CN105688253A - Method for in vivo wound surface anoxic treatment - Google Patents
Method for in vivo wound surface anoxic treatment Download PDFInfo
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- CN105688253A CN105688253A CN201610044233.0A CN201610044233A CN105688253A CN 105688253 A CN105688253 A CN 105688253A CN 201610044233 A CN201610044233 A CN 201610044233A CN 105688253 A CN105688253 A CN 105688253A
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- wound surface
- polyvinylidene chloride
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- chloride film
- anoxic treatment
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L15/00—Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
- A61L15/16—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
- A61L15/22—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons containing macromolecular materials
- A61L15/24—Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds; Derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/00051—Accessories for dressings
-
- A61F13/01017—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/02—Adhesive plasters or dressings
- A61F13/0259—Adhesive plasters or dressings characterised by the release liner covering the skin adhering layer
- A61F13/0266—Adhesive plasters or dressings characterised by the release liner covering the skin adhering layer especially adapted for wound covering/occlusive dressings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L15/00—Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
- A61L15/16—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
- A61L15/22—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons containing macromolecular materials
- A61L15/26—Macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds; Derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00089—Wound bandages
Abstract
The invention relates to a method for in vivo wound surface anoxic treatment. The method comprises the following steps of cutting a polyvinylidene chloride membrane to cover a wound surface according to the size of the wound surface, sealing the wound surface for 6 hours after using a medical operative membrane to fix, and then removing the polyvinylidene chloride membrane and the medical operative membrane. The method can maximize the positive role of in vivo anoxia on wound surface repairing cells, and is beneficial to accelerating wound surface healing; the animal experiment proves that the method can be applied to the full skin defective wound surface, the wound surface is protected, and the infection probability is reduced. The method also has the advantages of good safety, easiness in operation, low energy consumption and low cost.
Description
Technical field
The present invention relates to skin wound recovery technique, in particular it relates to a kind of method in body wound surface anoxic treatment。
Background technology
Skin is the organ that human body is maximum; it it is the important natural cover for defense of protection body; body can be made from the invasion and attack of physical property, chemical, mechanicalness and pathogenic microorganism, it is also possible to help the environment of body to remain stable for, play an important role in the maintenance of body stable state。After serious burn, the integrity of skin is destroyed, barrier action is lost, may result in a series of problems such as unbalance, the shock of Water-Electrolyte, very easily infecting, metainfective wound surface can become the important sources of body systemic infection, and therefore the treatment situation of wound surface can affect conditions of patients change largely, therefore for patients, wound closure is the important step for the treatment of as early as possible。
After serious burn, body can be lost a large amount of body fluid, ECBV and tissue perfusion and reduce。On this basis, wound surface local vascular is damaged, is infected, edge of wound cellular activity such as needs at the factor combined effect, causes oxygen-supplying amount to reduce, oxygen consumption increase, therefore engenders anaerobic environment around wound surface, hinders latter 3 days anoxias and reaches peak。Rodriguez points out, wound surface forms rear keratinocyte and do not immediately begin to migrate, but just starts after postponing a period of time to migrate, and micro-environmental hypoxia is likely to play an important role in the startup that epidermis cell migrates。Caitlin, Raja etc. point out that hypoxia in vitro can pass through number of mechanisms and promote the motor capacity of keratinocyte, and the research of many people such as LiW, DanielRJ, Humar, Lokmic then proves that the acute anoxia of wound surface passes through the propagation and the migration that promote epidermis cell, fibroblast and vascular endothelial cell thus promoting the healing of wound surface。Therefore wound surface formed descendant be shift to an earlier date ischaemia environment formation or can the faster wound repair corelation behaviour such as active cell migration, accelerate wound, and current research all concentrates on the hypoxia in vitro impact on wound repair corelation behaviour, lack anoxia to the application at body wound surface。
