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Keladi candik(Alocasia longiloba Miq.) petiole extracts promote wound healing in a full thickness excision wound model in rats 被引量:3
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作者 Nurul Hazirah Che Hamzah Arifullah Mohammed +3 位作者 KNS Sirajudeen Mohd Asnizam Asari Zulhazman Hamzah Ibrahim Khalivulla Shaik 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2019年第4期140-149,共10页
Objective: To investigate the wound-healing effect of Alocasia longiloba(A. longiloba) petiole extract on wounds in rats.Methods: Twenty-two male Sprague-dawley rats were randomly assigned to receive 10% solcoseryl ge... Objective: To investigate the wound-healing effect of Alocasia longiloba(A. longiloba) petiole extract on wounds in rats.Methods: Twenty-two male Sprague-dawley rats were randomly assigned to receive 10% solcoseryl gel, phosphate buffer saline, 50% ethanol, 95% ethanol and hexane extracts of A. longiloba at 1.5%, 3% and 6% doses, respectively. A full thicknesses wound(6 mm) was created on the dorsal of the rat; and all rats were applied with the extract solutions, 10% solcoseryl gel and phosphate buffer saline once a day topically until day 12. The wound was photographed on day 1, 6 and 12, and the percentage of wound contraction was calculated. On day 12, rats were sacrificed and histological examination of granulation tissue was carried out using haematoxylin & eosin and Masson's Trichrome stain to determine the wound healing effect.Results: In this study, 6% of 50% and 95% ethanol extracts of A. longiloba showed 82.50% and 82.32% wound contraction, respectively, and were comparable with 10% solcoseryl gel(82.30%). Meanwhile, phosphate buffer saline treated group showed the lowest wound contraction(69.86%). Histological assessment of wound treated with 6% of 95% ethanol extract of A. longiloba showed distinct epidermal and dermal layer, higher proliferation of fibroblast and more angiogenesis with collagen compared to other wound treated groups.Conclusions: A. longiloba petiole extracts have a wound healing potential and 6% of 95% ethanol extract of A. longiloba is more effective. Further studies are required to understand the wound healing mechanism of action of the extract. 展开更多
关键词 Full thickness EXCISION wound RAT model SPRAGUE-DAWLEY RAT Alocasia longiloba PETIOLE extract
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The effect of basic fibroblast growth factor on regeneration in a surgical wound model of rat submandibular glands 被引量:4
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作者 Fumitaka Kobayashi Kenichi Matsuzaka Takashi Inoue 《International Journal of Oral Science》 SCIE CAS CSCD 2016年第1期16-23,共8页
This study developed an animal model of surgically wounded submandibular glands (SMGs) and investigated the effects of collagen gel with basic fibroblast growth factor (bFGF) on tissue regeneration of surgically w... This study developed an animal model of surgically wounded submandibular glands (SMGs) and investigated the effects of collagen gel with basic fibroblast growth factor (bFGF) on tissue regeneration of surgically wounded SMGs in vivo. The animal model was produced by creating a surgical wound using a 3-mm diameter biopsy punch in SMGs. The wound was filled with collagen gel with bFGF (bFGF group) or without bFGF (control group). In the animal model of surgically wounded SMGs, salivary glands without scar tissue around the wound area were observed with smaller areas of collagen gel. Small round and spindle-shape