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维 A 酸对二次伤口愈合的影响:大鼠的生物计量和组织病理学研究。

The effects of retinoids on secondary wound healing: biometrical and histopathological study in rats.

机构信息

Department of Dermatology, Yuzuncu Yil University Faculty of Medicine, Van, Turkey.

出版信息

J Dermatolog Treat. 2013 Aug;24(4):283-9. doi: 10.3109/09546634.2012.697985. Epub 2012 Jul 25.

Abstract

OBJECTIVE

A wound healing is a complex process, and the role of retinoids in this process is debated and controversial. In this study, the effect of topical tretinoin and oral acitretin on wound healing process was investigated in full-thickness skin lesions on rat model.

METHOD

A circular full-thickness wound was created by 6 mm punch biopsy on the back side of 32 male rats. The rats were seperated into four equal. The first group was assigned as a control group and was observed with no treatment. The second group was administered dexpanthenol once a day over wound area. In the third group, 0.1% tretinoin cream was applied daily. In the fourth group, 2.5 mg/kg/day acitretin was given daily. Additionally, the biopsies were taken from wounds for the histopathologic examination.

RESULTS

The complete recovery time was remarkably longer in the tretionin group than the control group and the dexpantenol group (p < 0.05). The average complete recovery time was significantly longer in the acitretin group than the control and dexpanthenol groups whereas it was statistically shorter in the acitrein group than the tretionin group (p < 0.05).

CONCLUSION

Based on our findings, topical tretinoin and oral acitretin can delay secondary wound healing, epithelization and angiogenesis.

摘要

目的

伤口愈合是一个复杂的过程,视黄醇类物质在此过程中的作用存在争议。本研究旨在通过大鼠模型全层皮肤损伤,研究局部维 A 酸和口服阿维 A 酸对伤口愈合过程的影响。

方法

通过 6mm 打孔活检在 32 只雄性大鼠背部造成圆形全层皮肤损伤,将大鼠随机分为四组,每组 8 只。第一组为对照组,不做任何处理;第二组在伤口局部每天给予一次泛醇;第三组每天局部使用 0.1%维 A 酸乳膏;第四组每天给予 2.5mg/kg 阿维 A 酸。此外,从伤口处采集活检标本进行组织病理学检查。

结果

与对照组和泛醇组相比,维 A 酸组的完全愈合时间显著延长(p<0.05)。与对照组和泛醇组相比,阿维 A 酸组的平均完全愈合时间显著延长,但与维 A 酸组相比,阿维 A 酸组的完全愈合时间显著缩短(p<0.05)。

结论

根据我们的研究结果,局部维 A 酸和口服阿维 A 酸可延迟二期伤口愈合、上皮化和血管生成。

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