During appropriateness anoxia, body, based on compensatory response, can induce several genes to express, and supplies if recovering normal oxygen in time, the gene outcome that induction produces exists and continues to play a role, and participates in the generation of the biological behaviours such as the migration of wound repair cell, propagation and new vessels。During severe depletion of oxygen, because energy supplies wretched insufficiency, cell occurs losing compensatory change, such as to cell membrane, mitochondrion and lysosomal damage。Mitochondrion after damage causes again further anoxia, both reciprocal causations, forms vicious cycle, and various kinds of cell structural damage makes body be unable to maintain that normal vital movement。Therefore hypoxic exposure and degree are very crucial on the impact of body, in this patent, the research different anoxia functions time is extremely important to the process of wound repair。At present, but without in body wound surface anoxic treatment technology。
Summary of the invention
The object of the invention is for providing a kind of method in body wound surface anoxic treatment。
For achieving the above object, the technical scheme is that
A kind of method in body wound surface anoxic treatment, it is characterised in that comprise the following steps:
1) all to operation apparatus, polyvinylidene chloride film and wound skin is carried out disinfection respectively;
2) being cut into by polyvinylidene chloride film and wound surface homomorphosis or similar shape, size can be completely covered wound surface flap coverage edge 1-4mm, is covered on wound surface by the polyvinylidene chloride film cut;
3) according to the shape of polyvinylidene chloride film, cutting medical drape, it is sized to 0.5-2cm bigger than the edge of polyvinylidene chloride film, and medical drape is cut out and wound surface homomorphosis or similar vacancy;
4) separate paper of the medical drape being had vacant position by band separates with upper layer film, is covered by upper layer film on polyvinylidene chloride film, the vacancy alignment wound surface of film;
5) polyvinylidene chloride film and upper layer film are fixed on wound surface upper 6 hour, remove polyvinylidene chloride film, wound surface is exposed in air, divests upper layer film。
Polyvinylidene chloride film is a kind of food preservative film, and its chemical constituent is polyvinylidene chloride (polyvinylidenechloride), is the polymer of dichloroethylene (vinylidene chloride)。
Medical drape is to be coated polyurethane film by medical pressure-sensitive adhesive, cover release paper again to form, it is a ultra-thin, moisture-inhibiting, transparent, fit operative membrane, a good gnotobasis can be created at operative site, be widely used in sterile surgical。
Further, the OTR oxygen transmission rate of polyvinylidene chloride film is 60cm3/(m2.24h.atm), carbon dioxide transmission rate is 310cm3/(m2.24h.atm), rate of perviousness is 12g/ (m2.24h)。
Further, in step (1), the sterilization of operation machinery is realized by High Temperature High Pressure。
Further, in step (1), the sterilization to polyvinylidene chloride film is to pass through Co60Irradiation realizes。
Further, in step (1), after all skin degermings of wound, remove skin surface impurity and oils and fats。So that xerosis cutis cleaning。
Further, in step (5), before and after fixing to polyvinylidene chloride film and upper layer film, smear pressure from the middle part of polyvinylidene chloride film and upper layer film to two ends with aseptic absorbent cotton。This step need to operate with caution, it is to avoid curling。
Further, in step (5), after divesting upper layer film, if there being cull, clear up with aseptic cotton carrier。
The beneficial effects of the present invention is:
The method can make wound surface local form anaerobic environment in advance, the faster wound repair corelation behaviour such as active cell migration, accelerate wound healing, and the method animal experiment proves that and can apply to full thickness dermal wounds, it is possible to protection wound surface, reduce and infect probability。The advantage that the method also has safety operation good, easy, energy consumption is low, cost is low。
Accompanying drawing explanation
Fig. 1 is the cytotoxicity experiment result of embodiment 1;
Schematic diagram is implemented in the operation that Fig. 2 is embodiment 3;