cells invaded the collagen gel in both groups after operation day (AOD) 5, and this invasion dramatically increased at AOD 7. Host tissue completely replaced the collagen gel at AOD 21. The invading immune cells in the group treated with collagen gel with bFGF were positive for vimentin, g-smooth muscle actin (αSMA), CD49f, c-kit and AQP5 at AOD 7. Similarly, the mRNA expression of vimentin, αSMA, CD49f, keratin 19 and AQP5 was also increased. This study suggests that the use of collagen gels with bFGF improves salivary gland regeneration. 展开更多
关键词 animal model basic fibroblast growth factor COLLAGEN IMMUNOHISTOCHEMISTRY salivary gland wound healing
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Preliminary Investigation of Formulated Herbal Ointment Demonstrates Amelioration of Excision Wound in Experimental Rabbit Model Compared with Silver Sulfadiazine
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作者 Martin Ntiamoah Donkor Richard Mosobil +1 位作者 Abdul Wadudu Yakubu Kutub Shaibu Addai-Mensah Donkor 《Journal of Biosciences and Medicines》 CAS 2022年第12期32-41,共10页
In light of the use of Lannea barteri in the management of diverse illnesses and treatment of wounds in traditional medicine, the current study was conducted to assess the wound-healing efficacy of crude aqueous extra... In light of the use of Lannea barteri in the management of diverse illnesses and treatment of wounds in traditional medicine, the current study was conducted to assess the wound-healing efficacy of crude aqueous extract of the stem bark of Lannea barteri and its shea butter formulated ointment using an excision wound model in the rabbit. The herbal ointment (5%, w/w) exhibited a significant wound healing activity, showing 99.9% ± 0.3% wound contraction at the end of the experiment (24th day). There was no significant difference (p > 0.05) between the 5% (w/w) herbal ointment compared with Silver Sulphadiazine cream (positive control), which showed a 97.8% ± 1.0% rate of excision wound contraction on day 24. Compared with the negative control group (administered with only shea butter), the wound healing activity of the ointment was significant (p Lannea barteri for the treatment of wounds and demonstrates that shea butter usage as a base in formulating an herbal ointment might aid in topical application for wound repair and regeneration, as well as the potential for enhanced wound healing. 展开更多
关键词 Excision wound model wound Healing Lannea barteri Shea Butter FORMULATION
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Development of a Risk Model for Abdominal Wound Dehiscence
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作者 Mujahid Ahmad Mir Farzana Manzoor +3 位作者 Balvinder Singh Imtiyaz Ahmad Sofi Abu Zaved Rameez Sheikh Imran Farooq 《Surgical Science》 2016年第10期466-474,共10页
Objectives: To identify independent risk factors for abdominal wound dehiscence and develop a risk model to recognize high risk patients. Methods: The samples studied were patients who underwent midline laparotomy in ... Objectives: To identify independent risk factors for abdominal wound dehiscence and develop a risk model to recognize high risk patients. Methods: The samples studied were patients who underwent midline laparotomy in the department of surgery, SMHS Hospital Srinagar from March 2009 to April 2015. For each case of abdominal wound dehiscence, three controls were selected from a group of patients who had undergone open abdominal surgery as close as possible in time. Preoperative, perioperative, and