Chen Y L
Changhai Hospital, Second Medical College, Shanghai.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1992 Mar;8(1):54-6, 87-8.
The covering of the wound is one of the important measures in the burn treatment as well as in the control of infection and hypermetabolism. Skin transplantation is the major measure in covering the wound of III degree after escharotomy, while control of the infection was of primary importance in the treatment of II degree burn. Recent studies indicate that collagen provides good frame for extension of epidermis in wound healing, and glucan, an immunoregulator, promotes wound healing by the way of activating macrophages. In the present study, the effects of normal saline, 0.5% III type collagen and 5% glucan (0.4 ml/day for 10 days respectively) on the wound healing rate (healing area/initial wound area) was evaluated in the mice with 7% II degree burn. Biopsy specimens of the wound were examined under the microscope. Results showed that the healing rate with collagen and glucan was increased in the early stage of burn as compared with that of the saline control (P less than 0.05, P less than 0.01). The healing rate was even higher in the glucan group than that in the collagen group (P less than 0.05). Microscopic examination showed that the wound was covered by epidermis, proliferation of fibrous tissue under the epidermis, transformation of fibroblast to fibrocyte and collagenization in the early stage of burn in mice treated with collagen. The healing of the glucan group was also satisfactory, and it was characterized by more macrophages and active phagocytosis of hemosiderin. The above findings suggest that collagen and glucan can promote wound healing by different ways.(ABSTRACT TRUNCATED AT 250 WORDS)
伤口覆盖是烧伤治疗以及控制感染和高代谢的重要措施之一。皮肤移植是焦痂切开术后覆盖Ⅲ度创面的主要措施,而控制感染在Ⅱ度烧伤治疗中至关重要。近期研究表明,胶原蛋白为伤口愈合过程中表皮的延伸提供良好框架,免疫调节剂葡聚糖则通过激活巨噬细胞促进伤口愈合。在本研究中,评估了生理盐水、0.5%Ⅲ型胶原蛋白和5%葡聚糖(分别为0.4毫升/天,共10天)对7%Ⅱ度烧伤小鼠伤口愈合率(愈合面积/初始伤口面积)的影响。对伤口活检标本进行显微镜检查。结果显示,与生理盐水对照组相比,胶原蛋白和葡聚糖组在烧伤早期的愈合率有所提高(P<0.05,P<0.01)。葡聚糖组的愈合率甚至高于胶原蛋白组(P<0.05)。显微镜检查显示,胶原蛋白处理的小鼠在烧伤早期伤口被表皮覆盖,表皮下纤维组织增生,成纤维细胞转化为纤维细胞并发生胶原化。葡聚糖组的愈合情况也令人满意,其特点是巨噬细胞增多且对含铁血黄素的吞噬活跃。上述发现表明,胶原蛋白和葡聚糖可通过不同方式促进伤口愈合。(摘要截选至250词)