Fig. 3 processes wound surface different time sections wounds in mice healing state comparison diagram with polyvinylidene chloride film (Polyvinylidenechloride film) and polymethylpentene film (Polymethylpentene film) in embodiment 3 respectively;
Fig. 4 is the time comparison diagram that after processing wound surface 6h with polyvinylidene chloride film (Polyvinylidenechloride film) and polymethylpentene film (Polymethylpentene film) respectively in embodiment 3, wounds in mice heals required completely;
Fig. 5 is respectively with wounds in mice tissue repair situation comparison diagram after polyvinylidene chloride film (Polyvinylidenechloride film) and polymethylpentene film (Polymethylpentene film) film process wound surface 6h in embodiment 3。
Detailed description of the invention
Illustrated embodiment is to better present disclosure be illustrated, but is not that present disclosure is only limitted to illustrated embodiment。So embodiment is carried out nonessential improvement and adjustment according to foregoing invention content by those of ordinary skill in the art, still fall within protection scope of the present invention。
Embodiment 1 polyvinylidene chloride theca cell toxicity test
For verifying the cytotoxicity of the method material requested, test as follows。
1) by material requested through Co603 times are rinsed with phosphate buffer (PBS) after irradiation sterilization;
2) preparation of lixiviating solution: every cm2Sample adds the 1mL DMEM culture fluid containing 10% (mass fraction) hyclone (FBS), and at 37 DEG C of temperature, lixiviate 24 hours, obtain lixiviating solution;
3) take the logarithm trophophase Human keratinocytes strain HaCaT, and making concentration is 1 × 104The cell suspension of individual/mL, is inoculated in 96 orifice plates and cultivates, every hole 100 μ L, and cell attachment removes former culture medium after growing 24 hours;
4) experimental group: add step 2 by 100 μ L/ holes to the HaCaT cell cultivated) the middle lixiviating solution prepared;Matched group: add the DMEM culture medium containing 10% (mass fraction) hyclone of equivalent to the HaCaT cell cultivated, often group multiple cropping 4 hole;
5) cultivate six days, carry out cell proliferation detection (CCK8) experiment every day, remove original lixiviating solution or culture medium, and respectively the cell of experimental group and matched group is washed twice by new culture medium, then every porocyte adds 100 new for μ L culture medium and 10 μ LCCK8 reagent (cellcountingkit-8, purchased from Japan colleague), one hour is hatched at 37 DEG C, then microplate reader is utilized to detect the absorbance in every hole at 450nm wavelength place, draw cell growth curve, detect the cytotoxicity of polyvinylidene chloride film, polymethylpentene membrane sample lixiviating solution。
Cell growth curve is as shown in Figure 1。It will be seen from figure 1 that the Growth of Cells no significant difference of experimental group and matched group, therefore the polyvinylidene chloride film used by this method is without obvious cytotoxicity, safety is higher。
Embodiment 2 mice full thickness dermal wounds makes and draws materials
1) preparation of BALB/C mice (purchased from Third Military Medical University's Experimental Animal Center) full thickness dermal wounds model: weigh in the balance and take Mouse Weight, laboratory animal gives pentobarbital sodium lumbar injection (100mg/kg, the 0.01ml/g) anesthesia that mass fraction is 1%。Anaesthetize and after successfully, use electric hair clippers against the direction of hair growth, shave off the hair of mouse back, the depilatory cream that uniform application is appropriate on the skin of back of mice, wipes whole depilatory cream gently with dry cotton ball when hair can be taken off, and dips in warm water with cotton balls and clean up mouse skin。Mice is fixed on ventricumbent position, art district routine iodophor disinfection。Both hands have pinched mouse back skin, along the direction doubling of mice height, exert oneself from opposite side with the card punch of diameter 5mm, unclamp penetrate the skin of both sides until sensation card punch after。Remove the skin histology of perforation place with tweezers folder, unclamp skin, clamp skin edge portion with ophthalmic tweezers and just can completely take the skin laid off, it is seen that mouse back both sides are in the same size, the full thickness dermal of positional symmetry。Take BALB/C mice 18, prepare wound model all as stated above。The mice having made wound surface is individually raised, it is ensured that the water of abundance, food, activity freely, implements 12 hours systems round the clock。