postoperative variables and in-hospital mortality were studied for all patients. Cases were compared with controls using the chi-square test or the Mann-Whitney U-test for categorical or continuous data, respectively. Subsequently, multivariate stepwise logistic regression with backwards elimination test used to identify main independent risk factors of abdominal wound dehiscence. The resulting regression coefficients for the major risk factors were used as weights for these variables to calculate a risk score for abdominal wound dehiscence. Results: 140 cases of abdominal wound dehiscence were reported and compared with 420 selected controls. All variables that were significant in univariate analyses were entered in a multivariate stepwise logistic regression to determine which variables were significant independent risk factors. Major independent risk factors were male gender, chronic pulmonary disease, corticosteroid use, smoking, obesity, anemia, jaundice, ascites, and sepsis, type of surgery, postoperative coughing, and wound infection. Based on these findings, a risk model was developed. Conclusions: The model can give an estimate of the risk of abdominal wound dehiscence for individual patients. High-risk patients may be planned preventive wound closing with reinforcements as mesh. 展开更多
关键词 Abdominal wound Dehiscence Risk Factors Risk model Abdominal Complications
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使用机器学习算法构建蛇咬伤合并伤口感染预测模型:一项多中心回顾性临床研究
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作者 任艳 陈方 +2 位作者 鲜晓燕 夏义琴 周毅武 《创伤外科杂志》 2026年第1期48-54,共7页
目的建立蛇咬伤患者合并伤口感染风险的机器学习预测模型,为临床医师提供早期识别蛇咬伤患者伤口感染的预后预测工具。方法回顾性收集2020年1月—2022年9月在四川大学华西医院、四川大学华西天府医院、成都上锦南府医院3家医疗机构就诊... 目的建立蛇咬伤患者合并伤口感染风险的机器学习预测模型,为临床医师提供早期识别蛇咬伤患者伤口感染的预后预测工具。方法回顾性收集2020年1月—2022年9月在四川大学华西医院、四川大学华西天府医院、成都上锦南府医院3家医疗机构就诊的蛇咬伤患者的临床数据。根据患者蛇咬伤伤口是否感染的不同预后结局分为感染组115例、非感染组408例,其中男性291例,女性232例;年龄M(P 25,P 75)为59(50,68)岁。将数据集按照7∶3随机分为训练集和验证集,建立逻辑回归(LR)、决策树等11种机器学习模型以预测蛇咬伤合并伤口感染的风险。通过受试者工作(ROC)曲线评估效能筛选最优模型,并采用沙普利加和解释(SHAP)对特征重要性及预后影响因素进行可视化解释。结果本研究通过LASSO回归筛选出WBC、PLT、中性粒细胞计数/淋巴细胞计数(NLR)、水疱严重程度、抗生素使用情况、抗蛇毒血清启用时间6个预测因子,建立11种机器学习模型。其中LR稳定性相对较好,在训练集中AUC为0.858(95%CI:0.808~0.907),灵敏度69.5%,特异度91.2%;验证集中AUC为0.855(95%CI:0.789~0.921),灵敏度54.5%,特异度85.4%。结论WBC、PLT、NLR、水疱严重程度、抗生素使用情况、抗蛇毒血清启用时间是蛇咬伤合并伤口感染的独立危险因素。建立的11种机器学习模型中,LR模型表现最佳。 展开更多
关键词 蛇咬伤 机器学习 预后预测模型 伤口感染
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创伤性凝血病早期风险预测模型的构建
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作者 徐旭 贺美娜 +5 位作者 邵敏 刘欣 易起 张炳炎 黄莹 谭超超 《四川大学学报(医学版)》 北大核心 2026年第2期419-426,共8页
目的基于前瞻性收集的创伤患者入院早期临床资料和实验室数据,构建并验证用于早期评估急诊创伤患者并发创伤性凝血病(trauma-induced coagulopathy,TIC)的风险预测模型。方法本研究分析了2024年1月–2024年12月期间收治的285例急诊创伤... 目的基于前瞻性收集的创伤患者入院早期临床资料和实验室数据,构建并验证用于早期评估急诊创伤患者并发创伤性凝血病(trauma-induced coagulopathy,TIC)的风险预测模型。方法本研究分析了2024年1月–2024年12月期间收治的285例急诊创伤患者的临床资料和实验室数据。按7∶3比例将患者随机分为训练集(n=199)与测试集(n=86)。通过单因素与多因素logistic回归分析筛选TIC的独立预测因素并构建风险预测模型。采用受试者工作特征曲线下面积(area under the curve,AUC)评估模型的诊断效能,使用Bootstrap法绘制校准曲线以评估校准度,并利用决策曲线分析(decision curve analysis,DCA)评价其临床净获益。结果多因素logistic回归分析确定头部创伤、平均动脉压(mean arterial pressure,MAP)、凝血酶原时间(prothrombin time,PT)和凝血酶时间(thrombin time,TT)为TIC的独立预测因素,并成功构建预测模型。该模型在训练集中的AUC为0.804〔95%置信区间(confidence interval,CI):0.737~0.871〕,在测试集中的AUC为0.847(95%CI:0.767~0.927)。校准曲线显示模型预测概率与实际概率高度一致,DCA表明该模型在较宽的风险阈值范围内(0.2~1.0)具有显著的临床净获益。结论本研究成功构建并验证了TIC风险预测模型,该模型对急诊创伤患者并发TIC具有良好的早期预测效能。 展开更多
关键词 创伤与损伤 凝血障碍 LOGISTIC模型 风险评估
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压力性损伤创面感染危险因素及预测模型构建
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作者 覃江焕 李培珍 +5 位作者 黄静 王清香 王永银 姚水兰 王小玲 朗秋燕 《中华医院感染学杂志》 北大核心 2026年第6期920-925,共6页
