封闭负压引流技术对肢体多发枪伤血清中CRP和IL-6的影响

Effect of vacuum sealing drainage on serum C-reactive protein and IL-6 level in pigs with multiple gunshot wounds

  • 摘要: 目的 研究封闭负压引流技术(Vacuum Sealing Drainage,VSD)治疗猪肢体多发枪伤后血清中炎症因子的变化。方法 12头猪枪击致伤双后肢,6h内彻底清创,随机分为对照组(传统方法治疗)、实验组(VSD治疗)。用ELISA法测定两组不同时间点血清中CRP和IL-6的含量。结果 致伤前、伤后6h CRP和IL-6含量差异无统计学意义(P>0.05)。随时间延长两组CRP和IL-6的含量均呈上升趋势。实验组与对照组的CRP和IL-6含量分别在伤后48h、24h达高峰,实验组含量明显低于对照组(P<0.01)。结论 VSD治疗肢体多发枪伤可明显降低血清中炎症因子的含量,减轻全身炎症反应。

     

    Abstract: Objective To observe the serum level of inflammatory factors in pig extremities with multiple gunshot wounds after treatment with vacuum sealing drainage(VSD). Methods Debridement of gunshot wounds in extremities of 12 pigs was performed 6h after injury.The pigs were randomly divided into control group and experiment group.Pigs in control group received traditional treatment,while pigs in experiment group was treated with VSD.Serum C-reactive protein(CRP) and IL-6 levels were measured in the two groups by ELISA. Results No significant difference was observed in serum CRP and IL-6 levels before and 6h after injury between the two groups(P>0.05).The serum CRP and IL-6 levels increased gradually in the two groups and reached their peak at 48h and 24h respectively after injury.However,the serum CRP and IL-6 level was significantly lower in experiment group than in control group(P<0.01). Conclusion VSD can significantly decrease the serum level of inflammatory factors in pig extremities with multiple gunshot wounds and systemic inflammatory response.

     

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