Yüce Serdar, Cemal Gökçe Emre, Işkdemir Ahmet, Koç Emine Rabia, Cemil Duran Berker, Gökçe Aysun, Sargon Mustafa F
From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Yüzüncü Yıl University, Van; †Department of Neurosurgery, and ‡Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Turgut Özal University, Ankara; §Department of Neurology, Faculty of Medicine, Balıkesir University, Balıkesir; ∥Department of Pathology, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey; and ¶Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Ann Plast Surg. 2015 Jun;74(6):684-92. doi: 10.1097/SAP.0000000000000026.
Propolis and curcumin have antioxidant, anti-inflammatory, immunomodulatory, and neuroprotective features. The goal of this study was to determine the effects of propolis and curcumin on nerve healing in rat sciatic nerve crush injuries and to compare these effects with results obtained using steroid treatment.
In the sham group, the right sciatic nerves of rats were dissected and exposed, and the skin was closed without any additional manipulation. In the control group (group C), after the right sciatic nerves of rats were exposed, crush damage was inflicted using a surgical clamp. In the control-methylprednisolone group, crush injuries were inflicted on sciatic nerves as in group C. After injury, 1-mg/kg methylprednisolone was administered daily for 6 days and was then tapered for 4 days. In the curcumin group, crush injuries were inflicted on sciatic nerves as in group C. Then, 100-mg/kg curcumin was given every day. In the propolis group, crush injuries were inflicted on sciatic nerves as in group C. Then, 200-mg/kg propolis was given every day. Rats were evaluated after 28 days using functional (walking track analysis and electrophysiological measurements), histomorphometric, electron microscopic, and muscle weight measurements.
Compared to the control groups, the curcumin and propolis groups had better functional (walking track analysis and electrophysiological) results after experimental peripheral nerve crush injury.
Curcumin and propolis, 2 traditional drugs, had a positive effect on nerve crush injuries. We are convinced that they can be used to support routine treatment in such nerve injuries.
蜂胶和姜黄素具有抗氧化、抗炎、免疫调节和神经保护特性。本研究的目的是确定蜂胶和姜黄素对大鼠坐骨神经挤压伤神经愈合的影响,并将这些影响与使用类固醇治疗的结果进行比较。
在假手术组中,解剖并暴露大鼠的右侧坐骨神经,缝合皮肤,不进行任何额外操作。在对照组(C组)中,暴露大鼠右侧坐骨神经后,用手术夹造成挤压损伤。在对照-甲基泼尼松龙组中,如C组一样对坐骨神经造成挤压伤。损伤后,每天给予1mg/kg甲基泼尼松龙,持续6天,然后在4天内逐渐减量。在姜黄素组中,如C组一样对坐骨神经造成挤压伤。然后,每天给予100mg/kg姜黄素。在蜂胶组中,如C组一样对坐骨神经造成挤压伤。然后,每天给予200mg/kg蜂胶。28天后,通过功能(行走轨迹分析和电生理测量)、组织形态计量学、电子显微镜检查和肌肉重量测量对大鼠进行评估。
与对照组相比,在实验性周围神经挤压伤后,姜黄素组和蜂胶组的功能(行走轨迹分析和电生理)结果更好。
姜黄素和蜂胶这两种传统药物对神经挤压伤有积极作用。我们相信它们可用于支持此类神经损伤的常规治疗。