Ring Andrej, Goertz Ole, Muhr Gert, Steinau Hans-Ulrich, Langer Stefan
Department of Surgery, Trauma Center, University Hospital Bergmannsheil, Bochum, Germany.
Int Wound J. 2008 Jun;5(3):464-9. doi: 10.1111/j.1742-481X.2007.00403.x.
In view of their pain-relieving effect, the non steroidal anti-inflammatory drugs are more and more used as a pain-reducing component in modern wound dressings. To analyse the effect on new blood vessel growth, implants from Biatain Ibu, a polyurethane foam containing ibuprofen, were inserted into the dorsal skinfold chamber of BALB/c mice. Implants from ibuprofen-free polyurethane foam Biatain served as controls (n = 10 per group). Blood vessel growth and the functional vessel density (FVD) as a parameter for microvascularization of implant's border zone were assessed by intravital fluorescence microscopy (IVFM). IVFM was performed on days 3, 7 and 12 after implantation. Direct comparison showed no significant differences in FVD (mm/mm(2)) for the border zone of the ibuprofen-releasing implants versus controls on day 3 (185.49 +/- 4.75 versus 197.17 +/- 5.21) and day 7 (229.60 +/- 8.53 versus 247.99 +/- 5.39). However, the IVFM showed a significant increased FVD for ibuprofen-releasing implants (301.30 +/- 8.44 versus 279.24 +/- 5.78) on day 12 (P < 0.05). Also, a significant increase of FVD was detected for the ibuprofen-releasing implants throughout the implantation time of 12 days. This study shows that local release of small-dose ibuprofen from a polyurethane dressing does not decrease new blood vessel growth during the implantation time of 12 days. In the end, the microvascularization of implant's border zones in both groups was found comparatively undisturbed.
鉴于其止痛效果,非甾体抗炎药越来越多地被用作现代伤口敷料中的止痛成分。为了分析对新血管生长的影响,将含有布洛芬的聚氨酯泡沫敷料Biatain Ibu的植入物插入BALB/c小鼠的背部皮褶腔。不含布洛芬的聚氨酯泡沫敷料Biatain的植入物作为对照(每组n = 10)。通过活体荧光显微镜(IVFM)评估血管生长以及作为植入物边缘区微血管化参数的功能血管密度(FVD)。在植入后第3、7和12天进行IVFM。直接比较显示,在第3天(185.49±4.75对197.17±5.21)和第7天(229.60±8.53对247.99±5.39),含布洛芬植入边缘区的FVD(mm/mm²)与对照组相比无显著差异。然而,IVFM显示在第12天含布洛芬植入物的FVD显著增加(301.30±8.44对279.24±5.78)(P < 0.05)。此外,在整个12天的植入期内,含布洛芬植入物的FVD均显著增加。本研究表明,在12天的植入期内,聚氨酯敷料局部释放的小剂量布洛芬不会减少新血管生长。最后,发现两组植入物边缘区的微血管化相对未受干扰。