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Research Progress of Traditional Chinese and Western Medicine Dressing Change on Wound Healing After Anal Fistula Surgery
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作者 Xiaona Miao Jiamin Hang 《Journal of Clinical and Nursing Research》 2023年第3期1-7,共7页
With the change of people’s lifestyle and diet,the incidence of anorectal diseases is increasing year by year.Anal fistula is a common anorectal disease.Because it cannot heal by itself,surgery has become the main tr... With the change of people’s lifestyle and diet,the incidence of anorectal diseases is increasing year by year.Anal fistula is a common anorectal disease.Because it cannot heal by itself,surgery has become the main treatment method.Due to the particularity of wound location and physiological structure,the wound is easily contaminated by bacteria,so dressing change after surgery plays a decisive role in wound healing.Modern western medicine and traditional Chinese medicine have different dressing changing methods respectively.In this paper,we reviewed commonly used dressing changing methods of traditional Chinese and western medicine after anal fistula surgery. 展开更多
关键词 Chinese and Western medicine Anal fistula Treatment methods wound healing
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Macrophages:Key players in diabetic wound healing
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作者 Xin Zhou Yan-Ling Guo +1 位作者 Chuan Xu Jun Wang 《World Journal of Diabetes》 SCIE 2024年第11期2177-2181,共5页
In this editorial,we discuss the article by Wen et al published.Diabetic foot ulcers are prevalent and serious complications of diabetes,significantly impacting patients’quality of life and often leading to disabilit... In this editorial,we discuss the article by Wen et al published.Diabetic foot ulcers are prevalent and serious complications of diabetes,significantly impacting patients’quality of life and often leading to disability or death,thereby placing a heavy burden on society.Effective diabetic wound healing is hindered by an imbalance in macrophage polarization;many macrophages fail to transition from the pro-inflammatory M1 phenotype to the anti-inflammatory M2 phenotype,which is crucial for tissue remodelling and repair.The wound healing process is both dynamic and complex.Healthy M1 macrophages,which have strong phagocytic abilities,are vital during the inflammatory phase of diabetic wound healing.However,the failure to transition to M2 macrophages during the proliferative phase hinders wound healing.We anticipate the development of new therapies that can repair damaged M1 macrophages during the inflammatory phase and promote M2 macrophage polarization during the proliferative phase,thereby enhancing the overall healing process. 展开更多
关键词 Diabetic wound healing MACROPHAGES INFLAMMATION EXOSOMES Natural medicines
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Honey, Food and Medicine: Scientific Rationale and Practical Efficiency in External Administration of Medicinal Honey for Wound Healing 被引量:1
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作者 Andrei Zbuchea 《Journal of Agricultural Science and Technology(B)》 2017年第3期206-219,共14页
Except for its benefits as food and medicine, honey has been used since ancient times as an external remedy in wound care, and has been the subject of numerous studies and research, that reveal its complex favorable a... Except for its benefits as food and medicine, honey has been used since ancient times as an external remedy in wound care, and has been the subject of numerous studies and research, that reveal its complex favorable action for wound healing. Based on scientific research and clinical studies published in literature, this work presents these various properties and therapeutic activities of honey dressings. Next, actions and clinical effects of L-Mesitran range of dressings, based on medicinal honey and authorized European Union (EU) and Food and Drug Administration (FDA), have been highlighted in a case series of patients in the Department of Plastic Surgery, Emergency District Hospital of Ploiesti, Romania, by monitoring the clinical local evolution of bums and other wounds. L-Mesitran range of products is based on the combination of medicinal honey and other ingredients, such as hypoallergenic medicinal lanolin, vitamins C and E. These sterilized preparations were applied for various skin lesions after wound cleansing, and exerted a favorable action on healing of burns and other wounds, sometimes in combination with surgical treatment, being applied in these cases before or after surgery. Further clinical studies are needed to establish the best indications, methods and forms of administration for each type of wounds, as well as the selection over other types of dressings. 展开更多
关键词 medicinal honey L-Mesitran BURNS EFFICIENCY wound healing.
