造模后56 d时已大部分降解吸收;⑤结果显示氧化再生纤维素止血材料能有效防止猪肝脏创面出血,且应用安全可靠。 展开更多
关键词 氧化再生纤维素 可吸收止血材料 肝脏出血创面 可吸收止血纱 动物模型 止血效果
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托里透毒汤口服联合紫草纱条引流促进肛周脓肿术后创面愈合的研究
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作者 王燕燕 梁想 +3 位作者 李玲玲 马玉超 刘红振 位艳赏 《中华中医药学刊》 CAS 北大核心 2024年第4期243-247,共5页
目的探讨托里透毒汤方口服联合紫草纱条创面引流促进肛周脓肿患者术后创面愈合和影响炎性因子表达研究。方法选取医院2019年6月—2022年1月收治的174例肛周脓肿术的患者为研究对象,随机分为观察组(58例)、对照组A(58例)和对照组B(58例)... 目的探讨托里透毒汤方口服联合紫草纱条创面引流促进肛周脓肿患者术后创面愈合和影响炎性因子表达研究。方法选取医院2019年6月—2022年1月收治的174例肛周脓肿术的患者为研究对象,随机分为观察组(58例)、对照组A(58例)和对照组B(58例),术后所有患者给予常规处理,对照组A增加紫草纱条创面引流治疗,对照组B增加凡士林纱条创面引流治疗,观察组增加托里透毒汤方口服与紫草纱条创面引流联合治疗。比较3组患者术后第1、7、14天时疼痛程度、创面症状评分、创面愈合情况、炎性因子水平及治疗效果。结果术后第7、14天观察组血清P物质(Substance P,SP)、五羟色胺(5-Hydroxytryptamine,5-HT)水平均低于对照组A与对照组B(P<0.05),对照组A第7、14天各水平均低于对照组B(P<0.05);术后第7、14天观察组分泌物评分、水肿评分均低于对照组A与对照组B(P<0.05),对照组A7 d、14 d各评分均低于对照组B(P<0.05);观察组第7、14天创面缩小率高于对照组A与对照组B(P<0.05),对照组A第7、14天缩小率均高于对照组B,治疗后观察组创面腐肉全部脱落时间与创面愈合时间均短于对照组A与对照组B(P<0.05),对照组A各时间均低于对照组B(P<0.05);术后第7、14天观察组血清肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)、C反应蛋白(C-reactive Protein,CRP)及白细胞介素-6(Interleukin-6,IL-6)炎性因子水平均低于对照组A与对照组B(P<0.05),对照组A第7天、14天各水平均低于对照组B(P<0.05);治疗后观察组患者总有效58例(100.00%)显著比对照组A患者54例(93.10%)和对照组B患者50例(86.21%)高(P<0.05),对照组A总有效率比对照组B高,但两组比较差异不存在统计学意义(P>0.05)。结论托里透毒汤口服联合紫草纱条创面引流可以促进术后创面愈合,降低炎性因子水平,缩短康复进程,值得推广。 展开更多
关键词 托里透毒汤 中药口服 紫草纱条 肛周脓肿 创面愈合 炎性因子
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伤科黄水干预红肿祛腐期糖尿病足创面愈合的临床研究
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作者 姚南珍 林旋 魏爱生 《广州中医药大学学报》 CAS 2024年第7期1756-1764,共9页
