Rouhani Soheila, Salehi Nima, Kamalinejad Mohammad, Zayeri Farid
1 Department of Medical Parasitology and Mycology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Invest Surg. 2013 Dec;26(6):347-51. doi: 10.3109/08941939.2013.818746. Epub 2013 Aug 26.
Surgery is one of the best choices for the treatment of hydatidosis. To prevent the secondary infection, it is essential to use effective scolicidal agents during surgery for hydatid cyst. Up to now, no effective and safe agent has been identified for this purpose. Berberis vulgaris called "Zereshk" in Persian has been traditionally used as a herbal remedy for the treatment of different complaints. Many studies have shown that Berberis vulgaris has antibacterial, antifungal, and antiparasitic effects.
In our study, the scolicidal effect of barberry with different concentrations (0.5, 1, 2, and 4 mg/ml diluted form) and at different exposure times (5, 15, and 30 min) was evaluated. For this purpose, we obtained sheep liver hydatid cysts from a slaughterhouse. Viability of protoscolices was assessed by 0.1% Eosin staining. Normal saline and hypertonic saline were used as negative and positive controls, respectively.
All the different concentrations of Berberis vulgaris aqueous extracts had scolicidal effect. The strongest effect was observed to be in 4 mg/ml concentration, which acted as positive control. Scolicidal activity of 2 mg/ml dilution was close to 4 mg/ml and the least scolicidal effect was observed in 0.5 mg/ml. Scolicidal activity of extracts had significant differentiation between 5th and 30th min of exposure.
The scolicidal activity was very effective in low concentration (4 mg/ml) and short exposure time (5 min). Therefore, after being examined in vivo and additional experiments, it may be used as a suitable and effective scolicidal in surgery.
手术是治疗包虫病的最佳选择之一。为预防继发感染,在包虫囊肿手术中使用有效的杀头节剂至关重要。到目前为止,尚未找到用于此目的的有效且安全的药剂。在波斯语中被称为“泽雷什克”的小檗传统上被用作治疗各种疾病的草药。许多研究表明,小檗具有抗菌、抗真菌和抗寄生虫作用。
在我们的研究中,评估了不同浓度(0.5、1、2和4毫克/毫升稀释液)和不同暴露时间(5、15和30分钟)的小檗的杀头节效果。为此,我们从一家屠宰场获取羊肝包虫囊肿。通过0.1%伊红染色评估原头节的活力。分别使用生理盐水和高渗盐水作为阴性和阳性对照。
所有不同浓度的小檗水提取物均具有杀头节效果。观察到最强的效果是在4毫克/毫升浓度时,其起到了阳性对照的作用。2毫克/毫升稀释液的杀头节活性接近4毫克/毫升,而在0.5毫克/毫升时观察到的杀头节效果最小。提取物的杀头节活性在暴露的第5分钟和第30分钟之间有显著差异。
杀头节活性在低浓度(4毫克/毫升)和短暴露时间(5分钟)时非常有效。因此,在经过体内试验和其他实验后,它可能可作为手术中合适且有效的杀头节剂使用。