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中国临床研究英文版:2018,31(12):1692-1694,1698
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疮灵液湿敷对耐甲氧西林金黄色葡萄球菌感染疮面及免疫炎症因子的影响
(1.南京中医药大学附属医院护理部,江苏 南京210029;2.南京中医药大学附属医院药理室,江苏 南京210029)
Influence of Chuanglingye hydropathic compress on wound surface infected by methicillin-resistant Staphylococcus aureus and immune inflammatory factors
摘要
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Received:July 01, 2018   Published Online:December 21, 2018
中文摘要: 目的 探讨疮灵液对耐甲氧西林金黄色葡萄球菌(MRSA)感染大鼠慢性皮肤疡疮面模型疮面及局部免疫炎症反应的影响。 方法 制作MRSA感染大鼠慢性皮肤疡疮模型30只,造模成功后随机分成对照组、疮灵液组、夫西地酸组,每组10只,其中对照组以4层生理盐水纱布覆盖疮面,疮灵液组以4层疮灵液纱布覆盖疮面,夫西地酸组以4层夫西地酸纱布覆盖疮面,隔日换药。干预后3、7 d测定疮面面积;干预后7 d酶联免疫吸附法(ELISA)检测疮面肿瘤坏死因子α(TNF-α)、白介素6(IL-6)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)的变化;Western blot检测各组疮面组织血管内皮生长因子(VEGF)表达情况。 结果 干预后3、7 d,疮灵液组和夫西地酸组疮面面积小于对照组,且干预后7 d,疮灵液组疮面面积小于夫西地酸组(P<0.05)。与对照组比较,疮灵液组和夫西地酸组TNF-α、IL-6水平显著降低,且疮灵液组低于夫西地酸组(P<0.05)。疮灵液组IgA、IgG、VEGF水平高于对照组和夫西地酸组(P<0.05)。 结论 疮灵液显著减小疮面面积,促进MRSA感染慢性疮面的愈合,这可能与其抗菌、调控免疫炎症因子与促进VEGF表达的综合作用有关。
Abstract:Objective To investigate the influence of Chuanglingye hydropathic compress on chronic wound surface infected by methicillin-resistant Staphylococcus aureus (MRSA) and local immune inflammatory response in rats.? Methods The animal model of chronic wound was made by dripping MRSA on the wound surface. A total of 30 rats with successful modeling were randomly divided into control group, Chuanglingye group and fusidic acid group (n=10, each). The control group was treated with 4 saline gauze, and the Chuanglingye group was treated with 4 Chuanglingye gauze and the fusidc acid group was treated with 4 fusidc acid gauze on the wound surface, the dressings were changed on each other day. At 3 and 7 days after the treatment, the wound area was determined. The level of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), immunoglobulin (Ig) A and IgG of the wound surface were detected at 7 days after the treatment. Western blot was used to detect the expression of vascular endothelial growth factor (VEGF) of the wound surface.? Results On the 3rd and 7th day after intervention, the wound area of Chuanglingye group and fusidic acid group was smaller than that of control group, and on the 7th day after intervention, the wound area of Chuanglingye group was smaller than that of fusidc acid group (all P<0.05). The level of IgA, IgG and VEGF in Chuanglingye group were significant higher than those in fusidc acid group and control group (all P<0.05).? Conclusion Chuanglingye could significantly reduce the wound area and promote the healing of wound surface infected by MRSA, which may be related to its comprehensive effect of antibacterial, regulating immune-inflammatory factors and promoting the expression of VEGF.
文章编号:     中图分类号:R 289.6    文献标志码:B
基金项目:江苏省“六大人才高峰”基金项目(2017-WSN-049)
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