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局部注射药物对犬脚垫伤口愈合的影响。

Effect of locally injected medications on healing of pad wounds in dogs.

作者信息

Swaim S F, Vaughn D M, Kincaid S A, Morrison N E, Murray S S, Woodhead M A, Hoffman C E, Wright J C, Kammerman J R

机构信息

Scott-Ritchey Research Center, College of Veterinary Medicine, Auburn University, AL 36849, USA.

出版信息

Am J Vet Res. 1996 Mar;57(3):394-9.

PMID:8669775
Abstract

OBJECTIVE

To ascertain the effects of locally injected immunostimulant and tripeptide-copper complex (TCC) on improving healing of pad wounds.

DESIGN

Wounds in pads of large dogs were injected with either medication or physiologic saline solution (controls). Healing was evaluated.

ANIMALS

12 mature English Pointers.

PROCEDURE

Full-thickness 6 x 8-mm wounds in metatarsal and third and fourth digital pads were injected with immunostimulant or TCC at 0, 3, and 6 days after wounding. Wounds on control dogs were injected with physiologic saline solution. Using planimetric measurements at 0, 3, 6, 14, and 21 days, rates of healing were evaluated. Biopsy of the digital pad wounds at 3, 6, and 14 days was used to evaluate collagen content by hydroxyproline analysis. Biopsy specimens were also evaluated for type-I and type-III collagen, using Sirius red differential staining.

RESULTS

Effect on healing rate and hydroxyproline content was best during the first week for immunostimulant. Immunostimulant- and TCC-injected wounds had more type-I collagen than did controls at 6 days; TCC-injected wounds had the most type-I collagen. At 14 days, the amount of type-I collagen in TCC-injected wounds was significantly greater than that in other wounds.

CONCLUSIONS

Tested medications had positive effects on healing of pad wounds.

CLINICAL RELEVANCE

Intralesional injection of medications helps ensure their presence for enhancement of wound healing. The benefit could be lost with topical use in a bandage if the bandage is lost or becomes wet.

摘要

目的

确定局部注射免疫刺激剂和三肽铜复合物(TCC)对改善脚垫伤口愈合的效果。

设计

在大型犬的脚垫上制造伤口,分别注射药物或生理盐水溶液(对照组),然后评估愈合情况。

动物

12只成年英国指示犬。

步骤

在受伤后第0、3和6天,向跖骨、第三和第四趾垫上6×8毫米的全层伤口注射免疫刺激剂或TCC。对照组犬的伤口注射生理盐水溶液。在第0、3、6、14和21天使用平面测量法评估愈合率。在第3、6和14天对趾垫伤口进行活检,通过羟脯氨酸分析评估胶原蛋白含量。还使用天狼星红差异染色法对活检标本进行I型和III型胶原蛋白评估。

结果

免疫刺激剂在第一周对愈合率和羟脯氨酸含量的影响最佳。在第6天时,注射免疫刺激剂和TCC的伤口比对照组有更多的I型胶原蛋白;注射TCC的伤口I型胶原蛋白最多。在第14天时,注射TCC的伤口中I型胶原蛋白的含量显著高于其他伤口。

结论

受试药物对脚垫伤口愈合有积极作用。

临床意义

病灶内注射药物有助于确保其在伤口处的存在,从而促进伤口愈合。如果绷带丢失或变湿,局部使用绷带时这种益处可能会丧失。

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