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维生素 B 复合物在周围神经损伤恢复中的治疗潜力:实验大鼠模型研究。

Therapeutic Potential of Vitamin B Complex in Peripheral Nerve Injury Recovery: An Experimental Rat Model Study.

机构信息

Department of Plastic Reconstructive and Aesthetic Surgery, Mustafa Kemal University, Hatay 31230, Turkey.

Department of Hand Surgery, Private Clinic, Gaziantep 27060, Turkey.

出版信息

Medicina (Kaunas). 2024 Sep 23;60(9):1556. doi: 10.3390/medicina60091556.

Abstract

: Vitamin B complexes are frequently used in clinical practice for peripheral nerve trauma. However, there is a lack of scientific data on their effectiveness. This study aims to investigate the impact of the vitamin B complex on nerve recovery in a rat model of peripheral nerve paralysis. : Sixty male Wistar Albino rats were divided into six groups. Models of nerve injury, including blunt trauma, nerve incision, and autograft, were performed on all rats approximately 1 cm distal to the sciatic notch. B-complex vitamins were injected intraperitoneally at 0.2 mL/day to the treatment groups. The control groups were given 0.2 mL/day saline. After 1 month, the study was terminated, electromyography (EMG) was performed to measure the conduction velocity, and nerve tissue was taken from the repair line. The sciatic function indexes (SFIs) were calculated and analyzed. The histopathological samples were stained with hematoxylin and eosin and Toluidine blue and examined with a light microscope. Pathologically, myelination, fibrosis, edema, and mast cell densities in the nervous tissue were evaluated. : The vitamin B treatment groups demonstrated significant improvements in SFI compared to the control groups, indicating functional improvement in nerve damage ( < 0.05). In the nerve graft group, the vitamin B group showed a shorter latency, higher velocity, and larger peak-to-peak compared to the controls ( < 0.05). In the nerve transection group, the vitamin B group had better latency, velocity, and peak-to-peak values than the controls ( < 0.05). In the crush injury group, the vitamin B group exhibited an improved latency, velocity, and peak-to-peak compared to the controls ( < 0.05). Better myelination, less fibrosis, edema, and mast cells were also in the vitamin B group ( < 0.05). : Vitamin B treatment significantly improves nerve healing and function in peripheral nerve injuries. It enhances nerve conduction, reduces fibrosis, and promotes myelination, indicating its therapeutic potential in nerve regeneration.

摘要

维生素 B 复合物在临床实践中常用于周围神经创伤。然而,关于其疗效的科学数据却很缺乏。本研究旨在探讨维生素 B 复合物对周围神经麻痹大鼠模型神经恢复的影响。

将 60 只雄性 Wistar 白化大鼠分为 6 组。所有大鼠在坐骨神经切迹后约 1cm 处进行神经损伤模型,包括钝性损伤、神经切开和自体移植。治疗组每天腹腔注射 0.2mL 维生素 B 复合物。对照组每天给予 0.2mL 生理盐水。1 个月后,研究结束,进行肌电图(EMG)测量传导速度,并从修复线取神经组织。计算和分析坐骨神经功能指数(SFIs)。用苏木精和伊红以及甲苯胺蓝对组织样本进行染色,在光学显微镜下进行检查。病理上,评估神经组织中的髓鞘形成、纤维化、水肿和肥大细胞密度。

与对照组相比,维生素 B 治疗组的 SFI 显著改善,表明神经损伤的功能有所改善(<0.05)。在神经移植组中,维生素 B 组的潜伏期较短,速度较高,峰峰值较大,与对照组相比差异有统计学意义(<0.05)。在神经横断组中,维生素 B 组的潜伏期、速度和峰峰值均优于对照组(<0.05)。在挤压伤组中,维生素 B 组的潜伏期、速度和峰峰值均优于对照组(<0.05)。维生素 B 组的髓鞘形成较好,纤维化、水肿和肥大细胞较少(<0.05)。

维生素 B 治疗可显著改善周围神经损伤后的神经愈合和功能。它增强了神经传导,减少了纤维化,促进了髓鞘形成,表明其在神经再生方面具有治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa8e/11434473/cea706c149bc/medicina-60-01556-g001.jpg

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