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The efficacy of topical spray containing Centella asiatica extract on excision wound healing in rats
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作者 Kanuengnit Choochuay Somchai Sawatdee Wirot Chanthorn 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2016年第1期132-133,共2页
Centella asiatica (Linn.) belongs to the family of Apiaceae(Umbeliferae). It has been widely used for traditional medicine, especially for wound healing, anti-inflammatory,antipsoriatic, antiulcer, antibacterial and a... Centella asiatica (Linn.) belongs to the family of Apiaceae(Umbeliferae). It has been widely used for traditional medicine, especially for wound healing, anti-inflammatory,antipsoriatic, antiulcer, antibacterial and antifungal. The biologically active ingredients of Centella asiatica are believed to be triterpenes, particularly asiatic acid, madecassic acid,asiaticoside and madecassoside (Fig. 1). 展开更多
关键词 CENTELLA asiatica EXTRACT HYDROXYPROPYL-Β-CYCLODEXTRIN wound healing TOPICAL spray
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Current scenario of traditional medicines in management of diabetic foot ulcers:A review 被引量:7
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作者 Abhijit S Rayate Basavraj S Nagoba +3 位作者 Sachin S Mumbre Hardi B Mavani Ajay M Gavkare Advait S Deshpande 《World Journal of Diabetes》 SCIE 2023年第1期1-16,共16页
Diabetic foot infections and diabetic foot ulcers(DFU)cause significant suffering and are often recurring.DFU have three important pathogenic factors,namely,microangiopathy causing local tissue anoxia,neuropathy makin... Diabetic foot infections and diabetic foot ulcers(DFU)cause significant suffering and are often recurring.DFU have three important pathogenic factors,namely,microangiopathy causing local tissue anoxia,neuropathy making the foot prone to injuries from trivial trauma,and local tissue hyperglycaemia favouring infection and delaying the wound healing.DFU have been the leading cause for non-traumatic amputations of part or whole of the limb.Western medicines focus mainly on euglycaemia,antimicrobials,debridement and wound cover with grafts,and off-loading techniques.Advances in euglycaemic control,foot care and footwear,systemic antimicrobial therapy,and overall health care access and delivery,have resulted in an overall decrease in amputations.However,the process of wound care after adequate debridement remains a major cost burden globally,especially in developing nations.This process revolves around two basic concerns regarding control/eradication of local infection and promotion of faster healing in a chronic DFU without recurrence.Wound modulation with various dressings and techniques are often a costly affair.Some aspects of the topical therapy with modern/Western medicines are frequently not addressed.Cost of and compliance to these therapies are important as both the wounds and their treatment are“chronic.”Naturally occurring agents/medications from traditional medicine systems have been used frequently in different cultures and nations,though without adequate clinical base/relevance.Traditional Chinese medicine involves restoring yin-yang balance,regulating the‘chi’,and promoting local blood circulation.Traditional medicines from India have been emphasizing on‘naturally’available products to control wound infection and promote all the aspects of wound healing.There is one more group of chemicals which are not pharmaceutical agents but can create acidic milieu in the wound to satisfy