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两种封闭性水胶体敷料对猫全层皮肤伤口愈合的影响。

Effects of two occlusive, hydrocolloid dressings on healing of full-thickness skin wounds in cats.

作者信息

Tsioli Vassiliki, Gouletsou Pagona G, Galatos Apostolos D, Psalla Dimitra, Lymperis Antonis, Papazoglou Lyssimachos G, Karayannopoulou Maria

机构信息

Vassiliki Tsioli, Assistant Professor, Department of Surgery, Faculty of Veterinary Medicine, University of Thessaly, 224 Tricalon Street, GR-43100 Karditsa, Greece, Phone: + 30 244 106 6067, Fax: + 30 244 106 6041, E-mail:

出版信息

Vet Comp Orthop Traumatol. 2016 Jul 19;29(4):298-305. doi: 10.3415/VCOT-15-04-0058. Epub 2016 Jun 21.

Abstract

OBJECTIVES

To determine the effects of two occlusive, hydrocolloid dressings on second intention wound healing in cats.

METHODS

Three 2×2 cm full-thickness skin wounds were created on each side of the trunk of 10 cats. Two bilateral wounds were bandaged using different hydrocolloid dressings, namely Hydrocoll and DuoDerm while a semi-occlusive pad (Melolin) was applied to the third bilateral wound (control group). Wound planimetry, subjective evaluation of wound healing, and qualitative bacterial cultures were performed on the right-sided wounds, whereas left-sided wounds were subjected to histological examination.

RESULTS

Subjective evaluation revealed accelerated (p <0.01) granulation tissue formation in hydrocolloid-treated wounds. The amount of wound exudate was initially greater (p <0.01) in these wounds. Seventeen out of 120 evaluated wounds (14.2%) produced purulent exudate, 11 of which showed Staphylococcus aureus growth. Fewer control wounds (3/17) emitted purulent exudate, but all of them yielded moderate bacterial growth as compared to hydrocolloid-treated wounds (8/17) which had a low incidence of bacterial growth. The only significant difference in histological variables was increased cellular infiltration noted on day 7 in Hydrocoll-treated wounds compared to controls. No significant differences in planimetry variables were found between groups.

CLINICAL SIGNIFICANCE

Despite the initially increased amount of wound exudate and the low growth of Staphylococcus aureus, hydrocolloid dressings accelerate granulation tissue formation and can hence be suggested for second intention wound healing in cats.

摘要

目的

确定两种封闭性水胶体敷料对猫二期愈合伤口的影响。

方法

在10只猫的躯干两侧各制造3个2×2厘米的全层皮肤伤口。两个双侧伤口分别使用不同的水胶体敷料进行包扎,即Hydrocoll和DuoDerm,而第三个双侧伤口(对照组)则使用半封闭垫(Melolin)。对右侧伤口进行伤口平面测量、伤口愈合的主观评估和定性细菌培养,而左侧伤口则进行组织学检查。

结果

主观评估显示,水胶体处理的伤口肉芽组织形成加速(p<0.01)。这些伤口的伤口渗出液量最初较多(p<0.01)。在120个评估伤口中有17个(14.2%)产生脓性渗出液,其中11个显示有金黄色葡萄球菌生长。对照组伤口产生脓性渗出液的较少(3/17),但与水胶体处理的伤口(8/17)相比,所有对照组伤口都有中度细菌生长,而水胶体处理的伤口细菌生长发生率较低。组织学变量的唯一显著差异是,与对照组相比,Hydrocoll处理的伤口在第7天细胞浸润增加。各组之间在平面测量变量上未发现显著差异。

临床意义

尽管伤口渗出液最初增加且金黄色葡萄球菌生长较少,但水胶体敷料可加速肉芽组织形成,因此可建议用于猫的二期愈合伤口。

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