Rao K S, Patil P A, Malur P R
Department of Pharmacology & Pharmacotherapeutics, J.N. Medical College, Belgaum 590010, India.
Indian J Med Res. 2007 Feb;125(2):149-54.
BACKGROUND & OBJECTIVE: Drugs like famotidine, omeprazole and sucralfate which have been reported to promote the healing of gastric ulcers, may have the same effect on cutaneous wounds. Due to paucity of information in this regard, the present study was planned to investigate the effect of these drugs on resutured incision, excision and dead space wounds in Wistar rats.
Resutured incision, excision and dead space wounds were inflicted under light ether anaesthesia aseptically. Control animals received vehicle and other groups received famotidine, omeprazole and sucralfate orally for a period of 10 days in the incision and dead space wounds, whereas in excision wounds till complete closure. On the 11th day after estimating breaking strength of the resutured incision wounds, animals were sacrificed and granulation tissue removed from dead space wounds to estimate the breaking strength and hydroxyproline content. Quantification of granulation tissue and histological studies were also carried out. Wound closure rate, epithelization time and scar features were studied in the excision wound models from the day of famotidine till complete closure of the wound.
Only famotidine significantly promoted the healing process in all the three wound models studied. Histopathological studies revealed increased collagen content and granulation tissue in famotidine treated group compared to control.
INTERPRETATION & CONCLUSION: In all the three wound models studied famotidine promoted wound healing whereas omeprazole and sucralfate did not do so. The pro healing effect of famotidine needs to be explored clinically.
据报道,法莫替丁、奥美拉唑和硫糖铝等药物可促进胃溃疡愈合,对皮肤伤口可能也有同样效果。鉴于这方面的信息较少,本研究旨在探讨这些药物对Wistar大鼠缝合切口、切除伤口和死腔伤口的影响。
在轻度乙醚麻醉下无菌造成缝合切口、切除伤口和死腔伤口。对照组动物给予赋形剂,其他组在缝合切口和死腔伤口模型中口服法莫替丁、奥美拉唑和硫糖铝,持续10天,而在切除伤口模型中给药至伤口完全闭合。在评估缝合切口伤口的抗张强度后第11天,处死动物,从死腔伤口取出肉芽组织,以评估抗张强度和羟脯氨酸含量。还进行了肉芽组织定量分析和组织学研究。在法莫替丁给药当天至伤口完全闭合期间,对切除伤口模型的伤口闭合率、上皮化时间和瘢痕特征进行研究。
在所研究的三种伤口模型中,只有法莫替丁显著促进了愈合过程。组织病理学研究显示,与对照组相比,法莫替丁治疗组的胶原含量和肉芽组织增加。
在所研究的三种伤口模型中,法莫替丁促进伤口愈合,而奥美拉唑和硫糖铝则无此作用。法莫替丁的促愈合作用有待临床研究。