Felcher A, Schwartz J, Shechter C, Levenson S M, Demetriou A A
Department of Surgery, Albert Einstein College of Medicine, Bronx, New York.
J Surg Res. 1987 Dec;43(6):546-9. doi: 10.1016/0022-4804(87)90129-6.
It has been suggested by several investigators that hypoalbuminemia results in impaired wound healing. In most studies, however, hypoalbuminemia is a manifestation of malnutrition or underlying liver disease. In this study, we examined the effect of isolated hypoalbuminemia on wound healing. Analbuminemic (NAR) rats which are Sprague-Dawley mutants with trace levels of plasma albumin due to a defect in albumin synthesis were studied. Adult NAR and Sprague-Dawley rats (n = 10 each) underwent a 7 cm dorsal skin incision and implantation of a polyvinyl alcohol sponge subcutaneously under pentobarbital anesthesia. Seven days postoperatively all rats were killed with ether, the wounds were excised, and breaking strength was measured. Sponge hydroxyproline content was determined colorimetrically. There were no significant differences in wound breaking strength (fresh or formalin fixed) or sponge collagen content between the Sprague-Dawley and analbuminemic rats. We conclude that isolated hypoalbuminemia has no detrimental effect on would healing in rats.
几位研究者提出,低白蛋白血症会导致伤口愈合受损。然而,在大多数研究中,低白蛋白血症是营养不良或潜在肝脏疾病的一种表现。在本研究中,我们检测了单纯低白蛋白血症对伤口愈合的影响。研究对象为无白蛋白血症(NAR)大鼠,它们是斯普拉格-道利突变体,由于白蛋白合成缺陷,血浆白蛋白水平极低。成年NAR大鼠和斯普拉格-道利大鼠(每组n = 10)在戊巴比妥麻醉下进行7厘米背部皮肤切口,并皮下植入聚乙烯醇海绵。术后7天,所有大鼠用乙醚处死,切除伤口,测量抗张强度。比色法测定海绵羟脯氨酸含量。斯普拉格-道利大鼠和无白蛋白血症大鼠之间在伤口抗张强度(新鲜或福尔马林固定)或海绵胶原含量方面没有显著差异。我们得出结论,单纯低白蛋白血症对大鼠伤口愈合没有不利影响。