目的探讨压力性损伤(PI)创面感染的危险因素,构建并验证风险预测模型,为临床早期识别高危患者提供决策支持。方法选取2014年1月-2024年10月广西医科大学第一附属医院烧伤整形外科(创面修复科)收治的PI住院398例患者为研究对象,根据创面... 目的探讨压力性损伤(PI)创面感染的危险因素,构建并验证风险预测模型,为临床早期识别高危患者提供决策支持。方法选取2014年1月-2024年10月广西医科大学第一附属医院烧伤整形外科(创面修复科)收治的PI住院398例患者为研究对象,根据创面是否感染分为感染组287例,非感染组111例,收集人口学特征、PI分期及部位、营养风险评分和实验室指标等。经单因素分析和最优子集算法筛选特征,按7∶3比例划分训练集与测试集,构建逻辑回归(LR)与随机森林(RF)模型。通过AUC、净重分类指数(NRI)、校准曲线及临床决策曲线评价模型性能,采用SHAP分析明确特征重要性。结果最终纳入PI分期、损伤位置、营养风险、入院前卧床时长、中性粒细胞百分比及前蛋白6个预测因子。LR模型训练集AUC为0.768,测试集AUC为0.712,校准度和临床实用性良好。LR模型优于RF模型(AUC分别为0.768、0.762,NRI=-0.023)。SHAP分析显示,中性粒细胞百分比、PI 4期、创面位于坐骨处及前蛋白为最具影响力的预测因子。结论PI分期、损伤位置、营养风险、入院前卧床时长、中性粒细胞百分比及前蛋白是创面感染的危险因素。构建的LR模型预测效能良好,可有效评估PI患者创面感染风险,为临床早期预防干预和分层管理提供科学依据。 展开更多
关键词 压力性损伤 伤口感染 危险因素 机器学习 预测模型
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螺旋缠绕光纤DAS应变率正演模拟方法
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作者 孙上饶 曹丹平 《地球物理学报》 北大核心 2026年第3期1110-1124,共15页
分布式声传感(DAS)技术在地球物理勘探领域已经得到广泛应用,常用的直光纤只能采集光纤轴向分量的振动信息,通过对光纤进行缠绕可以获得其他方向上更丰富的信息,但同时也导致螺旋缠绕光纤DAS的应变率响应特征变得更加复杂.本文聚焦螺旋... 分布式声传感(DAS)技术在地球物理勘探领域已经得到广泛应用,常用的直光纤只能采集光纤轴向分量的振动信息,通过对光纤进行缠绕可以获得其他方向上更丰富的信息,但同时也导致螺旋缠绕光纤DAS的应变率响应特征变得更加复杂.本文聚焦螺旋缠绕光纤DAS应变率开展正演模拟,构建了螺旋缠绕光纤几何模型,实现了质点三分量振动信号与螺旋缠绕光纤应变率响应之间的映射,进一步结合DAS散射模式建立了考虑标距效应的螺旋缠绕光纤DAS应变率数学表达式,形成了螺旋缠绕光纤DAS应变率正演模拟方法及流程.数值模拟表明螺旋缠绕光纤DAS应变率记录具有周期性和相似性的特征,定量分析明确了DAS标距长度和光纤缠绕角度对螺旋缠绕光纤DAS应变率的影响大于光纤旋转角度和缠绕半径.本文正演模拟方法厘清了螺旋缠绕光纤DAS振动信号特征,为螺旋缠绕光纤DAS信号采集过程中的关键参数确定与优化提供了依据,为直接利用DAS信号开展数据处理和反演成像提供了理论基础. 展开更多
关键词 螺旋缠绕光纤 分布式声传感 正演模拟 应变率
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食品来源止血凝胶制备的研究进展
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作者 李妍慧 胡春乐 +2 位作者 牟镜儒 税知然 麻小娟 《高分子通报》 北大核心 2026年第4期600-618,共19页
出血问题在临床及日常生活中普遍且严重,大量出血若得不到及时控制,会引发休克甚至危及生命。食品来源止血凝胶因原料安全、生物相容性好且成本低廉,在创伤急救领域展现出重要潜力。本文简述了壳聚糖、透明质酸、秋葵提取物、海藻酸钠... 出血问题在临床及日常生活中普遍且严重,大量出血若得不到及时控制,会引发休克甚至危及生命。食品来源止血凝胶因原料安全、生物相容性好且成本低廉,在创伤急救领域展现出重要潜力。本文简述了壳聚糖、透明质酸、秋葵提取物、海藻酸钠、纤维素、明胶、胶原蛋白、角蛋白及丝素蛋白等9类典型食品来源凝胶基质的止血机制、改性策略与研究进展;通过横向对比,明确了各类材料的核心优势、局限性与临床适配场景。分析表明,现有研究在机械性能、湿态黏附、功能集成及批次稳定性方面仍存在不足。基于此,进一步提出未来应聚焦于动态交联增强韧性、智能响应释放多功能组分、结合3D打印实现个性化适配,并建立从原料到产品的标准化质控体系,以推动食品来源止血凝胶向临床可靠医疗器械转化。 展开更多
关键词 止血 伤口愈合 水凝胶 出血模型 止血机制
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糜蛋白酶联合亲水纤维敷料在慢性创面愈合中的临床应用及预测模型构建
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作者 林丽英 彭湘 +1 位作者 余国鸿 林丽梅 《四川医学》 2026年第1期78-82,共5页
目的分析糜蛋白酶联合亲水纤维敷料治疗慢性创面愈合的临床疗效,并分析影响疗效的相关因素,绘制疗效影响因素预测模型。方法采用整群抽样对我院2023年2月至2024年2月收治的100例慢性创面患者进行调查分析,根据患者治疗方法的不同分为观... 目的分析糜蛋白酶联合亲水纤维敷料治疗慢性创面愈合的临床疗效,并分析影响疗效的相关因素,绘制疗效影响因素预测模型。方法采用整群抽样对我院2023年2月至2024年2月收治的100例慢性创面患者进行调查分析,根据患者治疗方法的不同分为观察组(52例),对照组(48例)。观察组患者采用糜蛋白酶联合亲水纤维敷料进行治疗,对照组患者予以常规方法进行治疗。观察治疗前后患者各项临床参数指标差异,根据患者治疗效果分为治疗有效组、无效组,分析临床各项资料差异,进行疗效预测模型绘制。结果观察组创面愈合时间、换药次数、感染发生率明显少于对照组(P<0.05)。观察组治疗后治疗总有效率(96.15%)高于对照组(79.17%,P<0.05)。根据患者临床疗效分为有效组(88例)、无效组(12例),对两组患者各项临床资料进行分析显示:创面深达皮肤深层、合并高血压、感染、治疗方式、治疗期间血沉升高、治疗期间白蛋白降低、创面愈合时间及换药次数是影响疗效的主要可疑因素;进一步Logistic回归分析结果显示,治疗方式、创面深达皮肤深层、合并高血压是导致疗效欠佳的主要影响因素(P<0.05)。根据Logistic回归系数拟合的联合数据进行ROC曲线分析显示AUC达0.929,预测敏感度91.7%、特异度90.9%。结论慢性创面患者采用糜蛋白酶联合亲水纤维敷料治疗具有较好的临床疗效。治疗方式、创面深达皮肤深层、合并高血压是导致疗效欠佳的主要影响因素,临床中对此要予以重视。 展开更多
关键词 糜蛋白酶 亲水纤维敷料 慢性创面 临床疗效 影响因素 预测模型
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急诊清创患者创面愈合的相关因素分析及列线图风险预测模型构建
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作者 陈萌阳 吴启腾 罗杰 《浙江医学》 2026年第2期145-150,共6页
