MELATONIN CAN NOT SIGNIFICANTLY INCREASE PLATELET COUNT

Tania Meysavira Fawzi, L. Batubara, Asih Budiastuti, Taufik Eko Nugroho
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Abstract

Background: Burn injury defines as skin or tissue damage caused by heat, radioactivity, electricity, or chemicals. Burn injury have an impact on physiological homeostasis. Burn injury will cause an increase in free radicals, it can also cause changes in the platelet count. Melatonin has been proposed as burn supportive therapy because it acts as an antioxidant that can eliminate free radicals. Melatonin can increase the number of the platelets through the mechanism of increasing megakaryocyte fragmentation and modulating the cytokines involved in platelet production. Aim: Proving the effects of melatonin supplementation on the number of platelets in male Wistar rats with third degree of burn injury. Methods: This research was an experimental with randomized control group pre-post test design. Samples are 12 healthy male Wistar rats then randomly divide into two groups, control and experimental group. Each rat was induced 30% burn injury under anesthesia. Rats in control group were given placebo at 0, 8, and 16 hours after burn injury, while rats in experimental group were treated with melatonin intraperitoneal at 0, 8 and 16 hours after burn injury. Blood samples were collected from the retroorbital sinuses at 0, 3, and 24 hours. Data were analyzed statistically by Paired t-Test and Independent t-Test. Results: In control group, the number of platelets at 0-3 hours (p=0,024) and 0-24 hours (p=0,039) showed a significant decrease in platelet count. In experimental group, the number of platelets at 0-3 hours (p=0,047), 0-24 hours (0,015), 3-24 hours (p=0,04) showed a significant decrease in platelet count.Conclusions: Melatonin administration did not cause a significant increase of platelets number. Keywords: Burns, Platelet count, Melatonin
褪黑素不能显著增加血小板计数
背景:烧伤定义为由热、放射性、电或化学物质引起的皮肤或组织损伤。烧伤对机体的生理稳态有影响。烧伤会引起自由基的增加,也会引起血小板计数的变化。褪黑素被提议作为烧伤支持疗法,因为它作为一种抗氧化剂,可以消除自由基。褪黑素可以通过增加巨核细胞分裂和调节参与血小板产生的细胞因子的机制增加血小板的数量。目的:探讨补充褪黑素对三度烧伤雄性Wistar大鼠血小板数量的影响。方法:本研究采用随机对照组前后试验设计。选取12只健康雄性Wistar大鼠,随机分为对照组和实验组。每只大鼠在麻醉下致30%烧伤。对照组大鼠在烧伤后0、8、16小时给予安慰剂,实验组大鼠在烧伤后0、8、16小时给予褪黑素腹腔注射。于0、3和24小时从眶后窦采集血样。数据采用配对t检验和独立t检验进行统计学分析。结果:对照组患者血小板计数在0 ~ 3 h (p= 0.024)和0 ~ 24 h (p= 0.039)时均显著降低。实验组在0 ~ 3小时(p= 0.047)、0 ~ 24小时(p= 0.015)、3 ~ 24小时(p= 0.04)血小板计数明显下降。结论:褪黑素治疗并未引起血小板数量的显著增加。关键词:烧伤,血小板计数,褪黑素
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