Evaluation of Topical Application of Aloe vera gel and Honey for Acceleration of Cutaneous Wound Healing in Goat Model

K. Roy, Abu N. M. A. Rahman, M. Kar, M. Hossen, M. Islam, U. Rima
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Abstract

In the present study, the effect of topical application of Aloe vera, honey and combination of Aloe vera and honey (A+H) on cutaneous wound healing in goat model was investigated. A total of 20 goats were selected having body weight 8-12 kg, age 9-18 months and randomly divided into group A, H, A+H and C. Following local anaesthesia, a 1.5×1.5 cm² excised wound along with the latissimus dorsi muscle were made on the skin of these goats using a template. The wounds of Group A, H, A+H and C were treated topically with Aloe vera, honey and Aloe vera + honey and sterile normal saline respectively. The efficacy of the treatment was evaluated in terms of bacterial load, tissue response in healing by histopathology and wound contraction rate. The bacterial load was measured by growing them on agar medium and means of colony forming unit (CFU). The wound area in each group was measured using a Vernier calliper scale which was used to trace the wound area. The bacterial load (CFU) appeared lower in every sampling in goats of Group H followed by those of Group A and A+H. Highest level of bacterial infectivity (1700-1980 cfu/100µl nutrient agar) in group C and lower count in Group H (250-362 /100 µl nutrient agar) was seen in the wound following day 3 of treatment. Biopsy examination of Group A skin revealed that the topical application of Aloe vera lowered tissue reaction following day 7 of wounding and enabling rapid repairing of tissue with complete epithelialization over the wound following 14 days of wounding. Clinically the wounds showed various degree of healing in group A, H, A+H goats following day 14 of wounding compared to the existence of raw and unhealed wound in Group C goats. Complete centripetal contraction of wound was obtained in group A, A+H, H at 17, 19, 21 days respectively. The results reveal that topical application of Aloe vera alone appeared best in the wound healing process followed by Aloe vera + honey and honey respectively.
局部应用芦荟凝胶和蜂蜜对山羊模型皮肤伤口加速愈合的评价
本实验研究芦荟、蜂蜜外用及芦荟与蜂蜜(A+H)联合应用对山羊皮肤创面愈合的影响。选取体重8 ~ 12 kg、年龄9 ~ 18月龄的山羊20只,随机分为A组、H组、A+H组和c组。局部麻醉后,采用模板在山羊皮肤上切除1.5×1.5 cm²的背阔肌创面。A组、H组、A+H组、C组创面分别局部用芦荟、蜂蜜、芦荟+蜂蜜加无菌生理盐水处理。根据细菌负荷、组织病理愈合反应和创面收缩率评估治疗效果。通过琼脂培养基和菌落形成单位(CFU)法测定细菌负荷。采用游标卡尺追踪创面面积,测量各组创面面积。H组山羊的细菌负荷(CFU)较低,其次是A组和A+H组。治疗第3天,C组伤口细菌感染水平最高(1700-1980 cfu/100µl营养琼脂),H组细菌感染水平较低(250-362 /100µl营养琼脂)。A组皮肤的活检检查显示,局部应用芦荟可降低损伤第7天后的组织反应,并可在损伤第14天后快速修复伤口组织,使其完全上皮化。与C组相比,A、H、A+H组伤口在第14天临床表现出不同程度的愈合。A、A+H、H组分别于17、19、21 d创面向心完全收缩。结果表明,在创面愈合过程中,单纯外用芦荟效果最好,其次是芦荟+蜂蜜和蜂蜜。
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