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亚麻籽油和橄榄油对烧伤患者炎症及伤口愈合标志物的影响:一项随机临床试验

Effects of Flaxseed Oil and Olive Oil on Markers of Inflammation and Wound Healing in Burn Patients: A Randomized Clinical Trial.

作者信息

Ghanbari Atefeh, Masoumi Sanaz, Kazemnezhad Leyli Ehsan, Mahdavi-Roshan Marjan, Mobayen Mohammadreza

机构信息

Department of Nursing (MedicalSurgical), Social Determinants of Health Research Center (SDHRC), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.

Burn and Regenerative Medicine Research center, Velayat Burn University Hospital, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Bull Emerg Trauma. 2023;11(1):32-40. doi: 10.30476/BEAT.2022.97070.1399.

Abstract

OBJECTIVES

To study the anti-inflammatory and antioxidant effects of flaxseed oil and olive oil on inflammatory markers for facilitating wound healing.

METHODS

One hundred and twelve patients were randomly selected to four groups with a total burn surface area (TBSA) of 20-50%. The four groups includes olive oil (OO), flaxseed oil (FO), mixture of olive oil and flaxseed oil (OF), and control group and received 30g of oils for three weeks. Serum high-sensitivity C-reactive protein (hs-CRP), ferritin and albumin level as inflammatory markers, as well as cholesterol, triglyceride, high-density lipoprotein (HDL) and low-density lipoprotein (LDL) as the lipid profile were explored. Wound healing was assessed by photographing on days 2, 8, 15, and 22 (during three weeks of intervention) and were analyzed in imageJ software.

RESULTS

The greatest reduction in the level of hs-CRP and ferritin was observed in the OF (-21.38±44.41) (-132.79±165.36), while the lowest reduction was reported in the control group (-36.36±79.03) (141.08±262.36). Compared to control group, OO significantly increased albumin (0.88±0.65). Reduction of wound healing at the end of the first week of intervention was not significant in the study groups. However, the stereology examination showed significant improvement in wound healing at the end of the second and third weeks in the OF.

CONCLUSION

Based on the findings, combination of herbal oils reduce inflammation and improve wound healing and showed positive effects on the size of wounds in burn patients.

摘要

目的

研究亚麻籽油和橄榄油对炎症标志物的抗炎和抗氧化作用,以促进伤口愈合。

方法

随机选取112例患者,分为四组,总烧伤表面积(TBSA)为20 - 50%。四组分别为橄榄油(OO)组、亚麻籽油(FO)组、橄榄油和亚麻籽油混合物(OF)组以及对照组,每组接受30克油,持续三周。检测血清高敏C反应蛋白(hs - CRP)、铁蛋白和白蛋白水平作为炎症标志物,以及胆固醇、甘油三酯、高密度脂蛋白(HDL)和低密度脂蛋白(LDL)作为血脂谱。在干预的第2、8、15和22天(三周干预期间)通过拍照评估伤口愈合情况,并在ImageJ软件中进行分析。

结果

OF组hs - CRP和铁蛋白水平下降幅度最大(分别为-21.38±44.41和-132.79±165.36),而对照组下降幅度最小(分别为-36.36±79.03和141.08±262.36)。与对照组相比,OO组白蛋白显著增加(0.88±0.65)。干预第一周结束时,各研究组伤口愈合情况的改善不显著。然而,体视学检查显示,OF组在第二周和第三周结束时伤口愈合有显著改善。

结论

基于研究结果,植物油组合可减轻炎症并改善伤口愈合,对烧伤患者的伤口大小有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63be/9923033/c7f0075bcf1e/bet-11-32-g001.jpg

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