目的探讨急诊清创患者创面愈合的相关因素及列线图风险预测模型构建。方法回顾性选取2022年1月至2024年12月在台州市中医院接受治疗的急诊清创患者419例为研究对象,根据患者创面愈合情况分为愈合良好组64例和愈合不良组355例。单因素分... 目的探讨急诊清创患者创面愈合的相关因素及列线图风险预测模型构建。方法回顾性选取2022年1月至2024年12月在台州市中医院接受治疗的急诊清创患者419例为研究对象,根据患者创面愈合情况分为愈合良好组64例和愈合不良组355例。单因素分析两组患者的临床特征,对单因素分析中差异有统计学意义的因素进行共线性分析,将不存在共线性问题的因素纳入多因素logistic回归分析,探讨影响急诊清创患者创面愈合的因素。以多因素logistic回归分析中差异有统计学意义的因素为预测因子,构建列线图风险预测模型,并采用ROC曲线进行内部验证评估列线图风险预测模型的预测效能。结果愈合不良组患者吸烟史占比、清创不彻底占比、创面疼痛评分、创面感染率均高于愈合良好组,创面面积大于愈合良好组,预后营养指数(PNI)低于愈合良好组,差异均有统计学意义(均P<0.05)。上述因素均不存在共线性问题(方差膨胀因子≤10,容忍度≥0.1),将上述因素纳入多因素logistic回归分析,结果显示有吸烟史、清创不彻底、创面疼痛评分高、创面感染率高、创面面积大均为急诊清创患者创面愈合的危险因素(均P<0.01),PNI高为急诊清创患者创面愈合的保护因素(P<0.01)。基于多因素logistic回归分析结果构建列线图风险预测模型,ROC曲线分析显示,列线图风险预测模型的预测效能较好,AUC为0.853(95%CI:0.798~0.908)。结论影响急诊清创患者创面愈合的相关因素较多,包括吸烟史、清创情况、创面疼痛评分、PNI、创面感染、创面面积,由此构建的列线图风险预测模型可有效识别创面愈合不良的高危人群,为临床早期干预和改善预后提供理论依据。 展开更多
关键词 急诊 清创 创面愈合 预测模型
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绕管式换热器双层分配器流体分配机理与特性
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作者 江蓉 周强 +7 位作者 程香 李自飞 祁珂 严磊 张卓航 黄迦乐 魏健健 金滔 《天然气工业》 北大核心 2026年第2期124-132,共9页
绕管式换热器作为天然气液化装置的核心设备,其壳侧换热介质的分布均匀性是决定整体换热效率的关键因素,当前换热器分配器多存在结构设计不完善易导致介质分布不均这一问题,从而直接影响换热器的性能与能耗。为此,设计了一种新型绕管式... 绕管式换热器作为天然气液化装置的核心设备,其壳侧换热介质的分布均匀性是决定整体换热效率的关键因素,当前换热器分配器多存在结构设计不完善易导致介质分布不均这一问题,从而直接影响换热器的性能与能耗。为此,设计了一种新型绕管式换热器双层分配器,基于VOF多相流模型与Realizable k-ε湍流方程组,建立了该分配器的三维数值分析模型,并通过冷模实验验证了模型的可靠性。在此基础上,系统研究了不同操作流量下分配器的内部液位高度、流量系数及分配均匀性等核心特性。研究结果表明:①分配器内部液位高度与进料流量呈线性正相关关系;②上、下层环形孔板的平均流量系数分别为0.719和0.789,且在不同雷诺数下保持稳定,表现出高效、稳定的出流特性;③在2.75~4.30 m^(3)/h的流量范围内,各分配小孔的流量相对偏差较小(0.96~1.05),分配均匀性良好;④流量标准偏差随流量增加而降低且始终低于0.026,证实了双层结构对均匀分配的显著提升作用。结论认为,设计的双层分配器结构能够有效改善绕管式换热器壳侧流体分布的均匀性,提高其换热效率与运行稳定性;研究成果可为同类低温换热设备分配器的优化设计提供重要参考,下一步可结合实际工况开展动态特性与长期运行性能的深入研究。 展开更多
关键词 绕管式换热器 双层分配器 冷模实验 流量系数 分配均匀性 换热效率 运行稳定性
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应用QFD创新型品管圈构建乳腺癌患者癌性伤口治疗管理模式
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作者 汤丰榕 段晓晓 +4 位作者 莫晓晨 杜平丽 韩许燕 卢淑芳 张蕾 《中国卫生质量管理》 2026年第2期74-79,92,共7页
目的构建乳腺癌患者癌性伤口治疗管理模式,提升患者生活质量。方法应用QFD创新型品管圈,对乳腺癌患者癌性伤口治疗及护理需求进行挖掘,运用KJ法、Kano模型识别关键质量特性,运用失效模式与效应分析转化为具体的管理策略,实施质量改进。... 目的构建乳腺癌患者癌性伤口治疗管理模式,提升患者生活质量。方法应用QFD创新型品管圈,对乳腺癌患者癌性伤口治疗及护理需求进行挖掘,运用KJ法、Kano模型识别关键质量特性,运用失效模式与效应分析转化为具体的管理策略,实施质量改进。结果对策实施后,患者伤口渗液异味投诉率下降至15%,护士换药规范操作执行率上升至97%,伤口测量准确率上升至96%,患者换药疼痛评分下降至4分,镇痛评估覆盖率上升至90%,患者自我效能感提升率上升至90%,伤口敷料滑脱率下降至10%,患者焦虑评分下降至62分。结论通过开展QFD创新型品管圈,提升了乳腺癌患者癌性伤口治疗效果,缓解了患者身心痛苦,提高了患者生活质量。 展开更多
关键词 品管圈 (QFD)创新型品管圈 乳腺癌 癌性伤口 治疗管理模式
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Effect of Yupingfeng granules on the skin barrier in atopic dermatitis mice models 被引量:8
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作者 Sun Zhanxue Wang Jingjun +7 位作者 Kong Yuhong Li Nan Jiang Xiaoyuan Cao Ting Jia Yuanning Zhang Yueyue Zhang Yisheng Cheng Jing 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2018年第6期872-878,共7页
OBJECTIVE: To investigate effect of Yupingfeng granules, prepared with Chinese Medicines, on the wound healing and on the expression of aquaporin3(AQP3) and the skin barrier in the animal models of atopic dermatitis(A... OBJECTIVE: To investigate effect of Yupingfeng granules, prepared with Chinese Medicines, on the wound healing and on the expression of aquaporin3(AQP3) and the skin barrier in the animal models of atopic dermatitis(AD).METHODS: Acute skin lesions of AD models were prepared using 2,4-dinitrochlorobenzo(DNCB) in mice and animals were treated with either Yupingfeng granules or placebo for two weeks. Skin wound healing outcome was assessed by measuring skin thickness, weight(quality) of the skin, and trans-epidermal water loss(TEWL). Expression of AQP3 mRNA and protein was assessed by reverse transcriotion polymerase chain reaction(RT-PCR)and immunoblotting, respectively.RESULTS: Yupingfeng granule treatment resulted in significant