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补阳还五汤对大鼠慢性皮肤溃疡创面愈合的影响及作用机制

[Effects and action mechanisms of Buyang Huanwu Decoction in wound healing of chronic skin ulcers of rats].

作者信息

Xu Jie-nan, Que Hua-fa, Tang Han-jun

机构信息

Institute of Chinese Traditional Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.

出版信息

Zhong Xi Yi Jie He Xue Bao. 2009 Dec;7(12):1145-9. doi: 10.3736/jcim20091210.

Abstract

OBJECTIVE

To explore the effects and action mechanisms of Buyang Huanwu Decoction, a compound traditional Chinese herbal medicine, in wound healing of chronic skin ulcers of rats.

METHODS

A total of 54 male SD rats with back full-thickness skin lesion were used in this study. Except for the normal control group, the rats were injected with hydrocortisone for inducing chronic skin ulcers, and were randomly divided into untreated group and Buyang Huanwu Decoction group. The rate and the time of wound healing were observed. Immunohistochemical method and image analytical method were used to test the expression of vascular endothelial growth factor (VEGF) and microvessel count (MVC) in granulation tissue of chronic skin ulcers in the rats.

RESULTS

The rate of wound healing was significantly lowered in the untreated group as compared with the normal control group (P<0.01, P<0.05), and the time of wound healing was obviously longer too (P<0.01). In the Buyang Huanwu Decoction group, the rate of wound healing was significantly higher than that in the untreated group (P<0.01), and the time of wound healing was obviously shorter than the latter's (P<0.01). In the untreated group, the expression of VEGF and MVC were significantly lower than those in the normal control group (P<0.01); the expression of VEGF and MVC were obviously increased in the Buyang Huanwu Decoction group as compared with those in the untreated group (P<0.01).

CONCLUSION

Buyang Huanwu Decoction has the effect to promote the wound healing for chronic skin ulcers of rats by regulating the expression of VEGF in granulation tissue of chronic skin ulcers.

摘要

目的

探讨中药复方补阳还五汤对大鼠慢性皮肤溃疡创面愈合的影响及其作用机制。

方法

选用54只背部全层皮肤缺损的雄性SD大鼠,除正常对照组外,其余大鼠注射氢化可的松诱导慢性皮肤溃疡,随机分为未治疗组和补阳还五汤组。观察创面愈合率及愈合时间。采用免疫组织化学法和图像分析法检测大鼠慢性皮肤溃疡肉芽组织中血管内皮生长因子(VEGF)的表达及微血管计数(MVC)。

结果

未治疗组创面愈合率较正常对照组显著降低(P<0.01,P<0.05),创面愈合时间也明显延长(P<0.01)。补阳还五汤组创面愈合率显著高于未治疗组(P<0.01),创面愈合时间明显短于未治疗组(P<0.01)。未治疗组VEGF表达及MVC均显著低于正常对照组(P<0.01);补阳还五汤组VEGF表达及MVC较未治疗组明显升高(P<0.01)。

结论

补阳还五汤可通过调节慢性皮肤溃疡肉芽组织中VEGF的表达,促进大鼠慢性皮肤溃疡创面愈合。

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