【目的】观察伤科黄水外敷对红肿祛腐期糖尿病足患者创面愈合及血清甲基乙二醛(methylglyoxal,MG)含量的影响,评估其临床疗效及安全性,并探讨伤科黄水治疗糖尿病足的作用途径。【方法】将72例处于红肿祛腐期的糖尿病足患者随机分为治疗... 【目的】观察伤科黄水外敷对红肿祛腐期糖尿病足患者创面愈合及血清甲基乙二醛(methylglyoxal,MG)含量的影响,评估其临床疗效及安全性,并探讨伤科黄水治疗糖尿病足的作用途径。【方法】将72例处于红肿祛腐期的糖尿病足患者随机分为治疗组和对照组,每组各36例。2组患者均给予控制血糖、营养神经、控制感染、改善循环等基础治疗,在此基础上,对照组给予局部清创处理和安尔碘外敷治疗,治疗组给予对照组相同的糖尿病足创面清创处理和伤科黄水外敷治疗,疗程为14 d。观察2组患者治疗前后创面面积和深度、创面分泌物培养情况、中医证候积分及血清MG水平和血糖指标的变化情况,并评价2组患者的临床疗效和安全性。【结果】(1)治疗14 d后,治疗组的总有效率为93.54%(29/31),对照组为81.25%(26/32),组间比较,治疗组的疗效明显优于对照组(P<0.05)。(2)治疗后,2组患者的创面面积和深度、病原菌检出率、中医证候主症积分和次症积分以及血清MG水平和空腹血糖(FBG)、餐后2 h血糖(2hPG)水平均较治疗前明显降低(P<0.05或P<0.01),且治疗组对上述指标(除血糖指标外)的改善幅度均明显优于对照组(P<0.05或P<0.01)。(3)治疗期间,2组患者均无明显不良反应发生,且患者的肝肾功能指标均未见异常,具有较高的安全性。【结论】基于中医外治法,采用伤科黄水纱外敷治疗红肿祛腐期糖尿病足患者疗效确切,有利于促进创面愈合,改善患者临床症状,降低与糖尿病发生、发展相关的代谢指标血清MG含量,提示伤科黄水的作用机制可能与降低血清MG水平有关。 展开更多
关键词 糖尿病足 红肿祛腐期 伤科黄水 中医外治法 甲基乙二醛(MG)
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香云纱真丝织物抗紫外线性能研究进展
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作者 陈佳桦 邹世杰 +2 位作者 吴炜 郑晶晶 吕健元 《丝绸》 CAS CSCD 北大核心 2024年第7期64-73,共10页
香云纱作为国家级非物质文化遗产,是世界纺织品中唯一用纯植物染料染色的丝绸面料,具有天然环保、挺括顺滑、抗菌除臭、防晒防水等优势,被誉为“软黄金”。现阶段由于臭氧层的严重破坏,对人类健康及其他方面产生重要威胁,织物抗紫外线... 香云纱作为国家级非物质文化遗产,是世界纺织品中唯一用纯植物染料染色的丝绸面料,具有天然环保、挺括顺滑、抗菌除臭、防晒防水等优势,被誉为“软黄金”。现阶段由于臭氧层的严重破坏,对人类健康及其他方面产生重要威胁,织物抗紫外线性能研究逐渐成为纺织品行业的重要方向。相比于普通真丝织物,香云纱由于特殊染整工艺,具有优异的紫外线防护性能。但该染整过程较为传统,实际生产具有较大限制,行业产业化率低。基于此文章综述了香云纱特殊染整工艺及其抗紫外线性能、其他真丝织物抗紫外线研究等内容,总结了香云纱抗紫外线染整过程存在的问题与改进方向,并对其发展趋势进行了展望,以指导实际生产应用,为未来香云纱产品设计创新及性能改善提供借鉴,提升产品服用性能,推动行业发展。 展开更多
关键词 香云纱 国家级非物质文化遗产 真丝织物 抗紫外线改性处理 绿色低碳 多功能性丝绸
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铂合金催化网及其在氨氧化法中的应用和研究进展
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作者 罗仙慧 谭志龙 +3 位作者 黎玉盛 秦庆彦 王兴宇 巫小飞 《贵金属》 CAS 北大核心 2024年第2期88-95,共8页
铂合金催化网具有化学稳定性好、催化活性和目标物选择性高、使用寿命长等优点,在氨氧化法制备硝酸和氢氰酸等化工原料中难以替代。本文概述了铂合金催化网从合金化到网面编织的制备加工技术,并分别介绍了氨氧化法合成硝酸和氢氰酸的反... 铂合金催化网具有化学稳定性好、催化活性和目标物选择性高、使用寿命长等优点,在氨氧化法制备硝酸和氢氰酸等化工原料中难以替代。本文概述了铂合金催化网从合金化到网面编织的制备加工技术,并分别介绍了氨氧化法合成硝酸和氢氰酸的反应机理和反应诱导催化网表面变化的研究进展,最后探讨了氨氧化法及铂合金催化网的未来发展趋势。 展开更多
关键词 铂合金 催化网 氨氧化 HNO3制备 HCN制备
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泡沫敷料与纱布敷料对气管切开患者伤口换药效果的Meta分析