acceleration of wound healing with63.64% efficiency, which was significantly higher than that of placebo granule treatment(31.82%,P < 0.01 by Wilcoxon Rank-sum test). Skin thickness, weight of the wounded skin, and TEWL were significantly higher in the AD models compared to that of normal animals. Treatment with Yupingfeng granules resulted in significant decrease in skin thickness [(937 ± 31) vs(360 ± 21) μm, P < 0.01],weight of the wounded skin [(42 ± 4) vs(24 ± 5)mg, P < 0.01], and TEWL [(30 ± 4) vs(13 ± 4) g·h^(-1)·m-2, P < 0.01]. Yupingfeng granules also significantly down-regulated mRNA and protein expression of AQP3 in the animal models.CONCLUSION: Our findings suggested that Yupingfeng granules could be used in AD treatment. 展开更多
关键词 Dermatitis atopic AQUAPORIN 3 wound HEALING models animal YUPINGFENG GRANULES
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Factors affecting use of ballistics gelatin in laboratory studies of bacterial contamination in projectile wounds 被引量:1
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作者 Jessica J. Evans Aaron Bost +1 位作者 Karim H. Muci-Küchler Linda C. DeVeaux 《Military Medical Research》 CAS 2018年第4期304-313,共10页
Background: Ballistics gelatin is a common tissue surrogate used in bacterial contamination models for projectile wounds. Although these studies have demonstrated that bacteria are transferred from the surface of the ... Background: Ballistics gelatin is a common tissue surrogate used in bacterial contamination models for projectile wounds. Although these studies have demonstrated that bacteria are transferred from the surface of the gelatin to the wound track by a projectile, quantifiable results have been inconsistent and not repeatable in successive tests.Methods: In this study, five areas of a typical contamination model in which bacterial recovery or survival are affected were identified for optimization. The first was a contaminated "skin" surrogate, where the novel use of vacuum filtration of a bacterial culture and buffer onto filter paper was employed. The other possibly problematic areas of the bacterial distribution model included the determination of bacterial survival when the contamination model is dried, survival in solid and molten gelatin, and the effect of high-intensity lights used for recording high-speed video.Results: Vacuum filtration of bacteria and buffer resulted in a consistent bacterial distribution and recovery. The use of phosphate buffer M9(pH 7) aided in neutralizing the ballistics gelatin and improving bacterial survival in solid gelatin. Additionally, the use of high-intensity lights to record high-speed video and the use of a 42℃ water bath to melt the gelatin were found to be bactericidal for gram-positive and gram-negative bacteria.Conclusion: Multiple areas of a typical contamination model in which bacterial survival may be impeded were identified, and methods were proposed to improve survival in each area. These methods may be used to optimize the results of bacterial contamination models for medical applications, such as understanding the progression of infection in penetrating wounds and to identify possible sources of contamination for forensic purposes. 展开更多
关键词 BALLISTICS GELATIN wound Contamination BACTERIAL model
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Comparative Efficacy of <i>Tagetes erecta</i>and <i>Centella asiatica</i>Extracts on Wound Healing in Albino Rats 被引量:1
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作者 Sandipan Chatterjee Tigari Prakash +2 位作者 Dupadahalli Kotrsha Nadendla Rama Rao Divakar Goli 《Chinese Medicine》 2011年第4期138-142,共5页
