The Effects of the Ulmus Root-bark Dressing in Tissue Regeneration of Induced Pressure Ulcers in Rats

느릅나무 근피 드레싱이 흰쥐에 유발된 욕창의 조직재생에 미치는 효과

  • Published : 2006.06.01

Abstract

Purpose: The purpose of this study was to examine the effects of the ulmus root-bark dressing on tissue regeneration in experimentally-induced pressure ulcers in rats. Method: A randomized pretest/post-test control group time-series study design was used. Thirty-three male Sprague-Dawley rats were used in this study. The rats were anesthetized with 100mg/kg of ketamine. Pressure ulcers were induced at 140mmHg for three hours using a personally-designed pressing apparatus. For four weeks, the ulmus root-bark dressing was applied every other day in the experimental group (n=18) and a wet gauze dressing in the control group (n=15). For data analysis, the statistical program SPSS WIN 12 was used. The wounds were examined by light microscopy andelectron microscopy. Result: There were significant statistical differences in the size of the pressure ulcers as time went by(p=0.006). It should be noted that there were no significant statistical differences in the number of capillaries. Using light microscopy the inflammatory infiltration and neovascularization in the dermis in the experimental group emerged densely in the early stages, but recovered rapidly at the latter stages. In addition, the reepithelization of the epidermis occurred earlier than in the control group. By electron microscopy, the cell organelles of the capillary endothelial cells and the basal lamina of capillaries in the experimental group showed a more rapid maturation during the latter stages, compared with the control group. Conclusion: According to this study, it can be concluded that the ulmus root-bark dressing is effective regarding the healing of pressure ulcers.

Keywords

References

  1. Europe Pressure Ulcer Advisory Panel (1998). Pressure Ulcer Prevention Guidelines. Br J Nurs, 7(15), 888-889 https://doi.org/10.12968/bjon.1998.7.15.17016
  2. Han, Y. S. & Chung, S. I. (2001). Antimicrobial effect of the extract of ulmus advidiana var. japonica. J Mokwon Nat Sci, 10(1), 73-76
  3. Herrman, E. C., Knapp, C. F., Donofrio, J. C., & Salcido, R. (1999). Skin perfusion responses to surface pressure -induced ischemia: implication for the developing pressure ulcer. J Rehabil Res Dev, 36(2)
  4. Kang, E. Y. (2003). Conservative management of pressure ulcers with ulmus dressing. Unpublished master's thesis, Chonnam National University, Gwangju
  5. Kim, K. S., Cho, N. O., & Park, Y. S. (1997). Decubitus ulcer in home care patients who received regional home care services. J Korean Fund Nurs, 4(1), 43-60
  6. Kim, K. S. (1998). Comparison of traditional gauze dressing and occlusive hydrocolloid dressing in 2nd stage over decubitus ulcer treatment in regional home care setting. J Korean Fund Nurs, 5(2), 181-195
  7. Kim, K. S. (2001). The effects of ulmus root-bark on the pressure ulcers. Unpublished master's thesis, Chonnam National University, Gwangju
  8. Kim, K. Y. (1996). Identification of pressure ulcer risk factors. Nur Sci, 8(1), 29-48
  9. Kumar, V., Abbas, A. K., & Fausto, N. (2005). Pathologic basis of disease, 7th. ed. Philadelphia: Elsevier Saunders
  10. Lee, Y. H., Jeong, I. S., & Jeon, S. S. (2003). A comparative study on the predictive validity among pressure risk assessment scales. J Korean Acad Nurs, 3(2), 162-169
  11. Longaker, M. T., Whitby, D. J., & Adzick, N. S. (1990). Studies in fetal wound healing: Second and third trimester wounds demonstrate rapid collagen deposition without scar formation. J Pediatr Surg, 25, 63-69 https://doi.org/10.1016/S0022-3468(05)80165-4
  12. Maklebust, J. (1987). Pressure ulcers: etiology and prevention. Nurs Clin North Am, 22(2), 359-377
  13. Moon, Y. H., & Rim, G. R. (1995). Studies on the constituents of ulmus parvifolia. Korean J Pharmacogn, 26(1), 1-7
  14. Mustoe, T. (2005). Dermal ulcer healing: Advances in understanding. Presented at meeting: Tissue repair and ulcer/wound healing: molecular mechanisms, therapeutic targets and future directions. Paris, France, March, 17-18
  15. Na, Y. K., & Hong, H. S. (2005). The effect of ulmus dressing on burn wound in rats. J Korean Biol Nurs Sci, 7(1), 89-98
  16. National Pressure Ulcer Advisory Panel (1989). Pressure ulcers prevalence, cost and risk assessment: consensus development conference statement. Decubitus, 2, 24-28
  17. Park, S. M. (1998). The effect of the calcium alginate dressing on the pressure sore and it's cost. Unpublished master's thesis, Seoul National University, Seoul
  18. Patel, S., Knapp, C. F., Donofrio, J. C., & Salcido, R. (1999). Temperature effects on surface pressure-induced change in rat skin perfusion: implications in pressure ulcer development. J Rehabil Res Dev, 36(3)
  19. Peirce, S. M., Skalak, T. C., & Rodeheaver, G. T. (2000). Ischemia-reperfusion injury in chronic pressure ulcer formation: a skin model in rat. Wound Repair Regen, 8(1), 68-76 https://doi.org/10.1046/j.1524-475x.2000.00068.x
  20. Rim, K. C., & Song, M. S. (1996). The effect of position change including $30^{\circ}$ laterally inclined position on decubitus ulcer prevention. J Korean Acad Adult Nurs, 8(2), 274-290
  21. Rogenberg, L. (2003). Wound healing, Growth factor. www.emedicine.com
  22. Salcido, R., Donofrio, J. C., Fisher, S. B., Legarand, E. K., Dickey, K., Carney, J. M., Schosser, R., & Liang, R. (1994). Histopathology of pressure ulcers as result of sequential computer-controlled pressure sessions in a fuzzy rat model. Adv Wound Care, 7(5), 23-40
  23. Salcido, R., Steve, B., Fisher, S .B., Donofrio, J. C., Bieschke, M., Knapp, C., Liang, R., Legarand, E. K., & Carney, J. M. (1995). An animal model and computer-controlled surface pressure delivery system for the production of pressure ulcers. J Rehabil Res Dev, 32(2), 149-161
  24. Song, K. A. (1991). Effects of immobility; pressure sore and its management. Korean Nurse, 30(2), 32-40
  25. Song, M. S., & Choi, K. S. (1991). Factors predicting development of decubitus ulcers among patients admitted for neurological problems. J Korean Acad Nurs, 21(1), 16-26
  26. Yoo, S. D. (2003). The antimicrobial activity and wound healing effect of ulmi cortex extracts. Kwandong Med J, 7(1), 37-42
  27. Yoon, S. M., Lee, H. G., Chun, J. H., Choi, I. K., Lee, D. H., Han, J. Y., & Lee, J. S. (2003). Two cases of acute toxic hepatitis and renal failure after ingestion of the extract of elm bark in lung cancer patients. Korean J Med, 65(3), 826-831