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作者 左红霞 柯玉芳 +2 位作者 段小丽 汪龙 张超 《海南医学》 CAS 2024年第7期1000-1010,共11页
目的系统评价泡沫敷料与纱布敷料对气管切开患者的伤口换药效果。方法全面检索自建库至2023年6月14日在CBM、PubMed、EMBASE等国内外权威数据库的相关临床研究,按纳排标准筛选文献并提取数据,采用RevMan软件进行Meta分析。结果纳入50项... 目的系统评价泡沫敷料与纱布敷料对气管切开患者的伤口换药效果。方法全面检索自建库至2023年6月14日在CBM、PubMed、EMBASE等国内外权威数据库的相关临床研究,按纳排标准筛选文献并提取数据,采用RevMan软件进行Meta分析。结果纳入50项研究,共计2496例患者。Meta分析结果显示:气管切开患者泡沫敷料组的切口感染发生率(OR=0.17,95%CI:0.13~0.22,P<0.00001)、肺部感染发生率(OR=0.25,95%CI:0.14~0.45,P<0.00001)、切口周围皮肤并发症发生率(OR=0.23,95%CI:0.19~0.28,P<0.00001)、更换敷料频率(MD=-2.61次/d,95%CI:-3.33~-1.88,P<0.00001)、拔管时间(MD=-4.90 d,95%CI:-5.99~-3.80,P<0.00001)和切口愈合时间(MD=-4.16 d,95%CI:-5.62~-2.71,P<0.00001)均显著低于纱布敷料组,但换药间隔时间(MD=13.17 h,95%CI:10.69~15.65,P<0.00001)明显长于纱布敷料组。结论与传统无菌纱布敷料相比,泡沫敷料可显著降低气管切开患者的切口感染和肺部感染、减少切口周围皮肤并发症发生率,延长换药间隔时间,缩短更换敷料频率、缩短拔管时间,促进切口愈合。 展开更多
关键词 泡沫敷料 纱布敷料 气管切开 随机对照试验 META分析
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生肌止痛膏纱条对肛周脓肿术后创面愈合及生长因子的临床疗效研究
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作者 赵小乐 梁勇 +3 位作者 杜昊洋 付海琪 贺金玲 高原 《中国中西医结合外科杂志》 CAS 2024年第2期170-174,共5页
目的:观察生肌止痛膏纱条对肛周脓肿术后创面愈合的影响,总结临床疗效。方法:将80例肛周脓肿术后患者随机均分为治疗组和对照组。治疗组予生肌止痛膏纱条换药、静滴抗生素、痔疮Ⅱ洗剂坐浴;对照组予雷夫诺尔纱条换药、静滴抗生素、痔疮... 目的:观察生肌止痛膏纱条对肛周脓肿术后创面愈合的影响,总结临床疗效。方法:将80例肛周脓肿术后患者随机均分为治疗组和对照组。治疗组予生肌止痛膏纱条换药、静滴抗生素、痔疮Ⅱ洗剂坐浴;对照组予雷夫诺尔纱条换药、静滴抗生素、痔疮Ⅱ洗剂坐浴。测量并比较两组的疼痛程度、创面减小率、创面完全愈合期、C-反应蛋白(CRP)、血管内皮生长因子(VEGF)、成纤维细胞生长因子(FGF)和血小板衍生生长因子(PDGF)含量。结果:两组肛周脓肿术后相比,治疗组疼痛轻于对照组,差异有统计学意义(P<0.05);两组创面减小率比较,术后7 d、14 d治疗组创面减小率均大于对照组,差异有统计学意义(P<0.05);两组创面完全愈合期比较,治疗组创面完全愈合期小于对照组,差异有统计学意义(P<0.05);两组CRP含量比较,术后7 d治疗组CRP含量小于对照组,差异有统计学意义(P<0.05);两组VEGF、PDGF、FGF含量比较,治疗组术后7 d、14 d、21 d创面VEGF、PDGF、FGF含量大于对照组,差异有统计学意义(P<0.05)。结论:生肌止痛膏纱条能够明显减轻肛周脓肿术后创面疼痛,促进生长因子的分泌,加快创面愈合。 展开更多
关键词 生肌止痛膏纱条 肛周脓肿术后 创面愈合 生长因子
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