Effects of oxygen-enriched negative pressure wound therapy in improving wound microenvironment to tissue proliferation and vascularization
10.16571/j.cnki.1008-8199.2020.04.013
- VernacularTitle: 给氧负压伤口治疗改善伤口微环境对组织增殖活性及血管化的影响
- Author:
Shan DONG
1
;
Qi-xia JIANG
2
;
Yu-jia TANG
3
;
Jian-dong WANG
2
Author Information
1. Nanjing University of Chinese Medicine School of Nursing,Nanjing 210023,Jiangsu,China
2. Jinling Medical School of Nanjing Chinese Medicine University,Nanjing 210002,Jiangsu,China
3. Nanjing University School of Medicine,Nanjing 210093,Jiangsu,China
- Publication Type:Journal Article
- Keywords:
negative pressure wound therapy;
topical oxygen therapy;
wound micro-environment;
tissue proliferative activity;
vascularization
- From:
Journal of Medical Postgraduates
2020;33(4):408-412
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveIt is indefinited that oxygen-enriched negative pressure wound therapy, namely negative pressure wound therapy combined with topical oxygen therapy (NPWT+TOT), improve the effects of wound microenvironment in tissue proliferation and vascularization. The objective is to discuss effects of oxygen-enriched negative pressure wound therapy in improving wound microenvironment to tissue proliferation and vascularization.MethodsTo select sixty-four patients in the outpatient wound care center of the eastern theater general hospital from January to October, 2019, which were randomly divided into the experimental group (NPWT+TOT) and the control group (NPWT), 32 cases in each group. The patients were treated with oxygen-enriched negative pressure wound and negative pressure wound respectively for 2 weeks to observe the changes of wound temperature and PH before and during intervention. Bacterial culture and immunohistochemical staining which were made from wound secreta and wound bed tissues to observe bacterial culture results, tissue proliferation activity and microvascular density before intervention and 14 days after intervention. After the intervention, the patients were treated by standard wet therapy and followed up to wound healing or 3 months after the intervention to observe the wound healing rate and wound healing time.ResultsAfter two weeks' continuous intervention, wound temperature of patients increased and PH value decreased significantly between the experimental group and the control group. Meanwhile, the intervention group was more effective, and there were significant differences between the two groups (P<0.05). The positive rate of bacterial culture after intervention in the experimental group and the control group was 26.67% and 41.38% respectively, with no statistically significant difference (P=0.233). Compared with the control group, the increase of tissue activity and microvascular density in the experimental group was more significant (P<0.05). After three months' follow-up, the wound healing rate of the experimental group was increased by 12.5% compared with the control group, and the average wound healing time was shortened by 9.2 days.ConclusionOxygen-enriched negative pressure wound therapy can improve wound microenvironment, reduce the positive rate of wound bacterial culture, improve the proliferation activity of wound tissue and degree of vascularization, and promote wound healing.
