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PICC改良固定方法保护特殊皮肤损伤患者皮肤再损伤的效果研究 被引量:6
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作者 尹欣欣 朱玉欣 张欣 《河北医药》 CAS 2020年第9期1422-1425,1429,共5页
目的探讨经外周穿刺植入中心静脉管后改良固定方法减少特殊皮肤病患者皮肤再损伤的临床效果。方法收集2012年1月至2019年2月住院因疾病治疗需要留置PICC同时伴有特殊皮肤损伤患者60例,采用历史对照回顾性方法分析不同固定方法出现皮肤... 目的探讨经外周穿刺植入中心静脉管后改良固定方法减少特殊皮肤病患者皮肤再损伤的临床效果。方法收集2012年1月至2019年2月住院因疾病治疗需要留置PICC同时伴有特殊皮肤损伤患者60例,采用历史对照回顾性方法分析不同固定方法出现皮肤再损伤的情况。常规固定方法为纱布加纱布绷带固定导管;改良固定,方法1为采用碘伏浸透无菌无纺布纱布覆盖皮肤创面,上覆盖干燥无菌纱布,再用纱布绷带交叉固定;改良固定方法2为改用干燥的无菌无纺布纱布覆盖在皮肤上,导管固定在纱布上再用裁剪后的透明贴膜,外加纱布绷带交叉缠绕固定。结果观察组皮肤再损伤率明显低于对照组,差异有统计学意义(P<0.05)。观察组皮肤痊愈率为81.81%明显高于对照组的62.96%,差异有统计学意义(P<0.05)。观察组的并发症导管外移、感染、堵管和血栓形成明显低于对照组,观察组的渗血渗液情况高于对照组,差异均有统计学意义(P<0.05)。结论改良导管固定方法取材方便,不增加患者费用,固定牢固,不易脱管,经临床观察效果很好,值得临床推广,也可用于PICC相关严重皮肤过敏患者。 展开更多
关键词 特殊皮肤病患者 经外周静脉置入中心静脉导管 改良固定方法 皮肤再损伤
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Construction of the subtractive cDNA library of injured adult and fetal rabbit skins 被引量:1
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作者 张波 刘大维 +3 位作者 王正国 朱佩芳 周继红 蒋建新 《Chinese Journal of Traumatology》 CAS 2004年第1期13-17,共5页
Objective: Early gestational mammalian fetuses possess the amazing ability to heal cutaneous wounds in a scarless fashion. Over the past years, scientists have been working to decipher the mechanisms underlying this r... Objective: Early gestational mammalian fetuses possess the amazing ability to heal cutaneous wounds in a scarless fashion. Over the past years, scientists have been working to decipher the mechanisms underlying this regenerative repair. The remarkable phenotypic differences between fetal and adult healings behoves us to learn their characteristics in genetics, which represents potentially important mechanisms involved in wound repair observed in fetal versus adult tissues. In this sense, it is reasonable to construct subtractive cDNA library for future research. Methods: Middle laparotomy and hysterotomy were performed on pregnant rabbits at 20 day gestation to expose the fetal back, and a longitudinal incision through the skin was made on the back of the fetus. The traumatized fetal skin was harvested 12 hours post operation, the fetus control and traumatized adult skin specimens were taken at the same time. dscDNA was synthesized from total RNA of skin samples with SMART technology. Taking one of the three samples as Tester respectively and the other two as Drivers, we obtained 1 forward and 2 reverse hybridization products. After being amplified with selective polymerase chain reaction, the products were inserted into a vector, and then transferred into E.coli HB101. The colonies were screened afterwards. Results: The wounded fetuses were alive for a long time even after birth. Every determinant step, such as RNA isolation, cDNA synthesis, Rsa I digestion, adaptor ligation and hybridization, was well operated. Subtractive efficiency identification demonstrated that the suppression subtractive hybridization (SSH) was successful. Insertion into vector and transferring to E.coli were satisfactory. Conclusions: Instead of classic SSH, an improved SSH with 2 Drivers was applied for the experiment. Results confirmed that the improved program was reasonable and correct in both theory and practice. The subtractive cDNA library we have obtained is going to be used for future researches to reveal scarless healing related gene(s) and its (their) expression. 展开更多
关键词 Wound healing CICATRIX Gene library Suppression subtractive hybridization genes
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