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[聚维酮碘对豚鼠伤口的细胞毒性作用及影响]

[Cytotoxic effect and influence of povidone-iodine on wounds in guinea pig].

作者信息

Iwasawa Atsuo, Nakamura Yoshiko

机构信息

Showa University Fujigaoka Hospital, Department of Clinical Pathology.

出版信息

Kansenshogaku Zasshi. 2003 Nov;77(11):948-56. doi: 10.11150/kansenshogakuzasshi1970.77.948.

Abstract

Cytotoxicity and effect on guinea pig wounds were compared with three kinds of 10% povidone-iodine solution (isodine, neojodine, J-iodine) and povidone-iodine. It gave the following results: 1. In the Chang conjunctiva cell where remarkable toxicity was observed in the used cell line, the toxicity emphasized was 10 times using povidone-iodine < J-iodine < neojodine < isodine. In addition, a toxic difference was recognized between cells, in the order of Chang conjunctiva > SIRC > FRSK > human fibroblast for isodine and neojodine. 2. As for the influence on cells achromatized in sodium thiosulfate, alteration was not recognized in isodine, J-iodine using half-maximum cytotoxicity concentrations (CC50), and, in neojodine and povidone-iodine, elimination of drug toxicity was recognized in Chang conjunctiva/FRSK cells. 3. Strong toxicity was seen in isodine and neojodine in the toxicity test using colony formation method, however on washing with PBS (-), an easing of the toxicity effect could be seen to 0.01%. 4. Polyoxythylene nonylphenyl ether, NP-10 was the most toxic in the used surfactants in this study, and the toxicity by 100 times when compared with sodium polyoxyethylene lauryl ether sulfate, SBL-2N. Prominent sensitivity was observed in Chang conjunctiva cells with regard to the cell line and subsequently showed toxicity in order of SIRC > FRSK > human fibroblast. Remarkably, the difference between solutions of isodine and J-iodine was made more clear from the 5th culture. 5. In this study, significantly guinea pig wounds, povidone-iodine blocked all examples significantly recognized as dallying by distance between epidermal cells. In addition, isodine was meaningful area. Although their ware not offer the significant differences, the solutions obstructed the sliding of epidermal cells in comparison with povidone-iodine, and a delaying tendency of inflammation was also recognized. The toxic difference between povidone iodine solutions was regarded as the influence of surfactants added to the povidone-iodine. Based on this foundation study, more detailed clinical testing is necessary in determine where sterilization to wounds/mucosa/eyes with solutions containing additive is a suitable panpractice or not.

摘要

将三种10%聚维酮碘溶液(优碘、新洁尔灭碘、J碘)和聚维酮碘的细胞毒性及对豚鼠伤口的影响进行了比较。结果如下:1. 在所用细胞系中观察到显著毒性的张氏结膜细胞中,毒性强度为聚维酮碘<J碘<新洁尔灭碘<优碘。此外,对于优碘和新洁尔灭碘,细胞间存在毒性差异,顺序为张氏结膜>SIRC>FRSK>人成纤维细胞。2. 对于硫代硫酸钠脱色的细胞的影响,使用半数最大细胞毒性浓度(CC50)时,优碘、J碘未观察到变化,而在新洁尔灭碘和聚维酮碘中,张氏结膜/FRSK细胞中药物毒性消除。3. 在使用集落形成法的毒性试验中,优碘和新洁尔灭碘显示出强毒性,然而用PBS(-)冲洗后,毒性作用可减轻至0.01%。4. 聚氧乙烯壬基苯基醚,NP - 10在本研究中使用的表面活性剂中毒性最大,与聚氧乙烯月桂基醚硫酸钠,SBL - 2N相比毒性高100倍。在张氏结膜细胞中观察到对细胞系的显著敏感性,随后按SIRC>FRSK>人成纤维细胞的顺序显示出毒性。值得注意的是,从第5代培养开始,优碘和J碘溶液之间的差异更加明显。5. 在本研究中,对于豚鼠伤口,聚维酮碘显著阻止了所有因表皮细胞间距而被认为有延迟的情况。此外,优碘有意义区域。尽管它们没有显著差异,但与聚维酮碘相比,这些溶液阻碍了表皮细胞的滑动,并且也观察到炎症延迟的趋势。聚维酮碘溶液之间的毒性差异被认为是添加到聚维酮碘中的表面活性剂的影响。基于这项基础研究,有必要进行更详细的临床测试,以确定用含添加剂的溶液对伤口/黏膜/眼睛进行消毒是否是一种合适的常规做法。

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