The effect of nicardipine on the zone of stasis in burns: An experimental rat model.

Ramazan Deniz, Murat İğde, Nesrin Tan Başer, Numan Atılgan, Nihat Yumuşak, Nihat Birtane, Ufuk Zan
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Abstract

Background: The zone of stasis in burns is particularly vulnerable to progressive ischemia, making it a critical target for therapeutic interventions. Preventing damage in this zone is essential, as its viability can be preserved with adequate perfusion. Recognizing this, we aimed to investigate the systemic effects of nicardipine, a calcium channel blocker with vasodilatory properties, on the stasis zone in an experimentally induced burn model in rats. We hypothesized that nicardipine could mitigate ischemic progression in the stasis zone and thereby preserve tissue viability.

Methods: A total of 20 Wistar-Albino rats were included in this study and divided into two groups: a control group (n=10) and a treatment group (n=10). The experimental burn model described by Regas and Ehrlich was employed. Under anesthesia, a 1 x 2 cm metal comb, preheated in boiling water, was applied to the dorsal skin of the rats for 30 seconds to create burn wounds. No treatment was administered to the control group. The treatment group, however, received a daily systemic dose of nicardipine (5 mg/kg) via gastric lavage for three days. Wound healing was monitored daily using a digital camera for three consecutive days. One rat in the treatment group was excluded due to mortality. After three days, the burned areas were excised from the dorsal skin of all rats and subjected to histopathological examination. Additionally, photo analysis of the burn areas was conducted using data obtained from the digital images.

Results: Nicardipine treatment significantly improved burn healing parameters in the stasis zone. Compared to the control group, the treatment group demonstrated lower scores for edema (0.78 vs. 2.80, p<0.05), congestion (0.22 vs. 2.80, p<0.05), inflammation (0.67 vs. 2.90, p<0.05), vascularization (0.11 vs. 2.70, p<0.05), and fibrosis (0.22 vs. 2.90, p<0.05). Quantitative measurements also revealed a significant reduction in necrosis zone thickness (1079.75 µm vs. 2818.82 µm, p<0.05) and necrosis area (249.33 µm² vs. 400.13 µm², p<0.05). These findings indicate that nicardipine effectively mitigates ischemic progression and promotes tissue recovery in burn injuries.

Conclusion: Our experimental study demonstrated that nicardipine has the potential to prevent and treat damage in the burn stasis zone, suggesting its therapeutic role in burn injuries.

尼卡地平对烧伤瘀滞区影响的实验模型。
背景:烧伤瘀滞区特别容易发生进行性缺血,使其成为治疗干预的关键靶点。预防该区域的损伤是至关重要的,因为充分的灌注可以保持其活力。认识到这一点,我们旨在研究尼卡地平(一种具有血管舒张特性的钙通道阻滞剂)对实验性烧伤模型大鼠瘀区的全身影响。我们假设尼卡地平可以减缓停滞区缺血进展,从而保持组织活力。方法:选取Wistar-Albino大鼠20只,随机分为对照组(n=10)和治疗组(n=10)。采用Regas和Ehrlich描述的实验烧伤模型。麻醉下,将1 × 2厘米的金属梳子,在沸水中预热,应用于大鼠背部皮肤30秒,形成烧伤创面。对照组不进行任何治疗。然而,治疗组通过洗胃每天给予全身剂量的尼卡地平(5mg /kg),持续3天。连续3天,每天用数码相机监测伤口愈合情况。治疗组1只大鼠因死亡排除。3 d后,从大鼠背部皮肤上切除烧伤区域,进行组织病理学检查。此外,使用从数字图像中获得的数据对烧伤区域进行照片分析。结果:尼卡地平治疗明显改善瘀区烧伤愈合参数。与对照组相比,治疗组的水肿评分较低(0.78比2.80)。结论:我们的实验研究表明,尼卡地平具有预防和治疗烧伤瘀区损伤的潜力,提示其在烧伤损伤中的治疗作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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