2) wounds in mice tissue sampling: cervical dislocation puts to death mice, ophthalmic tweezers mentions the wound surface skin in body anoxia, it is about 1.5mm place with most advanced and sophisticated sharp eye scissors along edge of wound and cuts off skin, it is to avoid cutting repeatedly, tractive, required part of drawing materials avoids tweezers repeatedly to clamp。Wound surface specimen is taken off rear corium and is faced down, and is laid on filter paper, with tweezers gently by dermatological specimens peripheral extension, it is to avoid curl into fold。Cut, along the edge being sampled this, the filter paper that size is harmonious, skin histology is together placed in the vial filling 4% paraformaldehyde together with filter paper, is placed in 4 DEG C of preservations。Take off the wound week skin histology to oxygen group as usual by same method at mouse back, and process according to said method。Carry out HE dyeing, Masson dyeing after section, observe anoxia wound surface and normal oxygen wound tissue structure situation。
Embodiment 3 is in body wound surface anoxic treatment
1) eye scissors, ophthalmic tweezers etc. are operated apparatus and carry out autoclave sterilization;Polyvinylidene chloride film (Polyvinylidenechloride film, experimental group), polymethylpentene film (Polymethylpentene film, matched group) pass through Co60Radiation sterilization;Pick appropriate povidone iodine, all skin of sterilization wound with aseptic cotton carrier, remove skin surface impurity and oils and fats, make xerosis cutis clean;
2) observing wound surface shape and area, with eye scissors cutting polyvinylidene chloride film and polymethylpentene film, shape and wound surface homomorphosis or similar, size is can be completely covered respective wound surface flap coverage edge 2-3mm;By cutting cut polyvinylidene chloride film and polymethylpentene film carefully covers on wound surface respectively;
3) according to cutting polyvinylidene chloride film and the shape of polymethylpentene film, cutting medical drape, size 1cm bigger than the edge cutting polyvinylidene chloride film and polymethylpentene film;By the medical drape doubling of cutting, cut out and wound surface homomorphosis or similar vacancy;
4) separate paper of the medical drape being had vacant position by band separates with upper layer film, obtains upper layer film, operates with caution, it is to avoid curling;Being respectively overlay in by upper layer film on polyvinylidene chloride film and polymethylpentene film, its edge is covered by upper layer film completely, and the vacancy alignment wound surface of film central authorities, unnecessary film is attached at wound week skin;Before and after fixing to polyvinylidene chloride film and polymethylpentene film and upper layer film, smear pressure from the middle part of polyvinylidene chloride film and polymethylpentene film and upper layer film to two ends with aseptic absorbent cotton so that it is with skin apt, bonding closely, do not communicate with ambient atmosphere;Polyvinylidene chloride film and polymethylpentene film is kept to be fixed on 6h on respective wound surface;
5) removing polyvinylidene chloride film and polymethylpentene film, be exposed in air by wound surface, divest upper layer film, if there being cull, cleaning out with aseptic cotton carrier, be exposed in air by wound surface, observe wound healing situation, record wound surface heals required time completely;The operation of above step implements schematic diagram as shown in Figure 2;
6) utilize ImageProPlus6.0 that each group of wound surface photo is analyzed, calculate residual wound area (area that edge of wound surrounds);
7) use spss13.0 software respectively two groups of wound surface are healed completely required time adopt independent samples t test carry out statistical analysis, result is as shown in the table:
Table 1 wound surface heal completely required time (my god)
Matched group | 13.67±0.48 |
Experimental group | 10.14±0.95 |
Fig. 3 is for process wound surface different time sections wounds in mice healing state comparison diagram with polyvinylidene chloride film (Polyvinylidenechloride film) and polymethylpentene film (Polymethylpentene film) respectively。As can be seen from Figure 3: mice is compared with the respective matched group wound surface of experimental group wound surface and its, and healing rate is substantially accelerated。This facilitation is closely related with hypoxic exposure, along with the prolongation of hypoxic exposure, the promotion effect of wound repair is gradually increased and little reaches peak constantly processing 6, extending hypoxic exposure subsequently and can reduce the facilitation to wound repair on the contrary。
The time comparison diagram that Fig. 4 heals required for wounds in mice after processing wound surface 6h with polyvinylidene chloride film (Polyvinylidenechloride film) and polymethylpentene film (Polymethylpentene film) respectively completely。From fig. 4, it can be seen that experimental group substantially shortens at body wound surface anoxic treatment 6h relatively matched group healing time。