the above-mentioned basic concerns.Various natural and plant derived products(e.g.,honey,aloe vera,oils,and calendula)and maggots are also used for wound healing purposes.We believe that patients with a chronic wound are so tired physically,emotionally,and financially that they usually accept native traditional medicine which has the same cultural base,belief,and faith.Many of these products have never been tested in accordance to“evidence-based medicine.”There are usually case reports and experience-based reports about these products.Recently,there have been some trials(in vitro and in vivo)to verify the claims of usage of traditional medicines in management of DFU.Such studies show that these natural products enhance the healing process by controlling infection,stimulating granulation tissue,antimicrobial action,promoting fibroblastic activity and collagen deposition,etc.In this review,we attempt to study and analyse the available literature on results of topical traditional medicines,which are usually advocated in the management of DFU.An integrated and‘holistic’approach of both modern and traditional medicine may be more acceptable to the patient,cost effective,and easy to administer and monitor.This may also nevertheless lead to further improvement in quality of life and decrease in the rates of amputations for DFU. 展开更多
关键词 Diabetic foot infections Diabetic foot ulcers MANAGEMENT Traditional medicines Topical agents wound healing
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Mechanisms of medicinal plants in the treatment of diabetic wound
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作者 Oluwakemi V.Adeleke Stephen A.Adefegha Ganiyu Oboh 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2023年第6期233-241,共9页
Wound repair is noticeably prolonged in a diabetic state due to a faulty inflammatory process and an underlying neuropathy.Several medicinal plants and their products have been of prime importance for the management o... Wound repair is noticeably prolonged in a diabetic state due to a faulty inflammatory process and an underlying neuropathy.Several medicinal plants and their products have been of prime importance for the management of wounds over the years.Various mechanisms whereby medicinal plants elicit their action in wound repair are revealed and some plants are proven to be experimentally effective in enhancing wound closure and achieving healing.The mechanisms identified include hyperglycemic control,alleviation of physiological inflammation,controlled oxidative stress,infection control,and influence on gene expression.Information in this review was sourced from research and review articles in electronic databases such as Web of Science,Scopus,PubMed,and Google Scholar. 展开更多
关键词 DIABETES INFECTION INFLAMMATION medicinal plants wound healing Oxidative stress
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Wound healing effect of methanolic leaf extract of Napoleona vogelii(Family:Lecythidaceae) in rats
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作者 Adiele LC Adiele RC Enye JC 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2014年第8期620-624,共5页
