Kaplan Birsen, Gönül Bilge, Dinçer Sibel, Dinçer Kaya F Nazli, Babül Aydan
Department of Physiology, Baskent University Faculty of Medicine, Ankara, Turkey.
Surg Today. 2004;34(9):747-51. doi: 10.1007/s00595-004-2827-0.
This work was carried out to follow up the healing of full-thickness incision wounds opened on the back skin of rabbits in order to gain insight into the periodical correlation among such factors as ascorbic acid, collagen (hydroxyproline), the zinc content, and tensile strength of wound tissue. The need to provide vitamin C or zinc supplements after such wound incisions is also discussed.
Full-thickness incision wounds and the ascorbic acid and hydroxyproline levels were measured in 24 rabbits by spectrophotometric methods on day 0 and on the 3rd, 5th, 7th, and 15th days after operation. The tensile strength was measured by a polygraph using a force displacement transducer. The zinc levels of the wounds were measured by atomic absorption spectrophotometry.
The zinc and hydroxyproline levels reached the peak levels on the 5th day, but the tensile strength of wound increased sharply on the 7th day after wounding while the zinc levels did not change. These results indicated that in the first 7 days of wound healing, high levels of ascorbic acid, hydroxyproline, and zinc cumulation occurred in the wound tissue, and the tensile strength reached its highest level on the 15th day without any supplementation.
The supplementation of zinc and/or ascorbic acid should therefore be given just at the beginning of the wounding period, especially if there is deficiency of these nutrients.
本研究旨在追踪兔背部皮肤全层切开伤口的愈合情况,以深入了解抗坏血酸、胶原蛋白(羟脯氨酸)、锌含量和伤口组织抗张强度等因素之间的周期性关联。同时也讨论了此类伤口切开后补充维生素C或锌的必要性。
对24只兔子的全层切开伤口以及抗坏血酸和羟脯氨酸水平,在术后第0天、第3天、第5天、第7天和第15天采用分光光度法进行测量。使用力位移传感器通过测谎仪测量抗张强度。采用原子吸收分光光度法测量伤口的锌含量。
锌和羟脯氨酸水平在第5天达到峰值,但伤口的抗张强度在受伤后第7天急剧增加,而锌水平没有变化。这些结果表明,在伤口愈合的前7天,伤口组织中出现了高水平的抗坏血酸、羟脯氨酸和锌累积,并且在没有任何补充的情况下,抗张强度在第15天达到最高水平。
因此,锌和/或抗坏血酸的补充应该在伤口形成期刚开始时进行,尤其是在这些营养素缺乏的情况下。