等离子体射流对慢性伤口细菌灭活有效,对伤口愈合是否也有效?

Q1 Medicine Clinical Plasma Medicine Pub Date : 2019-06-01 DOI:10.1016/j.cpme.2019.100085
Sri Darmawati , Afiana Rohmani , Laela Hayu Nurani , Muhammad Evy Prastiyanto , Sri Sinto Dewi , Nia Salsabila , Eka Sakti Wahyuningtyas , Fri Murdiya , Isabella Meliawati Sikumbang , Ratnasari Nur Rohmah , Yun Arifatul Fatimah , Andi Widiyanto , Tatsuo Ishijima , Junko Sugama , Toshio Nakatani , N Nasruddin
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引用次数: 17

摘要

目的比较两种等离子体喷射治疗方式(接触式和非接触式)对两种生物材料,即伤口相关细菌和急性伤口的治疗效果。方法采用频率为18.32 kHz、电压为9.58 kV、电流为55.2 mA的高压大气等离子体射流。氩气作为等离子体射流产生的载气,固定流速为1标准升/分钟(slm)。采用两种生物材料(伤口相关细菌和急性伤口)作为实验对象。样品组基于两种等离子体喷射处理方式:接触式和非接触式。同时进行微生物抑菌区计算和宏观组织学观察。结果本研究强调接触式和非接触式等离子体喷射治疗对伤口及伤口相关慢性细菌的治疗效果有显著差异。一方面,这种隐形方式在视觉上更有吸引力,对灭活细菌更有效。另一方面,它也会产生负面影响,如损伤正常组织,明显阻碍伤口愈合,阻碍新上皮组织的生长。然而,非接触的方式在灭活细菌方面效果较差;然而,它可以加速伤口愈合。结论在伤口愈合的情况下,非接触式等离子体喷射治疗可能优于接触式等离子体喷射治疗。
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When plasma jet is effective for chronic wound bacteria inactivation, is it also effective for wound healing?

Purpose

This investigation aimed to compare the effectiveness of two styles of plasma jet treatment (i.e., contact and non-contact styles) for two biological materials, namely, wound related bacteria and acute wounds.

Method

An atmospheric plasma jet operated at a frequency of 18.32 kHz and high AC voltage with a peak-to-peak voltage of 9.58 kV and a current of 55.2 mA was applied. Argon gas was used as the carries gas of plasma jet generation and was fixed at a flow rate of 1 standard liters per minute (slm).Two biological materials (i.e., wound related bacteria and acute wound) were applied as experimental objects. The sample groups were based on the two styles of plasma jet treatment: contact and non-contact styles. Microbial inhibition zone calculation and macroscopic and histological observations were also performed.

Results

This investigation emphasized that the contact and non-contact styles of plasma jet treatment had significantly different effects for wounds and wound-related chronic bacteria. On the one hand, the contact style was visually attractive and more effective for inactivate bacteria. On the other hand, it caused negative effects, such as damaging normal tissue, significantly impeding wound healing and impeding the growing of new epithelial tissue. The non-contact style, however, was less effective at inactivating bacteria; however, it could accelerate wound healing.

Conclusion

In the context of wound healing, the non-contact style of plasma jet treatment may be better than the contact style of plasma jet treatment.

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Clinical Plasma Medicine
Clinical Plasma Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
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