Objective:To investigate the wound healing properly of Napoleona vogelii leaf extract in folkloric medicine.Methods:Roth sexes of adult albino rats(n=25) were used in this study and another group(n=30) were subjected ... Objective:To investigate the wound healing properly of Napoleona vogelii leaf extract in folkloric medicine.Methods:Roth sexes of adult albino rats(n=25) were used in this study and another group(n=30) were subjected to acute toxicity test(LD_(50)) of the plant extract.For the LD_(50),three randomized groups of 5 rats were first treated with 10,100,1 000 mg/kg body weight(bw),orally.This w as followed by a second treatment of 1500,3000,and 5 000 mg/kg bw of the leaf extract with continual monitoring of the animals for mortality or non-mortality.Incision wounds(1.3cm) were created on the skin of five groups of 5 rals using surgical blade under anesthesia.The first group was topically treated with petroleum jelly alone,group 2 was topically applied 400 mg/mL w/v of the reference drug,Neobaein,while group 3-5 were topically treated with 5-50 mg/mL w/v of the plant extract,respectively.Results:The percentage yield of the extract was 49.80%w/w dry matter.The phytochemical analysis revealed several bioactive constituents including glycosides,tannins,alkaloids,perpenoids.saponins,steroids,proteins,and carbohydrates.The LD_(50) was beyond our experimental limit and was not determined.Increased concentrations(5,20,and 50mg/mL w/v) of the extract had significant(ANOVA,P<0.05) healing effect on the incision wounds giving rise to 125%-140% while treatmentawith Neobacin resulted in 150% healing effect on the third treatment regimen compared to the control(100%).Conclusions:These data indicate that Napoleona vogelii leaf extract contains potent bioactive compounds containing wound healing activity,substantiating its use as a wound healer in folkloric medicine. 展开更多
关键词 wound healing Napoleona vogelii Petroleum jelly Neobacin Folkloric medicine
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Effects of Cold Atmospheric Pressure Plasma on Accelerating Acute Wound Healing: A Comparative Study among 4 Different Treatment Groups
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作者 Akio Nishijima Takahiro Fujimoto +1 位作者 Takamichi Hirata Junko Nishijima 《Modern Plastic Surgery》 2019年第1期18-31,共14页
Cold atmospheric pressure plasma (CAP) has been expected to be effective for wound healing among plasma medicines and has been attracting attention. The aim of this retrospective clinical study was to evaluate and com... Cold atmospheric pressure plasma (CAP) has been expected to be effective for wound healing among plasma medicines and has been attracting attention. The aim of this retrospective clinical study was to evaluate and compare the effects of CAP on acute wounds created by a fractional CO2 (FXCO2) laser on four treatment groups. Methods: This study was conducted between September 2017 and November 2018. Radiated surface wounds were created using a FXCO2 laser on four identically-sized regions on the medial side of the left forearm of 12 healthy volunteer subjects, for a total of 48 treatment regions. Each region was then randomly assigned to one of four groups: 1) no treatment (control group), 2) irradiated CAP for 60 seconds (plasma group), 3) topical application of ointment containing betamethasone valerate (steroid group), or 4) two to three sprays of basic fibroblast growth factor (bFGF group). The primary outcome of the skin was the change in absolute values of lightness index (L*), redness index (a*I) of L*a*b color space, arithmetical mean roughness (Ra), and mean melanin concentration. The secondary outcome was the clinical condition of the wounds, including inflammation, crust formation, and hyper/hypo-pigmentation on the recovering skin surface relative to the surrounding intact skin. Each item was evaluated at post-treatment 0, 1, 3, 7, 14, 28 days and 1 year. Results: Although no significant difference was observed among all groups, the CAP group exhibited more rapid recovery regarding a*I and Ra. No side-effects were observed in the CAP group. Conclusion: CAP is considered to accelerate healing of irradiated wounds via anti-inflammatory activity. Our study confirmed the effectiveness and safety of CAP which is devoid of side-effects of conventional therapies, and may aid in future development of medical plasma therapies. 展开更多
