电邮这篇文章 在体外模型实验中比较不同材料的胃造瘘管对损伤因素的影响的研究
- 作者: Gavshchuk M.V.1, Zorin I.M.2, Vlasov P.S.2, Lisovskii O.V.1, Gostimsky A.V.1, Sarkisyan Z.M.1, Zavyalova A.N.1, Kabanov A.V.1, Kuznetsova Y.V.1, Karpatsky I.V.1, Lisitsa I.A.1
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隶属关系:
- St. Petersburg State Pediatric Medical University
- Saint Petersburg State University
- 期: 卷 12, 编号 5 (2021)
- 页面: 47-52
- 栏目: Original studies
- URL: https://journals.eco-vector.com/pediatr/article/view/104990
- DOI: https://doi.org/10.17816/PED12547-52
- ID: 104990
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详细
研究现实性。各种材料制成的各种产品（天然乳胶、硅胶、硅涂胶乳、聚氯乙烯、聚氨酯等）在姑息医学中用作胃造瘘管。它们对破坏因素、微生物环境和感染时间有不同的抵抗力。
本研究的目的：在体外模型实验中比较不同材料的胃造瘘管对损伤因素的影响。
材料与方法。本实验使用了2根乳胶Pezzer 34号导尿管，2根硅酮包衣乳胶Foley 26 Fr导尿管，2根聚氨 酯18 Fr鼻胃探针，2根硅酮牌24 Fr经皮内窥镜保险杠胃造口管。将导管切成50毫米长的碎片，放在有水 或0.1M盐酸溶液的密封容器中，在36℃下放置14天。
结果。在水和盐酸溶液的影响下，聚氨酯和硅树脂制成的管的质量和线性尺寸的变化很小（0.1—0.5%）。 胶乳和涂硅胶乳管的变化是显著的，由于吸水，质量变化了2—12%，长度变化了1–3.5%。对于乳胶材料，干燥后的质量减少（1%），对于聚氨酯材料，由于暴露于升高的温度，线性尺寸减少。
结论。根据模型实验的结果，硅树脂和聚氨酯管表现出最低的液体吸收，质量和长度的变化。这表明他们在实验中对损伤因素的抵抗力，所以我们可以推荐由这些材料制成的产品用于胃造口术。乳胶导管表现出最大的液体积累，质量和长度的变化，这使其在临床实践中不实用。
全文:
作者简介
Maksim V. Gavshchuk
St. Petersburg State Pediatric Medical University
Email: gavshuk@mail.ru
MD, PhD, Cand. Sci. (Med.), Associate Professor, Department of General Medical Practice
俄罗斯联邦, Saint PetersburgIvan M. Zorin
Saint Petersburg State University
Email: i.zorin@spbu.ru
MD, PhD, Cand. Sci. (Chemistry), Associate Professor, Department of High Molecular Chemistry
俄罗斯联邦, Saint PetersburgPetr S. Vlasov
Saint Petersburg State University
Email: p.vlasov@spbu.ru
Junior Researcher, Department of High Molecular Chemistry
俄罗斯联邦, Saint PetersburgOleg V. Lisovskii
St. Petersburg State Pediatric Medical University
Email: oleg.lisowsky@yandex.ru
MD, PhD, Cand. Sci. (Med.), Associate Professor, Head, Department of General Medical Practice
俄罗斯联邦, Saint PetersburgAlexander V. Gostimsky
St. Petersburg State Pediatric Medical University
Email: gostimsky@mail.ru
MD, PhD, Dr. Sci. (Med.), Professor, Head, Department of Hospital Surgery with Traumatology and Military Surgery Courses
俄罗斯联邦, Saint PetersburgZara M. Sarkisyan
St. Petersburg State Pediatric Medical University
Email: zara-sark@inbox.ru
MD, PhD, Cand. Sci. (Chemistry), Head, Associate Professor, V.V. Horunzhego Department of General and Medical Chemistry
俄罗斯联邦, Saint PetersburgAnna N. Zavyalova
St. Petersburg State Pediatric Medical University
Email: anzavjalova@mail.ru
MD, PhD, Cand. Sci. (Med.), Associate Professor, Department of General Medical Practice
俄罗斯联邦, Saint PetersburgAleksandr V. Kabanov
St. Petersburg State Pediatric Medical University
Email: alk979@yandex.ru
PhD, Cand. Sci. (Chem.), Associate Professor, V.V. Horunzhego Department of General and Medical Chemistry
俄罗斯联邦, Saint PetersburgYulia V. Kuznetsova
St. Petersburg State Pediatric Medical University
Email: u-piter@mail.ru
MD, PhD, Cand. Sci. (Med.), Associate Professor, Department of General Medical Practice
俄罗斯联邦, Saint PetersburgIgor V. Karpatsky
St. Petersburg State Pediatric Medical University
Email: ikar122@list.ru
MD, PhD, Cand. Sci. (Med.), Associate Professor, Department of General Medical Practice
俄罗斯联邦, Saint PetersburgIvan A. Lisitsa
St. Petersburg State Pediatric Medical University
编辑信件的主要联系方式.
Email: ivan_lisitsa@mail.ru
MD, Assistant Professor, Department of General Medical Practice
俄罗斯联邦, Saint Petersburg参考
- Gostimskiy AV, Gavshchuk MV, Zav’yalova AN, et al. Features nutrition support and nursing of patients with gastrostomy. Medicine: Theory and Practice. 2018;3(2):3–10. (In Russ.)
- Luft VM, Lapitskii AV, Sergeeva AM. Spravochnik po klinicheskomu pitaniyu. Saint Petersburg: OOO RA Russkii Yuvelir, 2018. 368 p. (In Russ.)
- Campoli P, Cardoso D, Turchi M, Mota O. Clinical trial: a randomized study comparing the durability of silicone and latex percutaneous endoscopic gastrostomy tubes. Digestive Endoscopy. 2011;23(2):135–139. doi: 10.1111/j.1443-1661.2010.01051.x
- Gottlieb K, Mobarhan S. Review: microbiology of the gastrostomy tube. J Am Coll Nutr. 1994;13(4):311–313. doi: 10.1080/07315724.1994.10718415
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