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在大鼠胫骨骨折模型中,补充维生素C并不能加速骨折愈合。

Supplementary vitamin C does not accelerate bone healing in a rat tibia fracture model.

作者信息

Giordano Vincenzo, Albuquerque Rodrigo Pires E, do Amaral Ney Pecegueiro, Chame Cristiano Curcio, de Souza Fabio, Apfel Mara Íbis Rodrigues

机构信息

Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto - Rio de Janeiro, RJ, Brazil.

Department of Histology and Embryology, Instituto de Biologia Roberto Alcântara Gomes (IBRAG), Biomedical Center, UniversidadeEstadual do Rio de Janeiro Rio de Janeiro, RJ, Brazil.

出版信息

Acta Ortop Bras. 2012;20(1):10-2. doi: 10.1590/S1413-78522012000100001.

Abstract

OBJECTIVE

To investigate the role of ascorbic acid supplementation on bone healing after rat tibia fracture.

METHODS

Thirty male Wistar rats were randomly divided into Vitamin C (Group A) and sham (Group B) groups (15 rats each). Group A received 200 mg intraperitoneally per kg per day of ascorbic acid and Group B was given saline 5 ml per kg per day intraperitoneally once a day. The animals were caged in pairs and allowed free access to tap water and a standard rodent chow ad libitum. Fractures were produced manually, they were not stabilized, and unprotected weight-bearing was allowed. At two, four, and six weeks post-fracture, the rats in both groups were anesthetized and sacrificed by cervical dislocation. Callus tissue was dissected, prepared, and analyzed histologically. Histomorphological analysis was performed at six weeks post-fracture and the extent of fracture healing was determined using a five-point scale.

RESULTS

There were no histological and histomorphological differences between drug-treated animals and the sham in the three different stages studied. By six weeks post-fracture, the five animals of each group had a complete bone union.

CONCLUSION

Under the studied conditions, intraperitoneal Vitamin C supplementation does not accelerate the fracture healing process after experimental tibia fracture in rats.

LEVEL OF EVIDENCE

Level 2, individual study with experimental design.

摘要

目的

研究补充维生素C对大鼠胫骨骨折后骨愈合的作用。

方法

将30只雄性Wistar大鼠随机分为维生素C组(A组)和假手术组(B组),每组15只。A组大鼠每天每千克体重腹腔注射200毫克维生素C,B组大鼠每天每千克体重腹腔注射5毫升生理盐水。动物成对饲养,可自由饮用自来水并随意进食标准啮齿动物饲料。手动造成骨折,不进行固定,允许无保护负重。骨折后2周、4周和6周,对两组大鼠进行麻醉并通过颈椎脱臼处死。解剖、制备骨痂组织并进行组织学分析。在骨折后6周进行组织形态学分析,并使用五点量表确定骨折愈合程度。

结果

在研究的三个不同阶段,药物治疗动物与假手术组之间在组织学和组织形态学上没有差异。到骨折后6周,每组的5只动物均实现了完全骨愈合。

结论

在本研究条件下,腹腔注射维生素C并不能加速大鼠实验性胫骨骨折后的骨折愈合过程。

证据水平

2级,采用实验设计的个体研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d405/3718416/c86aea6a19e1/aob-20-010-g01.jpg

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