• Title/Summary/Keyword: 창상(創傷)

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A Comparative Study of Hydrocolloid(Duoderm$\circledR$) and Hydrogel(Nu-Gel$\circledR$) Occlusive Dressing Materials in the Treatment of Full-Thickness Skin Wound in Dogs (개에서 전층피부 창상에 대한 Hydrocolloid(Duoderm$\circledR$)과 Hydrogel(Nu-Gel$\circledR$)의 치료 효과 비교 연구)

  • Kwon, Young-Sam;Rhee, Jung-Woo;Jang, Kwang-ho
    • Journal of Veterinary Clinics
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    • v.20 no.3
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    • pp.294-301
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    • 2003
  • This study was performed to compare the effects of hydrocolloid(Duoderm$\circledR$, HC in this study) and hydrogel (Nu-Gel$\circledR$, HG in this study) occlusive dressing materials on degree of exudate, wound contraction, epithelialization, and healing of full-thickness skin wound in dogs. Three wounds measuring 2${\times}$2 cm in size were created bilaterally(6 wounds/dog) on the dorsolateral aspect of the trunk of 12 dogs. In each dog, the wounds were treated with HC, HG, and normal saline, respectively. For a 4 week period, the wounds were evaluated gross aspects and histopathological aspects. There were no statistically significant differences between treatment groups in percentage of wound contraction, percentage of epithelialization, and percentage of wound total healing during the first week. Significant differences were first detected on day 14. On day l4(P < 0.01) and 21 (P < 0.05), mean percentage of epithelialization of HG-treated wound was significantly greater than those in HC- and normal saline-treated wound. Mean percentage of wound contraction of HG-treated wound was significantly greater than that in HC- and control wounds on day 21(P< 0.05). On day 21, mean percentage of wound healing of HG-treated wound was significantly greater than that in HC- and control wounds(P < 0.02). On day 1, 4, and 7 after wound creation, although severe infiltration of PMN (polymorphonuclear leukocyte) cells in HC- and control wounds were observed in the subcutis and moderate infiltration of PMN cells in HG-treated wound were observed in the subcutis, we did not detect significant differences. On day 14 after wounding creation, in the wounds treated with HG dressing, epithelial cells were found over the surface, and edema further decreased in the tissue under the wounds, and the granulation tissue was replaced with collagen fibers. On day 21 after wound creation, in HG-treated wound compared with other experimental material-treated wounds, regenerated epidermis covered most of the wound surface, and the granulation tissue was more replaced with collagen fibers than that on day 14. Overall results indicated that the use of hydrogel dressing materials(Nu-Gel$\circledR$) as hydrocolloid dressing (Duoderm$\circledR$) materials and normal saline treatment on full-thickness skin wounds in dogs increased the rate of healing at repair stage.

The Effect of Radiation Therapy on the Healing Ability of Subsequent Surgical Wounds (방사선조사가 피부의 창상치유에 미치는 실험적 연구)

  • Suh, Hyun-Suk;Rhee, Chung-Sik
    • Radiation Oncology Journal
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    • v.9 no.1
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    • pp.17-25
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    • 1991
  • This study was undertaken to find the effect of radiation therapy on the healing ability of surgical wounds and on this basis, to find the proper time interval between the radiation therapy and surgery. Two hundred and fifty-two mice were used and a single dose of 2000 cGy was given in each instances to the hind limb of mice. Incisional wounds were produced after varying intervals in the previously irradiated areas and then they were followed up at regular intervals by the measurement of tensile strength. The wounds which received surgery immediately, 1 or 2 weeks after irradiation revealed marked delay and the wounds which received surgery 12, 16 or 20 weeks after irradiation demonstrated slight delay in wound healing in terms of tensile strength measurement. But the wounds which received irradiation 4 or 8 weeks before surgery did not differ much in the wound healing process from that of the control group. Histopathologic studies of the wounds demonstrated epithelization in most instances as quickly as in the control wounds. The appearance of fibroblasts and collagen fibers has delayed momently and appeared to have close correlation with the tensile strength healing curves.

