揭示了静脉中疼痛和细菌负载之间的关系,这对向治疗有意义
Alisha R Oropallo1, Priscilla J Lee2, Amit Rao3
1Department of Vascular and Endovascular Surgery, Comprehensive Wound Healing and Hyperbarics, Lake Success, NY; Donald & Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
Journal of vascular surgery. Venous and lymphatic disorders
|February 21, 2025
概括
实时光成像识别了静脉的细菌负载,与疼痛相关. 有针对性的细菌去除显著降低了疼痛评分,改善了患者的治疗结果和生活质量.
科学领域:
- 伤口愈合和再生医学.
- 医学成像和诊断 医学成像和诊断
- 微生物学和传染病.
背景情况:
- 建立了细菌殖民和静脉的疼痛之间的联系,主要是通过炎症.
- 光成像可以实时检测细菌负载和生物膜,指导有针对性的治疗.
- 客观的细菌去除对于管理伤口疼痛和促进愈合至关重要.
研究的目的:
- 调查细菌光信号与患者在静脉中报告的疼痛之间的空间相关性.
- 为了确定使用光成像的客观目标细菌去除是否可以减少与伤口相关的疼痛.
- 探索细菌存在对静脉的疼痛感知的影响.
主要方法:
- 评估了46名患有静脉和疼痛评分≥4的成年人.
- 光成像捕获了除菌前后的细菌负载.
- 疼痛分数在手术前和后被记录下来,疼痛和光区域之间的重叠分析.
主要成果:
- 所有评估的静脉都显示出细菌负载/生物膜的光,通常在伤口边缘.
- 在疼痛区域和光信号之间发现了87%的重叠.
- 术后的平均疼痛分数从8.17显著下降到6.87 (P < .0001).
结论:
- 静脉中临床显著的细菌殖民和生物膜与疼痛相关.
- 以光成像为指导的向性细菌去除导致了显著的疼痛减轻.
- 这种方法可以为治疗策略提供信息,改善患者的生活质量并促进愈合.
相关概念视频
Peptic Ulcer Disease I: Introduction
118
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
118
Peptic Ulcer Disease IV: Management
60
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
60
Analgesia and Pain Management
422
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
422
Peptic Ulcer Disease V: Surgical Management and Nursing Care
193
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
193
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy
319
Helicobacter pylori, a resilient gram-negative bacterium, can thrive in the stomach's harsh, acidic environment. Infection with H. pylori leads to a cascade of events within the stomach lining. One of the critical disruptions caused by this bacterium is the interference with somatostatin production, a hormone responsible for regulating acid secretion. This interference tips the balance, escalating acid secretion and diminishing bicarbonate levels. This imbalance compromises the defensive...
319
Blood and Nerve Supply to the Bones
10.6K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
10.6K


