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用麦芽糊精/抗坏血酸凝胶促进慢性伤口愈合:马远端肢体伤口的临床评估

Enhancement of chronic wound healing with maltodextrin/ascorbic acid gel: a clinical evaluation of distal limb wounds in horses.

作者信息

Helal Ibrahim E, Al-Abbadi Hatim A, El-Daharawy Mohamed H, Ahmed Mahmoud F

机构信息

Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Suez Canal University, Ismailia 41522, Egypt.

Equestrian Center Clinic, King Abdulaziz University, Jeddah 80212, Saudi Arabia.

出版信息

J Anim Sci Technol. 2022 Sep;64(5):997-1007. doi: 10.5187/jast.2022.e52. Epub 2022 Sep 30.

Abstract

Delayed healing associated with distal limb wounds is highly challenging in equine clinical practice. This study aimed to evaluate healing rates between chronic non-granulating wounds of horse distal limbs that were treated with maltodextrin/ascorbic acid gel alone or in combination with povidone-iodine 1% solution and those treated with povidone-iodine 1% only throughout the study period (35 days) in clinical settings. The study was conducted on 18 adult horses (3-15 years old). Based on the treatment regimen utilized, the horses were divided into three groups (n = 6), with each group having a similar mean wound area. The percentages of wound contraction, epithelialization, and overall wound healing were determined weekly for each wound. By the end of the study, the total wound healing percentage was significantly increased between the study groups ( < 0.05). The use of maltodextrin/ascorbic acid gel resulted in considerable wound contraction, rapid epithelialization, and complication-free wound healing. Based on the findings of this study, maltodextrin/ascorbic acid gel, independently or in combination with a 1% povidone-iodine solution, might be applied as a safe and effective wound healing promoting agent in horses with chronic non-granulating wounds.

摘要

在马的临床实践中,与四肢远端伤口相关的愈合延迟极具挑战性。本研究旨在评估在临床环境下,单独使用麦芽糊精/抗坏血酸凝胶或与1%聚维酮碘溶液联合使用治疗马四肢远端慢性非肉芽性伤口的愈合率,以及在整个研究期间(35天)仅用1%聚维酮碘溶液治疗的愈合率。该研究对18匹成年马(3至15岁)进行。根据所采用的治疗方案,将马分为三组(n = 6),每组的平均伤口面积相似。每周测定每个伤口的伤口收缩、上皮化和整体伤口愈合的百分比。到研究结束时,各研究组之间的总伤口愈合百分比显著增加(<0.05)。使用麦芽糊精/抗坏血酸凝胶可使伤口显著收缩、上皮化迅速且伤口愈合无并发症。基于本研究结果,麦芽糊精/抗坏血酸凝胶单独或与1%聚维酮碘溶液联合使用,可能作为一种安全有效的伤口愈合促进剂应用于患有慢性非肉芽性伤口的马匹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109f/9574608/f0e72491f609/jast-64-5-997-g1.jpg

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