关键词 COLD Atmospheric Pressure PLASMA PLASMA medicine New Energy Device wound healing SKIN Activation
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Clinical research progress in Traditional Chinese Medicine in treating wound healing after anal fistula surgery 被引量:2
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作者 MEI Pingping FENG Wenzhe +2 位作者 SHI Peng ZHANG Wenxiu ZHUANG Yu 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2023年第5期1047-1054,共8页
In the study of the mechanism of wound healing after anal fistula surgery,how to scientifically and efficiently promote wound healing is of great significance.At present,modern medical treatment of wounds after anal f... In the study of the mechanism of wound healing after anal fistula surgery,how to scientifically and efficiently promote wound healing is of great significance.At present,modern medical treatment of wounds after anal fistula surgery mostly focuses on physical therapy intervention,new wound dressing and packing,and external application of growth factors.However,these therapies have many problems,and there is still no consensus on their clinical use.Traditional Chinese Medicine(TCM)has several methods to promote wound healing,such as oral administration,rubbing,and fumigation,which have a long history and obvious efficacy,but research in this area is relatively scattered and lacks classification and summarizing.Therefore,this paper analyzes and summarizes the existing research on TCM for promotion of wound healing after anal fistula surgery,carries out targeted analyses according to different clinical syndromes and treatment methods,and analyzes the defects in current research and anticipates future research trends in order to provide theoretical support for the advantages of TCM in promoting wound healing after anal fistula surgery. 展开更多
关键词 rectal fistula wound healing medicine Chinese traditional research report REVIEW
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Advances in traditional Chinese medicine as adjuvant therapy for diabetic foot 被引量:9
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作者 Fa-Shun Liu Yue Li +3 位作者 Xian-Shan Guo Rui-Chen Liu Hong-Ya Zhang Zhen Li 《World Journal of Diabetes》 SCIE 2022年第10期851-860,共10页
Diabetes mellitus(DM)is a complex disease that often causes multiple systemic complications that have become a major international public health problem.Diabetic foot(DF)is one of the severe and frequent chronic compl... Diabetes mellitus(DM)is a complex disease that often causes multiple systemic complications that have become a major international public health problem.Diabetic foot(DF)is one of the severe and frequent chronic complications of DM due to vascular lesions and neuropathy.DF ulcers(DFU)affect approximately 15%of people with DM and are the leading cause of death and disability.The prevalence and recurrence of DF are worrisome,and morbidity and mortality are also on the rise,which poses a substantial socioeconomic burden.Treating DF is difficult for clinicians and requires multidisciplinary