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在实验性大鼠模型中研究全身给予哌替啶对筋膜愈合的影响。

Investigation of the effects of systemic meperidine administration on fascia healing in an experimental rat model.

作者信息

Sensoy Emine, Akcan Alper Celal, Korkmaz Mahmut, Elmalı Ferhan, Topal Ugur, Akgun Hulya, Muhtaroglu Sabahattin

机构信息

MD, Yuksek Ihtisas State Hospital, Department of General Surgery, Kirikkale, Turkey. Conception and design, manuscript preparation and writing.

Professor, Department of General Surgery, Erciyes University Faculty of Medicine, Melikgazi, Kayseri, Turkey. Conception and design, analysis and interpretation of data, technical procedures, manuscript preparation and writing, critical revision, final approval.

出版信息

Acta Cir Bras. 2020 Dec 18;35(11):e351107. doi: 10.1590/ACB351107. eCollection 2020.

Abstract

PURPOSE

To evaluate the effects of meperidine on fascial healing.

METHODS

Seventy adult male Sprague-Dawley rats divided into 7 groups with 10 rats in each group. One of these groups was determined as the sham group, 3 of the remaining 6 groups as meperidine groups, and 3 as control groups. These were grouped as 1st, 2nd, and 6th weeks. In the anterior abdominal wall of the rat, the skin was detached and a wound model including the peritoneum was created with a median incision. Mice in the meperidine group were injected with meperidine intraperitoneally (IP) 3 × 20 mg/kg meperidine on postoperative days 0, 1 and 2, and 2 × 20 mg/kg meperidine on postoperative days 3, 4, 5, and 6 after surgical intervention. Similar to the control group, an equal volume of saline was administered, corresponding to the doses. After sacrifice, the midline fascia was used for facial tensile strength measurement, and the other for histopathological analysis.

RESULTS

When compared, the meperidine and control groups inflammatory cell density was higher in the 1st week (p < 0.05) in the meperidine group, fibroplasia density was found to be higher at the 2nd week in the meperidine group than the control group (p < 0.05) When the tensile strength in the meperidine and control groups were compared, there was no significant difference (p > 0.05) at each of the three weeks.

CONCLUSION

The application of postoperative systemic meperidine affects positively wound healing in the inflammatory stage and fibroplasia without changing the resistance to traction.

摘要

目的

评估哌替啶对筋膜愈合的影响。

方法

将70只成年雄性Sprague-Dawley大鼠分为7组,每组10只。其中一组被确定为假手术组,其余6组中的3组为哌替啶组,3组为对照组。这些组分别设定为第1周、第2周和第6周。在大鼠的前腹壁,分离皮肤并通过正中切口创建一个包括腹膜的伤口模型。哌替啶组的小鼠在术后第0、1和2天腹腔内注射3×20mg/kg哌替啶,术后第3、4、5和6天注射2×20mg/kg哌替啶。与对照组相似,给予等量体积的生理盐水,对应相应剂量。处死动物后,取中线筋膜用于面部抗张强度测量,另一份用于组织病理学分析。

结果

比较发现,哌替啶组第1周的炎性细胞密度高于对照组(p<0.05),哌替啶组第2周的纤维组织增生密度高于对照组(p<0.05)。比较哌替啶组和对照组的抗张强度,在三周中的每一周均无显著差异(p>0.05)。

结论

术后全身应用哌替啶对炎症期伤口愈合和纤维组织增生有积极影响,且不改变抗牵拉能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae3/7748078/13459f0dde18/1678-2674-acb-35-11-e351107-gf01.jpg

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