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姜黄素对大鼠实验性椎板切除模型中硬膜外纤维化形成的影响。

Effect of Curcumin on the Formation of Epidural Fibrosis in an Experimental Laminectomy Model in Rats.

作者信息

Ismailoglu Ozgur, Kizilay Zahir, Cetin Nesibe Kahraman, Topcu Abdullah, Berber Osman

机构信息

Suleyman Demirel University, Faculty of Medicine, Department of Neurosurgery, Isparta, Turkey.

出版信息

Turk Neurosurg. 2019;29(3):440-444. doi: 10.5137/1019-5149.JTN.24773-18.1.

Abstract

AIM

To clarify the effects of topical application of curcumin on the prevention of epidural fibrosis.

MATERIAL AND METHODS

Twenty-one rats were randomly divided into three equal groups (control, spongostan, local curcumin) and a laminectomy procedure was performed between T11 and L1 in all rats. Subsequently, spongostan soaked with curcumin (100 mg/kg) was applied topically. After four weeks, the vertebral column from T9 to L3, which included the paraspinal muscles and epidural scar tissue, was removed as a single piece and the epidural fibrosis and arachnoidal scarring were graded and histopathological analysis carried out accordingly. Kruskal-Wallis and Pearson Chi-Square tests were used for statistical analysis. A p-value of less than 0.05 was considered to be significant.

RESULTS

The grading of epidural fibrosis was far lower in the experimental group with curcumin compared to the control and spongostan groups, but the difference was not statistically significant.

CONCLUSION

The findings of this study show that local curcumin decreases the formation of epidural fibrosis and this effect of curcumin is thought to be mediated by reducing the functions of inflammatory cells such as macrophages, neutrophils and fibroblasts, and the anti-inflammatory and antioxidant effects.

摘要

目的

阐明姜黄素局部应用对预防硬膜外纤维化的作用。

材料与方法

将21只大鼠随机分为三组(对照组、明胶海绵组、局部姜黄素组),所有大鼠均在T11和L1之间进行椎板切除术。随后,局部应用浸泡有姜黄素(100mg/kg)的明胶海绵。四周后,将包括椎旁肌肉和硬膜外瘢痕组织在内的T9至L3椎体整块切除,对硬膜外纤维化和蛛网膜瘢痕进行分级,并据此进行组织病理学分析。采用Kruskal-Wallis检验和Pearson卡方检验进行统计学分析。p值小于0.05被认为具有统计学意义。

结果

与对照组和明胶海绵组相比,姜黄素实验组的硬膜外纤维化分级要低得多,但差异无统计学意义。

结论

本研究结果表明,局部应用姜黄素可减少硬膜外纤维化的形成,姜黄素的这种作用被认为是通过降低巨噬细胞、中性粒细胞和成纤维细胞等炎症细胞的功能以及抗炎和抗氧化作用来介导的。

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