Taking the skin histology after the healing of experimental group and matched group to be analyzed, Fig. 5 is for processing wounds in mice tissue repair situation comparison diagram after wound surface 6h with polyvinylidene chloride film (Polyvinylidenechloride film) and polymethylpentene film (Polymethylpentene film) respectively。As can be seen from Figure 5, HE, Masson dyeing is shown in that the layering of two groups of skins is all very clear, the more normal oxygen place of epidermal thickness of anoxic treatment wound surface substantially increases, and the propagation of prompting keratinocyte increases, without skin appendages such as hair follicle, sebaceous gland, sweat glands in skin corium, reticular layer is thick, the a large amount of hypertrophy of visible collagen fiber, thickness not etc., arrangement densification, the substrate being around homogenised is surrounded, and has no notable difference。After being also shown in anoxic treatment wound healing in Masson dyeing, subcutaneous number of blood vessel is higher。
In addition, it is to be understood that, although this specification is been described by according to embodiment, but not each embodiment only comprises an independent technical scheme, this narrating mode of description is only for clarity sake, description should be made as a whole by those skilled in the art, and the technical scheme in each embodiment through appropriately combined, can also form other embodiments that it will be appreciated by those skilled in the art that。
Claims (7)
1. the method in body wound surface anoxic treatment, it is characterised in that comprise the following steps:
(1) all to operation apparatus, polyvinylidene chloride film and wound skin is carried out disinfection respectively;
(2) being cut into by polyvinylidene chloride film and wound surface homomorphosis or similar shape, size can be completely covered wound surface and wound surface edge 2-3mm, is covered on wound surface by the polyvinylidene chloride film cut;
(3) according to the shape of polyvinylidene chloride film, cutting medical drape, size 1cm bigger than the edge of polyvinylidene chloride film, and medical drape is cut out and wound surface homomorphosis or similar vacancy;
(4) separate paper of the medical drape being had vacant position by band separates with upper layer film, is covered by upper layer film on polyvinylidene chloride film, the vacancy alignment wound surface of film;
(5) polyvinylidene chloride film and upper layer film are fixed on wound surface upper 6 hour, then remove polyvinylidene chloride film, wound surface is exposed in air, divests medical drape。
2. a kind of method in body wound surface anoxic treatment according to claim 1, it is characterised in that: the OTR oxygen transmission rate of polyvinylidene chloride film is 60cm3/(m2.24h.atm), carbon dioxide transmission rate is 310cm3/(m2.24h.atm), rate of perviousness is 12g/ (m2.24h)。
3. a kind of method in body wound surface anoxic treatment according to claim 1, it is characterised in that: in step (1), the sterilization of operation apparatus is realized by High Temperature High Pressure。
4. a kind of method in body wound surface anoxic treatment according to claim 1, it is characterised in that: in step (1), the sterilization to polyvinylidene chloride film is to pass through Co60Irradiation realizes。
5. a kind of method in body wound surface anoxic treatment according to claim 1, it is characterised in that: in step (1), after all skin degermings of wound, remove skin surface impurity and oils and fats。
6. a kind of method in body wound surface anoxic treatment according to claim 1, it is characterized in that: in step (5), before and after fixing to polyvinylidene chloride film and upper layer film, smear pressure from the middle part of polyvinylidene chloride film and upper layer film to two ends with aseptic absorbent cotton。
7. a kind of method in body wound surface anoxic treatment according to claim 1, it is characterised in that: in step (5), after divesting upper layer film, if there being cull, clear up with aseptic cotton carrier。
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CN2652361Y (en) * | 2003-09-26 | 2004-11-03 | 威海赛绿特科技发展有限公司 | Full degradation type medical dressing sheet |
WO2008155659A2 (en) * | 2007-04-24 | 2008-12-24 | Yaojiong Wu | Compositions for preventing or treating skin defects and methods of use thereof |
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CN2652361Y (en) * | 2003-09-26 | 2004-11-03 | 威海赛绿特科技发展有限公司 | Full degradation type medical dressing sheet |
WO2008155659A2 (en) * | 2007-04-24 | 2008-12-24 | Yaojiong Wu | Compositions for preventing or treating skin defects and methods of use thereof |
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