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Effects of Low Reactive Level Laser Irradiation (LLLI) on the Wound Infected with Staphylococcus Aureus (저출력레이져조사가 Staphylococcus aureus 에 감염된 창상에 미치는 영향)

  • Phil-Yeon Lee;Ki-Suk Kim
    • Journal of Oral Medicine and Pain
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    • v.21 no.1
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    • pp.153-171
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    • 1996
  • 저수준레이저를 이용하여 창상이나 병소의 치유과정에 대한 효과를 조사하기 위하여 많은 연구가 시행되었다. 연구에 의하면 갈륨비소 레이저광이 생체자극효과를 가진다고 하며, 저수준레이저를 조사하면 단백질과 핵산 (DNA) 합성을 자극하여 치은섬유아세포의 증식을 촉진한다고 보고하였다. 외상병소나 근육병소의 치료에 사용된 레이저치료법에 관한 관심이 점증함에 따라 저수준레이저요법 (LLLI)의 치유효과를 설명하기 위하여 분자생물학적 수준의 연구를 시행하기에 이르렀다. 보고에 의하면 Mutans Streptococcide 는 LLLI를 사용시 증식이 촉진되며, 다른 세균에서도 유사한 증식효과가 나타날 것이라고 주장하였다. 그러므로 LLLI가 피부감염을 야기하는 가장 흔한 원인인 Staphylococcus aureus 도 마찬가지로 증식이 촉진되는 지를 조사해볼 필요가 있으며, 또한 감염과 같이 특정 병적 상태에서의 저수준레이저광의 효과는 아직까지 명확하게 밝혀져 있지 않았다. 그러므로 본 연구의 목적은 첫째, Staphyloc occus aureus 의 증식에 대한 저수준레이저광의 효과를 조사하는 실험이며, 둘째 Staphylococcus aureus 로 가염된 피부창상에 대한 저수준레이저광의 효과를 판정하는데 있다. 34개의 Staphylococcus aureus 배양표본을 사용하여 48시간의 세포주기동안 조사기간과 조사시간, 그리고 레이저 펄스(laser pulse)형에 따라 3가지 실험을 시행하여 증식에 가장 효과적인 상태와 가장 비효과적인 상태의 갈륨비소 반도체 레이저펄스를 결정하였다. 이후 지름 약 6 mm의 개방창상을 44마리 백서의 양측 대퇴부에 형성하여 모든 창상에 S. aureus를 감염시켰다. 모든 표본은 펄스형과 조사방법 (중앙조사법과 주변조사법)에 따르는 실험을 하기 위하여 4가지로 분류하였다. 각 백서의 양측 창상중 하나는 1,3,5,7일 마다 각 실험의 방법에 따라 레이저를 조사하고 실험동물의 다른 창상은 대조군으로서 사용하였다. 모든 창상의 면적은 실험 1,3,5,7 일째에 일정한 거리에서 사진촬영하여 면적계를 이용, 측정한 후 통계적인 의의를 조사하였다. 본 연구의 결과는 저수준레이저는 특정 조건하에서 S. aureus의 증식을 촉진하였다. 그러나 S. aureus에 감염된 창상을 저수준레이저로 조사시 치유가 촉진되었다. 중앙 조사법고 주변조사법에 의한 창상치유효과는 통계적인 의의가 보이지 않았다. 따라서 결론적으로 S. aureus 에 감염된 창상에 직접 또는 간접적이든 pulse의 종류에 관계없이 조사하는 경우 치유효과가 나타나는 것은 정사주위 조직의 LLLI 자극효과가 염증의 확산을 억제한다고 말할수 있다.

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Traumatic myocarditis (창상성 심근염)

  • Seo, Ji-Min
    • Journal of the korean veterinary medical association
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    • v.45 no.6
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    • pp.539-543
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    • 2009
  • 심근 손상은 창상 환자에서 심장 기능에 뚜렷한 영향을 미칠 수 있지만 심각한 창상에 가려져 종종 간과됩니다. 심하지 않은 심근손상에 의한 부정맥은 스스로 치유되기도 하지만 저혈압, 쇠약, 순환부전과 같은 증상을 일으키는 부정맥은 조기에 인지하여 치료하지 않을 경우 생명을 위협할 수 있음을 잊어서는 안 될 것 같습니다.

