Akhoondinasab Mohammad Reza, Khodarahmi Ali, Akhoondinasab Motahhare, Saberi Mohsen, Iranpour Maryam
Faculty of Plastic and Reconstructive Surgery, Burn Research Centre, Iran University of Medical Sciences, Tehran, Iran.
Burn Research Centre, Iran University of Medical Sciences, Tehran, Iran.
Burns. 2015 Feb;41(1):125-31. doi: 10.1016/j.burns.2014.04.001. Epub 2014 Jun 4.
Assessing effect of three herbal medicines on healing of deep second and third degree burns in rats and their comparison with silver sulfadiazine group.
40 rats were randomly assigned to one of the four groups, each group 10 rats. A deep second degree burn and a third degree burn were induced on the lower back and upper back of each rat under standard burning procedure, respectively. The burns were daily dressed with Robacin in group 1, silver sulfadiazine in group 2, aloe vera extract in group 3, and Rimojen in group 4. Responses to the treatment were assessed by digital photography during the treatment until day 32. Histological parameters (PMN, epithelialization, fibrosis, and angiogenesis) were assessed after the scar biopsy at the end of the research.
On the basis of the taken photos, the wound had better healing in Robacin group. Also, speed of healing was better in aloe vera group than silver sulfadiazine and Rimojen groups. In terms of wound surface area maximal improvement was observed at the same time in the second and third degree burn wounds in Robacin group, in the second degree wound of aloe vera and Rimojen groups, and in the third degree wound of aloe vera and silver sulfadiazine groups. In pathological respects, epithelialization was more evident in both wounds of aloe vera group and third degree burn of Robacin group. In both wounds of Robacin group (second and third degree), the extend of angiogenesis and fibrosis was significantly less than other groups; but, inflammation was at a less level in third degree of silver, second degree of Rimogen and aloe vera, and third degree of aloe vera groups.
In histological survey, minimal rate of angiogenesis and fibrosis was seen in Robacin group, which indicated less wound scar in this group. Healing speed of the burn wound was also higher in Robacin group.
评估三种草药对大鼠深二度和三度烧伤愈合的影响,并将其与磺胺嘧啶银组进行比较。
40只大鼠随机分为四组,每组10只。按照标准烧伤程序,分别在每只大鼠的下背部和上背部造成深二度烧伤和三度烧伤。第1组每天用磺胺嘧啶银乳膏换药,第2组用磺胺嘧啶银换药,第3组用芦荟提取物换药,第4组用瑞莫金换药。在治疗期间直至第32天,通过数码摄影评估对治疗的反应。在研究结束时进行瘢痕活检后,评估组织学参数(中性粒细胞、上皮化、纤维化和血管生成)。
根据所拍摄的照片,磺胺嘧啶银乳膏组伤口愈合情况较好。此外,芦荟组的愈合速度比磺胺嘧啶银组和瑞莫金组更快。就伤口表面积而言,磺胺嘧啶银乳膏组的深二度和三度烧伤伤口、芦荟组和瑞莫金组的二度伤口以及芦荟组和磺胺嘧啶银组的三度伤口均在同一时间观察到最大改善。在病理方面,芦荟组的两个伤口和磺胺嘧啶银乳膏组的三度烧伤中上皮化更为明显。磺胺嘧啶银乳膏组的两个伤口(二度和三度)中,血管生成和纤维化的程度明显低于其他组;但是,在磺胺嘧啶银组的三度、瑞莫金组和芦荟组的二度以及芦荟组的三度中炎症水平较低。
在组织学检查中,磺胺嘧啶银乳膏组的血管生成和纤维化发生率最低,这表明该组的伤口瘢痕较少。磺胺嘧啶银乳膏组的烧伤伤口愈合速度也更高。