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在猪全层伤口模型中评估重组人碱性成纤维细胞生长因子联合滴注式负压伤口治疗及停留时间的应用。

Evaluation of the use of recombinant human basic fibroblast growth factor in combination with negative pressure wound therapy with instillation and dwell time in porcine full-thickness wound model.

作者信息

Saijo Hiroto, Kilpadi Deepak V, Akita Sadanori

机构信息

Department of Plastic and Reconstructive Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Active Healing Solutions-Applied Sciences, Kinetic Concepts, Inc, San Antonio, Texas.

出版信息

Wound Repair Regen. 2017 Nov;25(6):972-975. doi: 10.1111/wrr.12609. Epub 2018 Feb 8.

Abstract

NPWT with instillation and dwell time (NPWTi-d), which combines NPWT with wound irrigation, has been clinically applied as a more effective treatment than conventional NPWT. Commercially available recombinant human basic fibroblast growth factor (rh-bFGF) has been demonstrated to be beneficial for use over the wound beds. The objective of this study was to evaluate the effectiveness of combined treatment with NPWTi-d and rh-bFGF. Six pigs received 12 full-thickness excisional skin wounds and were treated with six different treatment groups for each pair. The treatment regimens were composed NPWTi-d, NPWT, or advanced wound care with or without rh-bFGF. On day 6, the minimum granulation tissue thickness and blood vessel number of the group of combined treatment with NPWTi-d and rh-bFGF spray were significantly greater than that of the control group. Combined treatment with NPWTi-d and rh-bFGF spray reads to good granulation tissue formation and vascularization for accelerating wound healing.

摘要

带滴注和停留时间的负压伤口治疗(NPWTi-d),即将负压伤口治疗与伤口冲洗相结合,已在临床上作为一种比传统负压伤口治疗更有效的治疗方法应用。市售重组人碱性成纤维细胞生长因子(rh-bFGF)已被证明对伤口床有益。本研究的目的是评估NPWTi-d与rh-bFGF联合治疗的有效性。六只猪接受了12个全层切除性皮肤伤口,并对每对伤口用六个不同的治疗组进行治疗。治疗方案包括NPWTi-d、负压伤口治疗,或使用或不使用rh-bFGF的高级伤口护理。在第6天,NPWTi-d与rh-bFGF喷雾联合治疗组的最小肉芽组织厚度和血管数量显著大于对照组。NPWTi-d与rh-bFGF喷雾联合治疗可促进良好的肉芽组织形成和血管化,从而加速伤口愈合。

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