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本文引用的文献

1
Nonsteroidal anti-inflammatory drugs for wounds: pain relief or excessive scar formation?非甾体类抗炎药在伤口中的应用:缓解疼痛还是过度瘢痕形成?
Mediators Inflamm. 2010;2010:413238. doi: 10.1155/2010/413238. Epub 2010 Jul 4.
2
Are animal models predictive for humans?动物模型对人类具有预测性吗?
Philos Ethics Humanit Med. 2009 Jan 15;4:2. doi: 10.1186/1747-5341-4-2.
3
Intralesional triamcinolone acetonide for keloid treatment: a systematic review.曲安奈德皮损内注射治疗瘢痕疙瘩:一项系统评价
Aesthetic Plast Surg. 2008 Jul;32(4):705-9. doi: 10.1007/s00266-008-9152-8. Epub 2008 Apr 17.
4
Keloids: pathophysiology and management.瘢痕疙瘩:病理生理学与治疗
Dermatol Online J. 2007 Jul 13;13(3):9.
5
Dexamethasone induction of keloid regression through effective suppression of VEGF expression and keloid fibroblast proliferation.地塞米松通过有效抑制血管内皮生长因子(VEGF)表达和瘢痕疙瘩成纤维细胞增殖诱导瘢痕疙瘩消退。
J Invest Dermatol. 2006 Jun;126(6):1264-71. doi: 10.1038/sj.jid.5700274.
6
Anti-inflammatory effect of the latex from Calotropis procera in three different experimental models: peritonitis, paw edema and hemorrhagic cystitis.牛角瓜胶乳在三种不同实验模型(腹膜炎、爪水肿和出血性膀胱炎)中的抗炎作用。
Planta Med. 2004 Dec;70(12):1144-9. doi: 10.1055/s-2004-835842.
7
The effect of myofibroblast on contracture of hypertrophic scar.肌成纤维细胞对增生性瘢痕挛缩的影响。
Plast Reconstr Surg. 2004 Feb;113(2):633-40. doi: 10.1097/01.PRS.0000101530.33096.5B.
8
The use of honey in wound management.蜂蜜在伤口处理中的应用。
Nurs Stand. 2000;15(11):63-8. doi: 10.7748/ns2000.11.15.11.63.c2952.
9
Healing potential of Calotropis procera on dermal wounds in Guinea pigs.牛角瓜对豚鼠皮肤伤口的愈合潜力。
J Ethnopharmacol. 1999 Dec 15;68(1-3):261-6. doi: 10.1016/s0378-8741(99)00118-x.
10
Morphological and immunochemical differences between keloid and hypertrophic scar.瘢痕疙瘩与增生性瘢痕之间的形态学和免疫化学差异。
Am J Pathol. 1994 Jul;145(1):105-13.

牛角瓜(萝藦科)乳胶对家兔伤口愈合及潜在抗瘢痕疙瘩特性的研究

Wound-healing and potential anti-keloidal properties of the latex of Calotropis procera (Aiton) Asclepiadaceae in rabbits.

作者信息

Aderounmu A O, Omonisi A E, Akingbasote J A, Makanjuola M, Bejide R A, Orafidiya L O, Adelusola K A

机构信息

Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria.

出版信息

Afr J Tradit Complement Altern Med. 2013 Apr 12;10(3):574-9. eCollection 2013.

PMID:24146491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3777603/
Abstract

Calotropis Procera (CP) has been used in the management of toothache, fresh skin burns, gum bleeding as well as others to make it qualify as a medicinal plant. This study was designed to assess its wound-healing property in rabbits and its potentials for anti keloidal activity.Fresh latex of Calotropis were obtained and evaluated phytochemically. Fifteen male rabbits were used and four excisional wounds were created on each rabbit. The rabbits were divided into five groups of three each. Group 1 was the negative control and received no treatment. The wounds of group 2 animals were treated with 2mL of Calotropis latex; group 3 with 2mL honey; and group 4 with a mixture of 1ml honey and 1 mL of the latex. The animals in group 5 were given 2mg triamcinolone intramuscularly. All the groups had their wounds treated daily for 21 days. The wounds' diameters were measured on the day of wound creation, thereafter on days 7, 14 and 21 post wound creation. Biopsies of the wounds were taken on days 3 and 21 and viewed histologically. Phytochemical study of the latex revealed the presence of glycosides, tannins and alkaloids. The wounds were found to be significantly (p<0.05) reduced in groups treated with 50% latex in honey and triamcinolone, respectively, on day 7 post wound creation while there was a significant (p<0.05) reduction in wound surface area in all treated groups on days 14 and 21 post wound creation. Histological findings in untreated group showed thick bundle of collagen fibres some of which had broad based configurations, reminiscent of keloid. The group treated with 2mL of Calotropis latex revealed the presence of florid granulation tissues on day 3 while there was a marked reduction in quantity and size of collagen fibres on day 21 post wound creation which was comparable with what was seen for the triamcinolone-treated group.The general effect of Calotropis latex on wound-healing was noted. Likewise it's similarity to that of triamcinolone, an anti-keloidal agent; this makes it a probable candidate for future anti-keloidal study using a suitable model.

摘要

牛角瓜已被用于治疗牙痛、新鲜皮肤烧伤、牙龈出血等,使其有资格成为一种药用植物。本研究旨在评估其对家兔的伤口愈合特性及其抗瘢痕疙瘩活性的潜力。获取了牛角瓜的新鲜乳汁并进行了植物化学评估。使用了15只雄性家兔,每只家兔制造4个切除性伤口。将家兔分为5组,每组3只。第1组为阴性对照,不接受治疗。第2组动物的伤口用2mL牛角瓜乳汁处理;第3组用2mL蜂蜜处理;第4组用1mL蜂蜜和1mL乳汁的混合物处理。第5组动物肌肉注射2mg曲安奈德。所有组的伤口每天处理,持续21天。在伤口创建当天测量伤口直径,此后在伤口创建后的第7天、14天和21天测量。在第3天和第21天对伤口进行活检并进行组织学观察。乳汁的植物化学研究表明存在糖苷、单宁和生物碱。在伤口创建后第7天,分别用50%乳汁加蜂蜜处理组和曲安奈德处理组的伤口明显(p<0.05)缩小,而在伤口创建后第14天和21天,所有处理组的伤口表面积均有明显(p<0.05)减小。未处理组的组织学结果显示有厚的胶原纤维束,其中一些具有宽基构型,类似瘢痕疙瘩。用2mL牛角瓜乳汁处理的组在第3天显示有丰富的肉芽组织,而在伤口创建后第21天胶原纤维的数量和大小明显减少,这与曲安奈德处理组所见相当。注意到了牛角瓜乳汁对伤口愈合的总体作用。同样,它与抗瘢痕疙瘩药物曲安奈德相似;这使其有可能成为未来使用合适模型进行抗瘢痕疙瘩研究的候选药物。