cooperation,combining local and systemic therapy to reduce amputation and case-fatality rates.Traditional Chinese Medicine(TCM)has received extensive attention due to noticeable therapeutic effects and few adverse reactions.In recent years,research on DF treatment by TCM has been increasing,and further progress has been made.TCM includes oral medication,injectable preparations,and adjuvant therapy.This article reviews the relevant research on TCM-related adjuvant therapy for DF.We describe current progress in TCM in terms of external application,acupuncture,massage,acupoint injection,foot bath,fumigation,and moxibustion,as well as the mechanisms involved. 展开更多
关键词 Diabetes Mellitus Diabetic foot Foot ulcers Traditional Chinese medicine wound healing
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An Overview of the Use of Medicinal Plants in Regenerative Dentistry
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作者 Sara Dhoum Samir Ibenmoussa Mustapha Sidqui 《Open Journal of Stomatology》 2023年第1期50-88,共39页
Aim: The oral cavity has the particularity to host multiple hard and soft tissues, in this paper, we will discuss the current therapies that lead to cell differentiation by regenerative therapies and the future altern... Aim: The oral cavity has the particularity to host multiple hard and soft tissues, in this paper, we will discuss the current therapies that lead to cell differentiation by regenerative therapies and the future alternatives proposed by medicinal plants and all the regenerative potential of these different tissues. Material and Methods: A detailed review of the literature through the various search engines: Scopus, PubMed, google scholar, Cochrane, etc., uses the selected keywords to explore the effect of the regenerative potential of several medicinal plants. Results: Through our research, we have proceeded to sort different medicinal plants, according to their repairing and regenerative potential on the different tissues of the oral cavity. Conclusion: Future studies are conceivable to explore the opportunities and potential provided by medicinal plants in the field of regenerative dentistry. 展开更多
关键词 medicinal Plants medicinal Herbs Tissue Regeneration Enamel Remineralization Dental Pulp Periodontal Regeneration Bone Regeneration wound healing Stem Cells Differentiation Odontoblastic Differentiation Oral Cavity Herbal Extract Oral Tissues
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Wnt/β-catenin信号通路的中药调控与创面愈合 被引量:1
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作者 王莹 吴玲民 +5 位作者 刘晓婷 宫玉锁 丁艳芳 元宝华 禄成龙 陈绪帆 《中国组织化学与细胞化学杂志》 CAS CSCD 2024年第2期176-183,共8页
创面愈合是由于外伤、糖尿病溃疡、压疮、感染和术后创面不愈合等多种因素导致的如表皮、真皮、肌肉、筋膜等局部组织的损伤,其愈合过程是一个复杂且动态的程序,涉及到多种细胞反应和周围微环境的相互配合。目前,创面发病率呈逐年增长... 创面愈合是由于外伤、糖尿病溃疡、压疮、感染和术后创面不愈合等多种因素导致的如表皮、真皮、肌肉、筋膜等局部组织的损伤,其愈合过程是一个复杂且动态的程序,涉及到多种细胞反应和周围微环境的相互配合。目前,创面发病率呈逐年增长的趋势,造成了全球范围内巨大的社会和经济负担,老龄人口中发生的慢性损伤随着年龄的增长而逐年攀升。当前,修复创面的药物种类及方法多样,一定程度上减轻了患者的生理、心理和经济社会压力。中药单体及复方制剂修复创面具有独特的优势和力量,引起社会各界广泛的关注及应用,Wnt/β-catenin是调节细胞增殖、分化及凋亡,高度参与创面修复,是皮肤损伤修复过程中最重要的经典信号通路之一。Wnt/β-catenin信号通路通过中药单体及复方制剂降低机体创面中蛋白激酶、炎症反应,促进血管新生和表皮干细胞等表达,对创面愈合的治疗具有重要的参考价值。本文复习国内外相关文献,对Wnt/β-catenin信号通路与创面的关系及中药单体和中药复方通过调控该信号通路影响创面愈合的机制进行归纳总结,为中药治疗创面损伤提供新的思路和方向。 展开更多
关键词 创面愈合 WNT/Β-CATENIN信号通路 中药
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乳腺熏洗方促进非哺乳期乳腺炎术后创面愈合网络药理学分析及临床验证 被引量:1
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作者 周悦 王铮 +3 位作者 叶媚娜 吴晶晶 何斌俊 陈红风 《新中医》 CAS 2024年第6期186-194,共9页
