Sodium deoxyribonucleotide intervention in wound healing
10.3760/cma.j.issn.1008-1372.2013.09.014
- VernacularTitle:脱氧核苷酸钠干预创面愈合的临床观察
- Author:
Xiaochuan YIN
- Publication Type:Journal Article
- Keywords:
Nucleotides/therapeutic use;
Sodium;
Wound healing;
Burns;
Surgical wound infection/drug therapy
- From:
Journal of Chinese Physician
2013;15(9):1202-1205
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of deoxyribonucleotide in intervention with wound healing.Methods A total of 144 patients above Type Ⅱ incision was included.All patients were received conventional therapy.And 72 cases in positive group were given thymopentin 1mg/d for 7 ~14 days,72 patients in treatment group were given deoxyribonucleotide 200mg/d for 7 ~ 14 days.Wounds were observed at 7,14,30 days,respectively.Results Postoperative infection rate(12.1% vs 16.6% vs 40%,P < 0.05),pathogenic bacteria detection were decreased by both treatment and control groups.The 14 d complete healing rate (80% vs 48.3 %,P < 0.05),weight gain [(2.1 ± 0.7) kg vs (0.6 ± 0.3) kg,P=0.016],clinical effect (89.3% vs 61.3%,P =0.0018) of treatment group were higher than the control group.The 7 d wound area and complete healing time of treatment group were lower than the control group [(12.6 ±6.8)cm2 vs (18.7 ±7.1)cm2,P =0.018; (18.8 ± 11.2)d vs (21.4 ± 12.6)d,P =0.023].Deoxyribonucleotide can promote fibroblast proliferation and collagen production [(35.4 ± 7.6)ng/L vs (24.4 ± 6.9) ng/L,P =0.006].Conclusions Short-term application of deoxyribonucleotide and thymopentin can decrease postoperative infection through activating immune function.However,wound healing had no relationship with activating immune function seemly.Deoxyribonucleotide promotes wound healing through promoting fibroblast proliferation.