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通过透皮离子电渗疗法给予硫酸锌可提高四氧嘧啶诱导的糖尿病大鼠皮肤手术伤口的断裂强度。

Zinc sulphate administered by transdermal iontophoresis improves breaking strength of surgical wounds in skin of alloxan-induced diabetic rats.

作者信息

Cassettari Lucas Langoni, Dias Pedro Colli Rocha, Lucchesi Amanda Natália, Arruda Maurício Ferraz de, Spadella César Tadeu

机构信息

Postgraduate Program in General Basis of Surgery, Faculty of Medicine, Sao Paulo State University, Botucatu, SP, Brazil.

出版信息

Acta Cir Bras. 2013 Aug;28(8):601-6. doi: 10.1590/s0102-86502013000800008.

Abstract

PURPOSE

To investigate the effect of zinc sulphate administered by transdermal iontophoresis (TDI) on mechanical resistance of surgical wounds performed in the skin of diabetic rats.

METHODS

One hundred and sixty male Wistar rats weighing approximately 250 g were submitted to an incision surgery at the anterior region of abdomen and randomly distributed into four experimental groups with 40 non-diabetic control animals (G1) and 40 untreated diabetic animals (G2), both without any treatment of incisions; 40 non-diabetic animals (G3) and 40 untreated diabetic animals (G4), both with incisions treated with zinc sulphate, administered for a period of four consecutive days after surgery, in sessions of ten minutes duration, using a continuous-current electrostimulator (Zn + TDI). Each experimental group was further divided into four subgroups with ten rats each to be evaluated on the 4th, 7th, 14th, and 21st day after surgery. In each period were analyzed clinical and laboratory from the animals, and measured the breaking strength and hydroxyproline content (OH-P) of the skin scars.

RESULTS

Breaking strength (BS) was significantly reduced (p<0.05) in skin scars of untreated diabetic rats (G2) on the 7th, 14th, and 21st postoperative days when compared to non-diabetic control rats (G1). In contrast, BS in skin scars of non-diabetic and untreated diabetic rats (G3, G4) treated with Zn + TDI showed significant increase (p<0.05) in those periods when compared with their respective controls with untreated incisions. The OH-P content of the scars did not show statistically significant variation in all studied groups at four different times evaluated after surgery.

CONCLUSIONS

Zinc sulphate administered by transdermal iontophoresis had beneficial effect on the mechanical resistance of scars produced in the skin of diabetic rats. This therapeutic may have potential to reduce the complications observed in surgical wounds of the skin in diabetic subjects, mainly in most vulnerable stages of incisions to dehiscences, leakages and infections.

摘要

目的

研究经皮离子电渗疗法(TDI)给予硫酸锌对糖尿病大鼠皮肤手术伤口机械抵抗力的影响。

方法

160只体重约250g的雄性Wistar大鼠在腹部前部接受切口手术,并随机分为四个实验组,其中40只非糖尿病对照动物(G1)和40只未治疗的糖尿病动物(G2),两者均未对切口进行任何处理;40只非糖尿病动物(G3)和40只未治疗的糖尿病动物(G4),两者均对切口用硫酸锌进行处理,术后连续四天给药,每次持续十分钟,使用恒流电刺激器(硫酸锌+TDI)。每个实验组进一步分为四个亚组,每组十只大鼠,分别在术后第4、7、14和21天进行评估。在每个时间段分析动物的临床和实验室指标,并测量皮肤瘢痕的抗张强度和羟脯氨酸含量(OH-P)。

结果

与非糖尿病对照大鼠(G1)相比,未治疗的糖尿病大鼠(G2)皮肤瘢痕在术后第7、14和21天的抗张强度(BS)显著降低(p<0.05)。相比之下,硫酸锌+TDI处理的非糖尿病和未治疗的糖尿病大鼠(G3、G4)皮肤瘢痕在这些时间段与各自未处理切口的对照组相比,抗张强度显著增加(p<0.05)。在术后评估的四个不同时间点,所有研究组瘢痕的OH-P含量均未显示出统计学上的显著差异。

结论

经皮离子电渗疗法给予硫酸锌对糖尿病大鼠皮肤产生的瘢痕的机械抵抗力有有益影响。这种治疗方法可能有潜力减少糖尿病患者皮肤手术伤口中观察到的并发症,主要是在切口最易出现裂开、渗漏和感染的阶段。

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