实验性类固醇高血糖条件下感染皮肤伤口的再生

L. Balykova, V. Inchina, T. Tarasova, D. Khaydar, L. Mosina, I. Saushev, A. Kuchuk, A. Mutvakel, I. V. Begoulov, R. Tarasov, P. V. Ageev, D. S. Ovchenkov
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引用次数: 0

摘要

目的。评价实验性类固醇高血糖大鼠感染皮肤创面的再生。材料和方法。在类固醇高血糖的背景下评估感染大鼠皮肤伤口的再生(n = 30)。根据创面处理方式,将所有观察动物分为3组:第一组(n = 10)每次给药一次含近端Cymbopogon软膏;第二组(n = 10)使用含有2% fusidate钠的软膏治疗;第三组(n = 10,对照组)创面用凡士林处理。5天后,评估创面局部变化及其再生活性。我们还研究了血中形状元素的组成及总蛋白、白蛋白、转氨酶活性(ALT、AST)、总胆固醇、尿素和肌酐的含量。与第二组和第三组相比,第一组诱导糖尿病大鼠口服近端Cymbopogon使其血清葡萄糖水平降低了近两倍。含有近端香蒲的软膏具有免疫调节特性:它可以防止白细胞减少的发生,促进颗粒免疫细胞的激活。使用Cymbopogon proximus提取物对伤口再生率有积极的影响,这是由于几个因素:减少充血和水肿,刺激白细胞活性,从而激活再生。我们没有发现以近端香蒲提取物为基础的软膏和含有fusidate钠的软膏在伤口再生率上有显著差异(p > 0.05)。用抗菌软膏和近端香蒲治疗类固醇性高血糖大鼠感染伤口的再生活性无显著差异。近端Cymbopogon proximus提取物在体内具有双重作用:降低血糖水平,促进高血糖状态下的伤口愈合,在治疗糖尿病并发症方面具有前景。
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Regeneration of an infected skin wound under conditions of experimental steroid hyperglycemia
Purpose. To evaluate the regeneration of an infected skin wound in experimental steroid hyperglycemia in rats.Materials and methods. Regeneration of an infected rat skin wound (n = 30) was evaluated on the background of steroid hyperglycemia. Depending on the type of wound surface treatment, all observed animals were divided into 3 groups: the first group (n = 10) was treated with an ointment containing Cymbopogon proximus per os administration; the second group (n = 10) was treated with an ointment containing sodium fusidate 2 %; the third group (n = 10, control) the wound was treated with vaseline. After five days, local changes in the wound area and the activity of its regeneration were evaluated. We also studied the blood changes: the composition of the shaped elements and the content of total protein, albumins, transaminase activity (ALT, AST), total cholesterol, urea and creatinine.Results. The use of Cymbopogon proximus orally by rats of the first group, with induced diabetes mellitus, contributes to a decrease in serum glucose levels by almost two times compared with the second and third groups. Ointment containing Cymbopogon proximus has immunomodulatory properties: it prevents the development of leukopenia, promotes the activation of agranular immunocytes. The use of Cymbopogon proximus extract has a positive effect on the rate of wound regeneration due to several factors: reduction of hyperemia and edema, stimulation of leukocyte activity, and as a consequence activation of regeneration. We did not find a significant difference in the rate of wound regeneration when treated with an ointment based on Cymbopogon proximus extract and an ointment containing sodium fusidate (p > 0.05).Conclusion. The regeneration activity of an infected wound in rats with steroid hyperglycemia does not significantly differ when treated with antimicrobial ointment and Cymbopogon proximus. The extract of Cymbopogon proximus has a double effect in vivo: it reduces glucose levels and promotes wound healing in the condition of hyperglycemia, which is promising in the treatment of complications in diabetes mellitus.
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