Atalay Yusuf, Bozkurt Mehmet Fatih, Gonul Yucel, Cakmak Omer, Agacayak Kamil Serkan, Köse Ibrahim, Hazman Omer, Keles Hikmet, Turamanlar Ozan, Eroglu Mehmet
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Afyon Kocatepe University, Afyonkarahisar, Turkey.
Department of Pathology, Faculty of Veterinary Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey.
Drug Des Devel Ther. 2015 Apr 7;9:1973-81. doi: 10.2147/DDDT.S80778. eCollection 2015.
The aim of this study was to evaluate the effects of calcium channel blocker (CCB) amlodipine (AML), platelet rich plasma (PRP), and a mixture of both materials on bone healing.
Fifty-six male Wistar rats were randomly divided into four groups: group A, tibia defect model with no treatment; group B, tibia defect model treated with AML, 0.04 mg daily by oral gavage; group C, tibia defect model treated with local PRP; group D, tibia defect model treated with local PRP and AML, 0.04 mg daily by oral gavage.
At day 21, bone healing was significantly better in groups C and D compared to group A (P<0.05), but comparisons showed no statistically significant difference in group B (P>0.05). At day 30, groups B and C showed no statistically significant difference (P>0.05) compared to group A, but bone healing in group D was significantly better than in group A (P<0.05). Statistically, AML did not affect alkaline phosphatase (ALP) activity at 21 and 30 days (P>0.05), but PRP and AML + PRP increased ALP activity statistically (P<0.05).
It can be concluded that AML had neither a positive nor a negative effect on bone healing, but when used in combination with PRP, it may be beneficial.
本研究旨在评估钙通道阻滞剂(CCB)氨氯地平(AML)、富血小板血浆(PRP)以及这两种物质的混合物对骨愈合的影响。
56只雄性Wistar大鼠被随机分为四组:A组,胫骨缺损模型,未进行治疗;B组,胫骨缺损模型,通过口服灌胃给予AML,每日0.04毫克;C组,胫骨缺损模型,采用局部PRP治疗;D组,胫骨缺损模型,采用局部PRP并通过口服灌胃给予AML,每日0.04毫克。
在第21天,与A组相比,C组和D组的骨愈合情况明显更好(P<0.05),但B组的比较显示无统计学显著差异(P>0.05)。在第30天,与A组相比,B组和C组无统计学显著差异(P>0.05),但D组的骨愈合明显优于A组(P<0.05)。统计学上,AML在第21天和第30天对碱性磷酸酶(ALP)活性无影响(P>0.05),但PRP以及AML + PRP在统计学上增加了ALP活性(P<0.05)。
可以得出结论,AML对骨愈合既无积极影响也无消极影响,但与PRP联合使用时可能有益。