目的:采用网络药理学方法分析乳腺熏洗方促进非哺乳期乳腺炎(NPM)术后创面愈合的机制,并通过临床研究对关键通路进行验证。方法:利用中药系统药理学数据库与分析平台(TCMSP)检索并筛选乳腺熏洗方的主要化合物成分和作用靶点,在人类基因... 目的:采用网络药理学方法分析乳腺熏洗方促进非哺乳期乳腺炎(NPM)术后创面愈合的机制,并通过临床研究对关键通路进行验证。方法:利用中药系统药理学数据库与分析平台(TCMSP)检索并筛选乳腺熏洗方的主要化合物成分和作用靶点,在人类基因综合分析数据库(Genecards)中查找与乳房创面愈合相关的共同靶点,将共同靶点输入STRING数据库,获得蛋白质相互作用(PPI)网络,再使用Cytoscape 3.10.10软件绘制PPI网络图。利用DAVID数据库和Metascap数据库对疾病-药物潜在靶点进行基因本体(GO)功能富集分析及京都基因与基因组百科全书(KEGG)通路富集分析。采用蛋白质印迹法检测4例NPM术后患者治疗前后创面组织血管内皮生长因子(VEGF)、信号转导和转录激活蛋白3(STAT3)蛋白表达水平。结果:乳腺熏洗方促进乳房创面愈合共涉及101个靶点,关键靶点有基质金属蛋白酶(MMP2、MMP9)、细胞因子[白细胞介素(IL)-1β、IL-6、表皮生长因子受体(EGFR)、转化生长因子-β(TGF-β)、肿瘤坏死因子(TNF)、成纤维细胞生长因子2(FGF-2)]、黏附分子(ICAM-1)和信号转导蛋白(STAT3、MAPK)等,参与了包括VEGF、缺氧诱导因子-1(HIF-1)、IL-17、AGE-RAGE、TNF等信号通路的调控。治疗后,NPM术后创面组织的VEGF、STAT3蛋白表达水平均较治疗前升高(P<0.05)。结论:乳腺熏洗方通过多途径、多靶点的协同调节,在促进NPM术后创面愈合方面具有明确作用。 展开更多
关键词 非哺乳期乳腺炎 创面愈合 乳腺熏洗方 中药熏洗疗法 网络药理学 信号通路 临床验证
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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 被引量:1
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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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乳腺熏洗方促进非哺乳期乳腺炎术后创面愈合的临床和机制研究
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作者 周悦 叶媚娜 +7 位作者 程亦勤 王冰 吴晶晶 孟畑 仲芫沅 沈梦菲 程一凡 陈红风 《上海中医药杂志》 CSCD 2024年第8期35-40,共6页
目的观察乳腺熏洗方熏洗对非哺乳期乳腺炎(NPM)术后创面愈合的影响,并探讨其作用机制。方法将98例NPM术后创面生肌收口期患者随机分为治疗组、对照组,每组49例,在常规换药的基础上,治疗组给予乳腺熏洗方熏洗治疗,对照组给予质量浓度为9 ... 目的观察乳腺熏洗方熏洗对非哺乳期乳腺炎(NPM)术后创面愈合的影响,并探讨其作用机制。方法将98例NPM术后创面生肌收口期患者随机分为治疗组、对照组,每组49例,在常规换药的基础上,治疗组给予乳腺熏洗方熏洗治疗,对照组给予质量浓度为9 g/L的氯化钠溶液熏洗治疗,疗程为12 d。比较两组创腔体积缩小率、创口面积缩小率,以及创面肉芽组织状态评分、血常规[白细胞(WBC)、中性粒细胞(NEU)、中性粒细胞百分比(NEU%)、血小板(PLT)]、C反应蛋白(CRP)、红细胞沉降率(ESR)的变化情况;两组各选取5例病例,采用Western blot法检测创面组织白细胞介素-6(IL-6)、Janus激酶2(JAK2)、信号转导及转录激酶蛋白3(STAT3)蛋白表达的变化情况。结果(1)最终完成试验者94例,其中治疗组49例、对照组45例。(2)治疗组创腔体积缩小率、创口面积缩小率高于对照组(P<0.05)。(3)治疗前后组内比较,治疗组创面肉芽状态评分升高(P<0.05);组间治疗后比较,治疗组创面肉芽状态评分高于对照组(P<0.05)。(4)治疗前后组内比较,两组WBC、NEU、NEU%、PLT、CRP、ESR水平降低(P<0.05);组间治疗后比较,治疗组PLT、CRP水平低于对照组(P<0.05)。(5)治疗前后组内比较,对照组创面肉芽组织IL-6、JAK2、STAT3蛋白表达上调(P<0.05);组间治疗后比较,治疗组创面肉芽组织IL-6、STAT3蛋白表达水平低于对照组(P<0.05)。结论乳腺熏洗方熏洗能有效促进NPM术后创面愈合,其机制可能与抑制IL-6/JAK2/STAT3信号通路,进而抑制创面炎症反应有关。 展开更多
关键词 非哺乳期乳腺炎 中药熏洗疗法 乳腺熏洗方 创面愈合 炎症 临床试验
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消肿散洗剂促进大鼠创面愈合的初步实验研究
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作者 曾华 方楠 +3 位作者 冯上新 孙妍婧 周林 郑勇 《吉林中医药》 2024年第9期1080-1084,共5页
目的探讨消肿散洗剂对大鼠创面模型的愈合作用。方法将造模成功的SD大鼠采用随机数表法分为实验组(消肿散洗剂组)、对照组(复方黄柏液涂剂组)和空白组(生理盐水组)。造模后记录第3、7、14、21天的创面愈合率;第3、7、14天检测创面组织... 目的探讨消肿散洗剂对大鼠创面模型的愈合作用。方法将造模成功的SD大鼠采用随机数表法分为实验组(消肿散洗剂组)、对照组(复方黄柏液涂剂组)和空白组(生理盐水组)。造模后记录第3、7、14、21天的创面愈合率;第3、7、14天检测创面组织血管生成素(AngI、AngII)的表达水平;在第7天检测创面组织炎症因子(IL-1β、IL-6、IL-10)的表达水平。结果造模后第3天三组创面愈合率无统计学意义(P>0.05);第7天、第14天实验组创面愈合率高于对照组与空白组(P<0.05);第21天实验组创面愈合率高于空白组(P<0.05),与对照组愈合率比较,差异无统计学意义(P>0.05)。造模后第3天实验组和对照组AngI、AngII表达水平比较,差异无统计学意义(P>0.05),但高于空白组(P<0.05);第7天实验组和对照组AngI、AngII表达水平比较,差异有统计学意义(P<0.05),且高于空白组(P<0.05);第14天实验组和对照组AngI、AngII表达水平比较,差异无统计学意义(P>0.05),但高于空白组(P<0.05)。造模后第7天实验组的IL-1β、IL-6的表达水平低于空白组和对照组(P<0.05),而IL-10高于其他2组(P<0.05)。结论消肿散洗剂可协调炎症因子平衡,促进血管生成素的表达,可快速愈合创面。 展开更多
关键词 SD大鼠 动物实验 创面愈合 炎症因子 血管生成素 中药外熏洗
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中草药直肠滴入对肛瘘术后患者恢复、疼痛及肛肠动力学的影响
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作者 曹东升 齐焕青 张庆东 《海南医学》 CAS 2024年第5期630-635,共6页