The study was undertaken to evaluate the comparative efficacy of hydroalcoholic extracts of leaves of Tagetes erecta (T. erecta) and aerial parts of Centella asiatica (C. asiatica) on Excision, Incision and Dead space... The study was undertaken to evaluate the comparative efficacy of hydroalcoholic extracts of leaves of Tagetes erecta (T. erecta) and aerial parts of Centella asiatica (C. asiatica) on Excision, Incision and Dead space wound models in albino rats. Extract of T. erecta and C. asiatica (P T. erecta extract (250 and 500 mg/kg) showed significantly increased the wound breaking strength in incision wound model and wet and dry granulation tissue weights, breaking strength in a dead space wound model compare to control and C. asiatica treated group (P T. erecta extract showed potent wound healing activity then the reported C. asiatica in different wound parameters. 展开更多
关键词 CENTELLA asiatica TAGETES ERECTA Excision INCISION Dead Space wound model
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早期创伤控制对高温高湿条件下腹部乙状结肠火器伤并海水浸泡伤实验犬的救治效果
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作者 吴胜伟 陈贵进 +4 位作者 荣耀 吴晓翔 谢正勇 吴蓓 王志伟 《医学研究与战创伤救治》 北大核心 2026年第2期134-139,共6页
目的建立实验犬腹部乙状结肠火器伤并海水浸泡伤模型,观察早期损伤控制对实验比格犬的救治效果。方法将10只比格犬采用随机数字表法分为2组,每组5只,其中等渗盐水冲洗为等渗盐水组、稀释聚维酮碘液冲洗为聚维酮碘组。建立腹部乙状结肠... 目的建立实验犬腹部乙状结肠火器伤并海水浸泡伤模型,观察早期损伤控制对实验比格犬的救治效果。方法将10只比格犬采用随机数字表法分为2组,每组5只,其中等渗盐水冲洗为等渗盐水组、稀释聚维酮碘液冲洗为聚维酮碘组。建立腹部乙状结肠火器伤并海水浸泡伤模型,将比格犬置入高温高湿环境中2 h。两组比格犬进行早期腹腔清创(腹腔冲洗及结肠造口):取下腹部正中切口入腹,充分止血,等渗盐水组比格犬利用37℃1000 m L等渗盐水冲洗腹腔、聚维酮碘组比格犬利用37℃1000 m L稀释聚维酮碘液(以0.9%氯化钠注射液、灭菌注射用水、0.5%聚维酮碘按5∶4∶1比例配置)冲洗腹腔,另将火器伤肠管自左下腹壁拖出造口。观察两组比格犬存活情况,比格犬死亡后组织病理,及两组比格犬腹腔海水浸泡前后各种指标变化:血常规(白细胞数)、肝功能[丙氨酸氨基转移酶(ALT)、总胆红素(TBIL)、直接胆红素(DBIL)]、肾功能[尿素氮、肌酐(CRE)]、感染指标(C反应蛋白、降钙素原、内毒素)以及血乳酸水平。结果稀释聚维酮碘液冲洗组比格犬术后全部存活,等渗盐水冲洗组比格犬术后死亡2只。死亡比格犬血、腹水均培养出多种类型细菌。术后24 h开始,聚维酮碘组外周血白细胞总数、C反应蛋白、降钙素原水平均显著低于等渗盐水组(均P<0.05);术后48 h,聚维酮碘组比格犬肝功(ALT、TBIL、DBIL)、肾功(尿素氮、CRE)指标显著低于等渗盐水组(均P<0.05),血乳酸水平也低于等渗盐水组(均P<0.05)。结论早期损伤控制(包括止血、腹腔冲洗及结肠造口等处理)是救治高温环境下实验犬结肠火器伤合并海水浸泡伤的重要措施。应用稀释聚维酮碘液进行早期腹腔冲洗,可降低腹腔感染程度,提高受伤比格犬存活率。 展开更多
关键词 创伤控制 海水浸泡伤 肠管火器伤 高温高湿 动物模型 救治效果
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Miramistinum and metronidazole in the local treatment of the experimental purulent wounds
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作者 Alexandr I.Bezhin Boris S.Sukovatykh +5 位作者 Tatyana A.Pankrusheva Arsen Y.Grigoryan Lyudmila V.Zhilyaeva Elena V.Kobzareva Ekaterina S.Mishina Mariya A.Zatolokina 《哈尔滨医科大学学报》 CAS 2017年第3期285-288,F0003,共5页
Objective To study the wound-healting ability of immobilized forms of miramistinum and metronidazole,based on a sodium salt of carboxymethylcellulose.Methods The research was made on an experimental model of a purulen... Objective To study the wound-healting ability of immobilized forms of miramistinum and metronidazole,based on a sodium salt of carboxymethylcellulose.Methods The research was made on an experimental model of a purulent wound and levomecol was used for comparison.Results During the experiment antimicrobial activity of made drugs was evaluated and the planimetric assessment of the process of epithelialization of the wound’s surface,bacterial load,morphometric examination of histological drugs for wounds and were made.ConclusionThe benefits of combination miramistinum and metronidazole,immobilized on a sodium salt of carboxymethylcellulose,compared with the drug levomecol. 展开更多
关键词 眼科病房 眼病患者 智能型药品集纳盒 可行性研究
