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黑种草籽油对鼻中隔穿孔愈合的影响。

The effect of nigella sativa oil on healing in nasal septum perforations.

作者信息

Koder Ahmet, Ersoy Onur

机构信息

Trakya University Faculty of Medicine, Department of Otorhinolaryngology, Edirne, Turkey.

Trakya University Vocational School of Health Services, Department of Pathology Laboratory Techniques, Edirne, Turkey.

出版信息

Braz J Otorhinolaryngol. 2025 Jul 29;91(6):101678. doi: 10.1016/j.bjorl.2025.101678.

Abstract

OBJECTIVE

Nasal Septal Perforation (NSP) is a challenging condition with limited treatment options, often resulting in symptoms like nasal obstruction and epistaxis. Nigella Sativa Oil (NSO), known for its anti-inflammatory and regenerative properties, has shown promise in promoting wound healing. This study aims to investigate the effects of NSO on the wound healing process in an experimental NSP model using rats, exploring its potential as a therapeutic agent for NSP treatment.

METHODS

Twenty-two male Sprague Dawley rats were randomly assigned to two groups. Each subject had a Nasal Septal Perforation (NSP) approximately 2 mm in diameter created. NSO (study group) and saline (control group) were applied topically once a day for 14 days. At the end of the 14th day, the rats were sacrificed, and their nasal septa were excised for macroscopic and histopathological examination. Immunohistochemically Vascular Endothelial Growth Factor (VEGF) and Proliferating Nuclear Cell Antigen (PCNA) parameters examined. Tissue morphology was evaluated, collagen density was measured. The macroscopic closure rate of the NSPs and the histopathological parameters were analyzed statistically.

RESULTS

NSO group showed significantly higher collagen density, surface morphology score, International Cartilage Repair Society (ICRS) matrix examination score, PCNA immunoreactivity and macroscopic closure rate of NSPs compared to the saline group (p < 0.05). In terms of VEGF immunoreactivity, no difference was detected between both groups (p > 0.05).

CONCLUSION

Locally administered NSO may enhance wound healing in the nasal septum within an experimental NSP model, suggesting that NSO could be an effective alternative or adjunctive treatment for NSP, promoting better clinical outcomes.

LEVEL OF EVIDENCE

Level 3.

摘要

目的

鼻中隔穿孔(NSP)是一种治疗选择有限的挑战性病症,常导致鼻塞和鼻出血等症状。黑种草籽油(NSO)以其抗炎和再生特性而闻名,已显示出促进伤口愈合的潜力。本研究旨在调查NSO对大鼠实验性NSP模型伤口愈合过程的影响,探索其作为NSP治疗剂的潜力。

方法

将22只雄性Sprague Dawley大鼠随机分为两组。每组大鼠均制造一个直径约2毫米的鼻中隔穿孔(NSP)。NSO(研究组)和生理盐水(对照组)每天局部应用一次,持续14天。在第14天结束时,处死大鼠,切除其鼻中隔进行宏观和组织病理学检查。通过免疫组织化学检测血管内皮生长因子(VEGF)和增殖细胞核抗原(PCNA)参数。评估组织形态,测量胶原密度。对NSP的宏观闭合率和组织病理学参数进行统计学分析。

结果

与生理盐水组相比,NSO组的胶原密度、表面形态评分、国际软骨修复协会(ICRS)基质检查评分、PCNA免疫反应性和NSP的宏观闭合率均显著更高(p < 0.05)。在VEGF免疫反应性方面,两组之间未检测到差异(p > 0.05)。

结论

在实验性NSP模型中,局部应用NSO可能会增强鼻中隔的伤口愈合,这表明NSO可能是NSP的一种有效替代或辅助治疗方法,可促进更好的临床结果。

证据水平

3级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926b/12329294/7d469efc98d5/gr1.jpg

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