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당뇨병환자의 치과시술

  • Go, Hong-Seop
    • The Monthly Diabetes
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    • s.207
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    • pp.14-15
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    • 2007
  • 당뇨병환자의 치과시술시 가장 문제가 되는 사항은 감염에 대한 위험성 증가와 창상치유 지연이다. 대부분의 치과치료는 출혈을 일으키고 창상을 남긴다. 만약 치과치료를 예정하고 있는 환자가 당뇨병환자라면 치과의사는 보다 적극적으로 감염 가능성을 예방하거나 줄이고 창상을 최소화하는 방향으로 치과 치료계획을 세울 것이다. 그러므로 당뇨병환자가 치과치료를 받을 때 가장 중요한 사항은 환자 본인의 당뇨 병력을 상세히 치과 진료진에게 알려주는 것이다. 물론 병력은 상세할수록 좋다.

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Irrigation-suction System for Management of Deep Sternal Wound Infection after Open Heart Surgery -Four cases- (개심술 후 발생한 심부 흉골 창상감염의 세척-흡입법을 이용한 치험 -4예 보고-)

  • 김상익;오상준
    • Journal of Chest Surgery
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    • v.36 no.6
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    • pp.431-435
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    • 2003
  • Deep sternal wound infection (with or without acute mediastinitis) is a serious complication of open heart surgery, with high rates of associated morbidity and mortality, and prolonged hospitallization. The result of treatment largely depends on timely diagnosis and appropriate surgical management. Postoperative deep sternal wound infections in 4 cases were successfully treated with extensive debridement, pressurized jet irrigation with antibiotic solution, sternal refixation by Robicsek method, and dilute antibiotic irrigation via irrigation-suction system. We report 4 cases with review of articles.

Effects of Low Incident Energy Levels of Infrared Laser Irradiation on Healing of Infected Open Skin Wounds in Rats (백서 연조직의 감염창상에 대한 저출력레이저조사시 치유효과에 관한 실험적 연구)

  • Phil-Yeon Lee;Ki-Suk Kim
    • Journal of Oral Medicine and Pain
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    • v.17 no.2
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    • pp.109-117
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    • 1992
  • 저출력레이저는 인체조직에 biostimulation effects를 가지므로 구강주위에 발생하는 여려가지 질병에 대한 저출력레이저광의 효과에 관하여 많은 연구가 시도되고 있으며 또한 치료에 응용되고 있다. 감염창상에 저출력레이저 조사시 조직치유의 기전이 세균 성장에 의한 조직손상보다 주위 정상조직의 biostimulation effects가 우세하기 때문이라는 가설을 확인하고저 본 연구를 시행하였다. 백서 7마리를 레이저 조사군과 대조군으로 나누어 감염창상의 면적차이를 비교하여 다음고 같은 결론을 얻었다. 1. 저출력레이저 조사군에서 창상수축율이 현저히 높았다. 2. 부종의 빈도는 저출력레이저 조사시 뚜렷하게 감소하였다. 위의 사실로 보아 저출력레이저 조사시 감염창상의 치유촉진은 주위 정상조직의 biostimulation effect가 세균증식에 의한 조직의 손상보다 우세하기 때문이라는 가설을 확인할 수 있었다.