目的 探究中草药直肠滴入对肛瘘术后患者恢复、疼痛及肛肠动力学的影响。方法 选取2021年3月至2023年3月南阳市中心医院收治的92例肛瘘术后患者纳入研究,按随机数表法分为对照组和研究组各46例。两组患者均给予常规治疗,于此基础上,对... 目的 探究中草药直肠滴入对肛瘘术后患者恢复、疼痛及肛肠动力学的影响。方法 选取2021年3月至2023年3月南阳市中心医院收治的92例肛瘘术后患者纳入研究,按随机数表法分为对照组和研究组各46例。两组患者均给予常规治疗,于此基础上,对照组采用高锰酸钾坐浴治疗,研究组采用中草药直肠滴入联合高锰酸钾坐浴治疗。比较两组患者治疗2周后的治疗效果,治疗前、治疗1 d、3 d及5 d后的疼痛程度(VAS评分),治疗前、治疗1周及2周后的血清炎性因子水平[白介素-6 (IL-6)、IL-10、肿瘤坏死因子-α (TNF-α)]、创面愈合相关指标[纤维连接蛋白(FN)、表皮生长因子(EGF)、血管内皮生长因子(VEGF)]和肛肠动力学指标[肛管最长收缩时间(ALCT)、直肠静息压(RRP)、肛管最大收缩压(AMCP)、肛管静息压(ARP)],并比较两组患者术后恢复情况。结果 研究组患者的治疗总有效率为95.65%,明显高于对照组的82.61%,差异有统计学意义(P<0.05);研究组患者治疗1 d、3 d、5 d后的VAS评分分别为(3.41±0.97)分、(2.26±0.68)分、(1.15±0.31)分,明显低于对照组的(4.36±1.08)分、(3.05±0.81)分、(1.81±0.54)分,差异均有统计学意义(P<0.05);研究组患者治疗1周、2周后的血清IL-6、TNF-α水平明显低于对照组,而IL-10水平明显高于对照组,差异均有统计学意义(P<0.05);研究组患者治疗1周、2周后血清EGF、VEGF、FN明显高于对照组,差异均有统计学意义(P<0.05);研究组患者治疗1周、2周后的RRP、ARP明显低于对照组,差异均有统计学意义(P<0.05);研究组患者便血消失时间、脓苔脱落时间、创面愈合时间、上皮生长时间分别为(7.81±1.53) d、(5.13±0.64) d、(8.42±0.75) d、(12.15±1.42) d,明显短于对照组的(9.26±1.71) d、(6.29±0.87) d、(9.91±0.83) d、(15.37±1.91) d,差异均有统计学意义(P<0.05)。结论 中草药直肠滴入能促进肛瘘术后患者恢复,缓解术后疼痛,调节炎性因子,改善肛肠动力学。 展开更多
关键词 肛瘘 高锰酸钾 中草药直肠滴入 肛肠动力学 疼痛程度 创面愈合
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祛腐生肌中药直肠滴入对肛瘘术后患者临床效果的影响
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作者 曹东升 齐焕青 张庆东 《河南医学研究》 CAS 2024年第20期3781-3784,共4页
目的 探讨祛腐生肌中药直肠滴入对肛瘘术后患者临床效果的影响。方法 选取2022年2月至2023年1月于南阳市中心医院接受手术治疗的肛瘘患者110例,随机分为常规组和直肠滴入组,各55例,常规组术后采用高锰酸钾溶液坐浴和龙珠软膏治疗,直肠... 目的 探讨祛腐生肌中药直肠滴入对肛瘘术后患者临床效果的影响。方法 选取2022年2月至2023年1月于南阳市中心医院接受手术治疗的肛瘘患者110例,随机分为常规组和直肠滴入组,各55例,常规组术后采用高锰酸钾溶液坐浴和龙珠软膏治疗,直肠滴入组在常规基础上联合祛腐生肌中药直肠滴入治疗。比较两组创面修复疗效、康复进程、术后不同时间点疼痛程度[视觉模拟量表(VAS)评分]、创面愈合情况、血管内皮相关指标[血管内皮生长因子(VEGF)、血管内皮生长因子受体2(VEGFR-2)]水平、炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)]水平、术后感染发生情况。结果 两组患者创面修复总有效率均为100.00%,其中直肠滴入组患者创面修复显效率高于常规组(P<0.05);直肠滴入组疼痛消失、水肿消退、创面渗出物消失及创面愈合时间均短于常规组(P<0.05);术后3、7、14 d,直肠滴入组VAS评分均低于常规组(P<0.05);术后14 d,创面愈合情况优于常规组(P<0.05);术后7 d,直肠滴入组血清VEGF、VEGFR-2水平均高于常规组,IL-6、TNF-α、IL-8水平均低于常规组(P<0.05);直肠滴入组术后感染发生率与常规组比较,差异无统计学意义(P>0.05)。结论 祛腐生肌中药直肠滴入治疗肛瘘术后患者,可减轻炎症反应,提升VEGF、VEGFR-2表达,促进创面愈合,减轻术后疼痛,加快康复进程。 展开更多
关键词 肛瘘 祛腐生肌中药 直肠滴入 创面愈合 疼痛程度
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蛋黄油联合清热解毒汤外洗在肛周脓肿术后创面愈合中的应用 被引量:3
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作者 吴士雄 温丽辉 +3 位作者 刘满君 张磊 刘博 其徐韬 《中国医科大学学报》 CAS 北大核心 2024年第5期446-450,457,共6页
目的基于创面肉芽组织中生长因子探讨蛋黄油联合清热解毒中药外洗对肛周脓肿患者术后创面愈合的促进作用。方法选取我院2023年1月至5月收治的80例肛周脓肿手术患者,随机分为对照组和观察组,每组40例。术后3 d,对照组予以清热解毒中药外... 目的基于创面肉芽组织中生长因子探讨蛋黄油联合清热解毒中药外洗对肛周脓肿患者术后创面愈合的促进作用。方法选取我院2023年1月至5月收治的80例肛周脓肿手术患者,随机分为对照组和观察组,每组40例。术后3 d,对照组予以清热解毒中药外洗,凡士林纱布换药等常规治疗,观察组在此基础上加用蛋黄油治疗,连续治疗7 d。比较2组临床疗效、临床症状改善情况及不同时间点创面恢复情况、血清炎性细胞因子、创面肉芽组织相关因子表达水平。结果观察组临床总有效率高于对照组(95%vs.75%,P<0.05);观察组创面瘙痒消失、腐肉脱落、新生上皮出现及愈合时间均短于对照组(P<0.05);术后7 d、10 d观察组疼痛程度、创面分泌物、肉芽形态及周围组织水肿评分较对照组显著下降(P<0.05);术后7 d、10 d观察组血清白细胞介素(IL)-1β、IL-8、肿瘤坏死因子-α(TNF-α)水平低于对照组(P<0.05),创面肉芽组织碱性成纤维细胞生长因子-2(FGF-2)、血管内皮细胞生长因子(VEGF)、转化生长因子-β(TGF-β)水平高于对照组(P<0.05)。结论蛋黄油联合清热解毒中药外洗能显著改善肛周脓肿患者的临床症状,促进创面愈合,治疗效果显著,可能与抑制炎性细胞因子表达、促进创面肉芽组织生长因子表达有关。 展开更多
关键词 肛周脓肿 蛋黄油 生长因子 中药外洗 血清炎性细胞因子 创面愈合
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5种中药粗多糖水凝胶的制备及其促伤口愈合能力研究 被引量:1
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作者 寇先勇 吴燕 +4 位作者 王峣姿 冯文博 郑佳贝 尤祥宇 苏江涛 《轻工学报》 CAS 北大核心 2024年第2期43-53,共11页
以黄药子、红景天、鸡血藤、鱼腥草、一支箭5种中药为原料,采用水提醇沉法提取其中的粗多糖,测定其总多糖含量及体外抗氧化活性;将中药粗多糖载入壳聚糖中制备中药粗多糖水凝胶,并对所得水凝胶的微观结构、溶胀性能、保水性能、抗氧化... 以黄药子、红景天、鸡血藤、鱼腥草、一支箭5种中药为原料,采用水提醇沉法提取其中的粗多糖,测定其总多糖含量及体外抗氧化活性;将中药粗多糖载入壳聚糖中制备中药粗多糖水凝胶,并对所得水凝胶的微观结构、溶胀性能、保水性能、抗氧化活性、血液相容性及其促进伤口愈合能力等进行研究。结果表明:红景天粗多糖的总多糖含量最高,达到77.6%;各粗多糖溶液均有一定的抗氧化能力,其中对ABTS^(+)自由基、DPPH自由基、·OH自由基的清除能力及总还原力最强的粗多糖溶液分别为黄药子粗多糖溶液、黄药子粗多糖溶液、一支箭多糖溶液和红景天粗多糖溶液。随着中药粗多糖的载入,中药粗多糖水凝胶的孔径增大、溶胀性能增强,但保水率和抗氧化活性均有所降低;在2000μg/mL质量浓度下,各粗多糖水凝胶均展现出良好的血液相容性;相较于空白组,黄药子粗多糖水凝胶组和鱼腥草粗多糖水凝胶组的小鼠伤口愈合更明显,结痂现象减少,且观察到毛囊、皮脂腺等皮肤附属器的形成,未见明显的炎性细胞浸润。因此,黄药子粗多糖水凝胶和鱼腥草粗多糖水凝胶在加速伤口恢复方面均效果明显,显示出其作为伤口敷料的巨大应用潜力。 展开更多
关键词 中药粗多糖 水凝胶 抗氧化活性 伤口愈合
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