负压创面疗法对铜绿假单胞菌感染创面炎性因子表达的影响

Effect of negative pressure wound therapy on inflammatory factors expression in Pseudomonas aeruginosa infected soft tissue wound

  • 摘要: 目的 分析负压创面疗法对铜绿假单胞菌感染软组织创面炎性因子表达影响。 方法 取巴马香猪18只,建立背部铜绿假单胞菌感染创面,深达肌层,随机分为实验组(负压创面疗法)和对照组(无菌纱布治疗),每组9只。于建模成功后及治疗第4、8、12、16天取肌肉组织标本用于炎性因子表达水平检测及不同层面的中性粒细胞计数。 结果 治疗第8天实验组IL-1β表达水平明显低于对照组(1.357±0.205 vs 2.431±0.122,P< 0.01)。治疗第4、8、12、16天实验组IL-6表达水平明显低于对照组(16 d,1.265±0.166 vs 1.932±0.185,P< 0.05)。两组IL-8表达水平在治疗期间均呈现上升趋势,而且治疗第8、12、16天实验组表达水平明显高于对照组(16 d,2.301±0.220 vs 1.659±0.210,P< 0.01)。实验组TNF-α表达水平在治疗的第8天及以后均低于对照组(8 d,0.886±0.108 vs 1.557±0.181,P< 0.01)。两组浅层中性粒细胞计数早期均呈上升趋势,治疗的第4天后开始下降,而负压创面疗法组在不同时间点均明显低于对照组(16 d,11.2±1.6 vs 18.0±1.6,P< 0.01)。 结论 负压创面疗法可以抑制创面炎性因子过度表达,进而降低创面炎症反应程度,这可能是负压创面疗法减轻感染、促进愈合的重要机制之一。

     

    Abstract: Objective To quantitatively analyze the effect of negative pressure wound therapy (NPWT) on inf l ammatory factors expression in Pseudomonas aeruginosa infected soft tissue wound. Methods Eighteen Bama miniature pigs were included in this study, and wounds with diameter of 50 mm were established on the back down to the muscular and infected with Pseudomonas aeruginosa. After the infection model was established successfully, wounds were randomly and equally divided into two groups:negative pressure wound therapy group and sterile gauze dressing group. Gene expression of IL-1β, IL-6, IL-8, TNF-α were evaluated quantitatively, and meanwhile, muscular tissues were collected for neutrophil quantification in different layers of tissue at day 0, 4, 8, 12 and 16. Results IL-1β expressed lower in NPWT-treated wounds compared to gauze group at day 8 after treatment(1.357±0.205) vs (2.431±0.122), P< 0.01. NPWT group showed a decreased expression of IL-6 at day 4, 8, 12 and 16day 16, (1.265±0.166) vs (1.932±0.185), P< 0.05. Expression of IL -8 increased in two groups and it was higher in NPWT group at day 8, 12 and 16day 16, (2.301±0.220) vs (1.659±0.210), P< 0.01. Expression of TNF-αwas lower in NPWT at day 8 after treatmentday 8, (0.886±0.108) vs (1.557±0.181), P< 0.01. Furthermore, histologic examination revealed that significantly increased neutrophil count was observed in the superficial layer in wound biopsies of NPWT treatment at day 4 after treatmentday 16, (11.2±1.6) vs (18.0±1.6), P< 0.01. Conclusion In conclusion, this study demonstrates that NPWT can inhibit excessive expression of inf l ammatory factors and decrease inf l ammatory reaction for Pseudomonas aeruginosa infected soft-tissue wounds, which may be one of the mechanisms of negative pressure wound therapy to reduce infection and promote wound healing.

     

/

返回文章
返回