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Cell-free derivatives from mesenchymal stem cells are effective in wound therapy 被引量:3
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作者 Pravin J Mishra Prasun J Mishra Debabrata Banerjee 《World Journal of Stem Cells》 SCIE CAS 2012年第5期35-43,共9页
AIM:To compare the efficacy of cell-free derivatives from Bone marrow derived human mesenchymal stem cells(hMSCs) in wound therapy.METHODS:hMSCs have been shown to play an important role in wound therapy.The present s... AIM:To compare the efficacy of cell-free derivatives from Bone marrow derived human mesenchymal stem cells(hMSCs) in wound therapy.METHODS:hMSCs have been shown to play an important role in wound therapy.The present study sought to compare efficacy of hMSCs and cell-free derivatives of hMSCs,which may be clinically more relevant as they are easier to prepare,formulate and transport.hMSCs were isolated from human bone marrow and cultured.Multi lineage differentiation of hMSCs was performed to confirm their identity.The ability of hMSCs to migrate was evaluated using in vitro and in vivo migration assays.Cell lysates and conditioned medium concentrate was prepared from hMSCs(see Methods for details).Wounds were induced in mice and wound areas were measure before and after cell and cell-free derivative treatment.RNA and proteins were extracted from the skin and cytokine levels were measured.RESULTS:Co-culture of hMSCs with keratinocytes resulted in increased expression of CXCL-12(SDF1) and ENA78(CXCL-5) in the conditioned media indicating that the hMSCs can respond to signals from keratinocytes.Accelerated wound closure was observed when hMSCs were injected near the site of excisional wounds in athymic as well as NOD/SCID mice.Interestingly,cell-free lysates prepared from hMSCs were also effective in inducing accelerated wound closure and increased expression of SDF1 and CXCL-5 at the wound bed.Additionally,concentrated media from hMSCs as well as an emulsion containing lysates prepared from hMSCs was also found to be more effective in rapid re-epithelialization than fibroblasts or vehicle-alone control.Use of cell-free derivatives may help replace expensive wound care approaches including use of growth factors,epidermal/dermal substitutes,synthetic membranes,cytokines,and matrix components,and most importantly avoid transmission of pathogens from human and animal products.CONCLUSION:These results encourage development of derivatives of hMSCs for wound care and re-epithelialization applications. 展开更多
关键词 STEM CELL DERIVATIVES KERATINOCYTE Mesenchymal STEM CELL Cytokine secretion wound healing SDF1 ENA78 Animal models
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医护一体化延续护理模式在慢性伤口病人中的应用 被引量:9
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作者 刘娜 刘洽 +6 位作者 安俊红 高凯霞 王娟 张敏锐 白丽 郑若楠 程俊香 《护理研究》 北大核心 2025年第6期997-1000,共4页
目的:探讨医护一体化延续护理模式在慢性伤口病人中的应用效果。方法:选取2023年1月—12月山西省某三级甲等医院伤口造口门诊就诊的100例慢性伤口病人为研究对象,采用随机数字表法将病人分为对照组和试验组,每组50例。对照组采用常规延... 目的:探讨医护一体化延续护理模式在慢性伤口病人中的应用效果。方法:选取2023年1月—12月山西省某三级甲等医院伤口造口门诊就诊的100例慢性伤口病人为研究对象,采用随机数字表法将病人分为对照组和试验组,每组50例。对照组采用常规延续护理模式进行干预,试验组在对照组基础上采用医护一体化延续护理模式进行干预。比较两组病人伤口愈合时间、伤口愈合情况、疼痛得分、生活质量得分、病人满意度及医疗费用。结果:干预后,试验组伤口愈合时间[(54.46±12.50)d]短于对照组[(64.78±7.95)d],伤口愈合率(94%)高于对照组(80%),疼痛得分[0(0,1)分]低于对照组[2(0,3)分],生活质量得分[(80.84±8.53)分]高于对照组[(74.28±11.05)分],医疗费用[(1824.40±583.66)元]少于对照组[(2893.90±1142.25)元],病人总满意度(98.0%)高于对照组(84.0%),差异均有统计学意义(均P<0.05)。结论:医护一体化延续护理模式能够有效提高慢性伤口病人的伤口愈合效果,降低疼痛,提高病人满意度和生活质量,降低医药费用。 展开更多
关键词 医护一体化模式 延续护理 慢性伤口 疼痛 满意度 生活质量 医疗费用
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