Avsar Umit, Halici Zekai, Akpinar Erol, Yayla Muhammed, Avsar Ummu, Harun Un, Harun Un, Hasan Tarik Atmaca, Bayraktutan Zafer
Ataturk University, Ezurun, Turkey.
Kafkas University, Kars, Turkey.
Ostomy Wound Manage. 2016 Mar;62(3):26-34.
Argan oil, produced from the kernels of the argan tree (Argania spinosa), has been shown to have antioxidant properties. To examine the effect of argan oil in second-degree burn wound healing, an in vivo experiment was conducted among 30 adult male Wistar rats divided into 5 equal groups: a sham group, a control group (burned but no topical agent), a group in which argan oil was applied once a day, a group in which argan oil was applied twice a day, and a group treated with 1% silver sulfadiazine once a day. Second-degree burns were created by scalding hot water (85˚ C for 15 seconds). Treatment began 24 hours after the burn injury; in the argan oil groups, 1 mL of argan oil was administered via syringe to the wound. The rate of wound healing was quantified by wound measurements on days 1, 7, and 14 after burn injury. Tissues were analyzed for molecular and histologic changes in TGF-β expression and fibroblast activity. Percent contraction of burned skin tissue was determined using the stereo investigator program, which calculated the burn field to the millimeter. Means (SD) were calculated and compared using Duncan's multiple comparison test. The group receiving argan oil twice daily showed significantly increased mRNA levels of TGF-β1 from 39.66- to 58.70-fold compared to the burn control group on day 14 (P less than 0.05). Both argan oil-treated groups showed significantly increased contraction compared to the burn control group at all 3 timepoints; the group receiving argan oil twice daily had a greater contraction rate (31% on day 7, 76% on day 14) than the silver sulfadiazine group (22% on day 7, 69% on day 14), (P less than 0.05). Histopathological assessments on days 3, 7, and 14 showed greater healing/contraction in both argan oil and silver sulfadiazine groups compared to the control group. These results suggest argan oil is effective in healing experimentally created second-degree burns in rats. Prospective, randomized, controlled clinical studies are needed to evaluate the safety, efficacy, and effectiveness of this treatment modality for patients with second-degree burn wounds.
阿甘油由阿甘树(刺阿干树)的果仁制成,已被证明具有抗氧化特性。为了研究阿甘油对二度烧伤创面愈合的影响,在30只成年雄性Wistar大鼠中进行了一项体内实验,这些大鼠被分成5个相等的组:假手术组、对照组(烧伤但未使用局部用药)、每天涂抹一次阿甘油的组、每天涂抹两次阿甘油的组以及每天用1%磺胺嘧啶银治疗一次的组。通过用85˚C的热水烫伤15秒造成二度烧伤。在烧伤损伤24小时后开始治疗;在阿甘油组中,通过注射器将1 mL阿甘油施用于伤口。通过在烧伤损伤后第1、7和14天测量伤口来量化伤口愈合率。分析组织中转化生长因子-β(TGF-β)表达和成纤维细胞活性的分子和组织学变化。使用立体研究程序确定烧伤皮肤组织的收缩百分比,该程序将烧伤区域精确到毫米。计算平均值(标准差)并使用邓肯多重比较检验进行比较。与烧伤对照组相比,每天接受两次阿甘油治疗的组在第14天时TGF-β1的mRNA水平显著增加,从39.66倍增加到58.70倍(P小于0.05)。在所有3个时间点,两个阿甘油治疗组的收缩均显著高于烧伤对照组;每天接受两次阿甘油治疗的组的收缩率(第7天为31%,第14天为76%)高于磺胺嘧啶银组(第7天为22%,第14天为69%)(P小于0.05)。在第3、7和14天的组织病理学评估显示,与对照组相比,阿甘油组和磺胺嘧啶银组的愈合/收缩情况更好。这些结果表明阿甘油对大鼠实验性二度烧伤的愈合有效。需要进行前瞻性、随机、对照临床研究,以评估这种治疗方式对二度烧伤创面患者的安全性、疗效和有效性。