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Regeneration Effects of Lespedeza cuneata Ethanol Extract on Experimental Open Wound in Rat (흰쥐의 외과적 창상에 대한 야관문 에탄올 추출물의 피부재생 효과)

  • Kim, Dae-Ik;Kim, Hye-Jeong
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.43 no.4
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    • pp.516-521
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    • 2014
  • The purpose of this study was to examine the skin regeneration ability of Lespedeza cuneata extract (LC) as well as verify its wound healing effects on an open wound in rats. Rats were divided into six groups (NO, saline treated group; CO, 1% carboxy methyl cellulose (CMC) treated group; PC, fucidin treated group; LCL, 1% LC treated group; LCM, 3% LC treated group; LCH, 5% LC treated group), and the experimental material was applied for 5 weeks. Elastase inhibition rate of the LCM group was 2.7% lower than that of butylated hydroxy anisole (BHA), which is an antioxidant. Futher, the collagenase inhibition rate of the LCM showed 7% higher activity than that of BHA. The left wound areas in the LCL group, LCM group, and LCH group after the 21st day were noticeably reduced in wound area by 54.2%, 53.5%, and 48.7%, respectively, compared to the CO group. This suggests that Lespedeza cuneata extract has healing effects on surgical wounds by promoting regeneration of skin epithelial tissue and synthesis of collagen.

A clinical study on the effect of attachable periodontal wound dressing on postoperative pain and healing (부착형 치주 창상 피복재가 치주수술 후 동통 및 치유에 미치는 효과에 관한 임상 연구)

  • Min, Han-Seul;Kang, Dae-Young;Lee, Sung-Jo;Yun, Sei-Young;Park, Jung-Chul;Cho, In-Woo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.1
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    • pp.21-28
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    • 2020
  • Purpose: After periodontal surgery, studies have found that the use of periodontal wound dressing reduces the risk of wound infection and increases healing. The purpose of this study is to evaluate the effect of attachable periodontal wound dressing on the healing and patient satisfaction after periodontal flap surgery. Materials and Methods: Twenty-eight patients requiring periodontal surgery underwent periodontal flap surgery on both quadrants of maxilla or mandible. Postoperative pain, bleeding, dietary discomfort and hypersensitivity in relation to attachable periodontal wound dressing was assessed using Visual Analogue Scale (VAS). Additional survey on frequency of burning sensation and overall satisfaction rates were assessed. Results: VAS mean values for pain, bleeding, and dietary discomfort depending on the presence and absence of attachable wound dressing were; pain: 2.82, 3.96 (P = 0.002), bleeding: 1.61, 2.54 (P = 0.008), dietary discomfort: 2.82, 4.18 (P < 0.001), respectively. Test groups with attachable wound dressing reported significantly lower rates of discomfort. No significant difference was observed in burning sensation and hypersensitivity related with wound dressing. Satisfaction was higher in 75% of patients who received wound dressing. Conclusion: According to the results of this study, patients who received attachable periodontal wound dressing reported less postoperative pain, bleeding, and dietary discomfort. There was no statistical significance related to the use of wound dressing with burning sensation and hypersensitivity.

Effect of Newly Developed Pectin/CMC Dressing Materials on Three Different Types of Wound Model (펙틴/CMC 드레싱의 세가지 유형별 창상에서의 치유효과)

  • Lim, Hyun-Ju;Kim, Hak-Tae;Oh, Eun-Jung;Choi, Jin-Hyun;Ghim, Han-Do;Pyun, Do-Gi;Lee, Soo-Bok;Chung, Dong-Jun;Chung, Ho-Yun
    • Polymer(Korea)
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    • v.34 no.4
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    • pp.363-368
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    • 2010
  • Adequate acidic environment in wound healing prevents the inflammation of virus, increases the cell activity, promotes cell proliferation and regular rearrangement of fibroblast, and results in matured epithelialization. In this study, we prepared dressing materials consisting of pectin and carboxymethylcellulose (CMC) with varied ratios. These dressing materials showed different pH values according to the composition ratio. The effect of acidity of pectin/CMC dressing materials on wound healing rates, degree of epithelialization, collagen deposition, and so on, in 3 types of wound models (fresh surgical wounds, $3^{rd}$ degree burn wounds, and infection wounds) were investigated by animal tests. From the results of wound contraction, wound healing, and epithelialization, it can be deduced that dressing material having pectin/CMC ratio of 16/19 (pH 4.67) is most effective among the 3 types of wound models.