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强力霉素在持续滴注负压伤口治疗中作为“伤口化疗”的新用途。

Novel use of doxycycline in continuous-instillation negative pressure wound therapy as "wound chemotherapy".

作者信息

Scimeca Christy L, Bharara Manish, Fisher Timothy K, Giovinco Nicholas, Armstrong David G

机构信息

Southern Arizona Limb Salvage Alliance, Department of Surgery, University of Arizona College of Medicine, Tucson, USA.

出版信息

Foot Ankle Spec. 2010 Aug;3(4):190-3. doi: 10.1177/1938640010371121. Epub 2010 Jun 8.

DOI:10.1177/1938640010371121
PMID:20530632
Abstract

Negative-pressure wound therapy (NPWT) is frequently employed in the treatment of complex wounds. The authors present a description of real-time streaming therapy of a variety of wound chemotherapeutic agents through NPWT. Doxycycline, which acts as a competitive inhibitor of matrix metalloproteinases and tumor necrosis factor alpha and further decreases inflammation through the reduction of nitrous oxide production, may prove helpful when delivered in this manner. To the authors' knowledge, this is the first report in the literature describing this method of delivery of doxycycline.

摘要

负压伤口治疗(NPWT)常用于复杂伤口的治疗。作者介绍了通过NPWT实时输注多种伤口化疗药物的情况。强力霉素作为基质金属蛋白酶和肿瘤坏死因子α的竞争性抑制剂,并通过减少一氧化氮的产生进一步减轻炎症,以这种方式给药可能会有帮助。据作者所知,这是文献中首次描述这种强力霉素给药方法的报告。

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引用本文的文献

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Management of negative pressure wound therapy in the treatment of diabetic foot ulcers.负压伤口治疗在糖尿病足溃疡治疗中的管理
World J Orthop. 2015 May 18;6(4):387-93. doi: 10.5312/wjo.v6.i4.387.
2
Use of negative pressure wound therapy with automated, volumetric instillation for the treatment of extremity and trunk wounds: clinical outcomes and potential cost-effectiveness.使用自动定量滴注的负压伤口治疗法治疗四肢和躯干伤口:临床结果及潜在成本效益
Eplasty. 2014 Nov 3;14:e41. eCollection 2014.
3
Recommendations on negative pressure wound therapy with instillation and antimicrobial solutions - when, where and how to use: what does the evidence show?
负压伤口治疗联合灌洗和抗菌溶液的推荐意见 - 何时、何地以及如何使用:证据显示了什么?
Int Wound J. 2013 Dec;10 Suppl 1(Suppl 1):32-42. doi: 10.1111/iwj.12183.
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Science supporting negative pressure wound therapy with instillation.支持冲洗式负压伤口疗法的科学依据。
Int Wound J. 2013 Dec;10 Suppl 1(Suppl 1):20-4. doi: 10.1111/iwj.12171.
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Distribution assessment comparing continuous and periodic wound instillation in conjunction with negative pressure wound therapy using an agar-based model.比较使用琼脂模型的连续和周期性伤口灌洗与负压伤口治疗联合应用的分布评估。
Int Wound J. 2013 Apr;10(2):214-20. doi: 10.1111/j.1742-481X.2012.00968.x. Epub 2012 Apr 4.