Tostes Jair Morais, Watanabe André Luís, Watanabe Luís Massaro
Laboratory of Experimental Surgery, Faculty of Medicine, University of Brasíli, Campus Universitário Darcy Ribeiro, Asa Norte, 70910-900 Brasília-DF, Brazil.
Surg Today. 2007;37(3):215-9. doi: 10.1007/s00595-006-3368-5. Epub 2007 Mar 9.
The aim of this study was to investigate the effects of untreated and treated hypertension on abdominal wall healing.
Thirty-two spontaneously hypertensive rats (SHR) were randomly allocated into two groups: H (n = 16), untreated and E (n = 16), treated with enalapril (40 mg/kg per day). Group C (n = 16) was a nonhypertensive control group. The animals of each group were submitted to a midline laparotomy and randomly divided, according to the day on which they were killed (7th or 14th postoperative day), into subgroups of 8 animals, as follows: H-7, H-14, E-7, E-14, C-7 and C-14. On the day of their deaths, two strips of the anterior abdominal wall were collected. One strip was submitted to breaking strength measurement and the other to hydroxyproline determination.
No mortalities or complications were observed in the six subgroups. The breaking strength in E-7 subgroup was significantly lower than in C-7 (P < 0.05). The tissue hydroxyproline levels were similar in all six subgroups (P > 0.05).
Untreated hypertension had no effect on the abdominal wall healing of rats. Hypertensive animals treated with enalapril showed a significant decrease in abdominal wound-breaking strength on the 7th postoperative day.
本研究旨在探讨未经治疗和经治疗的高血压对腹壁愈合的影响。
将32只自发性高血压大鼠(SHR)随机分为两组:H组(n = 16),未经治疗;E组(n = 16),用依那普利治疗(每天40 mg/kg)。C组(n = 16)为非高血压对照组。每组动物均接受中线剖腹术,并根据处死日期(术后第7天或第14天)随机分为8只动物的亚组,如下:H-7、H-14、E-7、E-14、C-7和C-14。在处死当天,收集两条前腹壁组织条。一条组织条用于测定抗张强度,另一条用于测定羟脯氨酸含量。
六个亚组均未观察到死亡或并发症。E-7亚组的抗张强度显著低于C-7亚组(P < 0.05)。六个亚组的组织羟脯氨酸水平相似(P > 0.05)。
未经治疗的高血压对大鼠腹壁愈合无影响。用依那普利治疗的高血压动物在术后第7天腹壁伤口抗张强度显著降低。