不同血小板富集血浆应用方法对烧伤创面和头皮创面愈合的影响比较

G. V. Terehov, O. A. Hyndych, І. M. Savytska, M. Kostylev, E. V. Symulyk, M. V. Chukhraiev
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After achievement of medicinal sleep (intraperitoneal introduction of 1.0 ml of 0.5% solution of sodium thiopental in combination with 0.2 ml of propofol 1% solution the scalped skin incisions with the 1.5 × 0.5 cm dimensions were performed to the animals. Besides that, one of the incisions was processed with diathermy up to the scab crust formation. Both wounds were left open, without sutures. To the control group animals after the wounding conduction no procedures were performed, the wounds have been healed in primary pattern. To the Group I animals during two consequent weeks the blood plasm, enriched by thrombocytes, was introduced, using intracutaneous injections twice a week in quantity of 10 ml, puncturing the injured zone around. To the investigation Group II animals the electrophoresis in accordance to own procedure through napkin, soaked in the blood plasm, enriched by thrombocytes, was performed with the same rate. 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引用次数: 0

摘要

目标。采用电泳法,在实验条件下比较了血小板富集血浆对烧伤创面和头皮创面愈合的影响,以及其注射或非注射引入时形成的瘢痕形态特征。材料和方法。实验选用30只大鼠,分为3组,每组10只,体质量中位数为(275.5±15.1)g。药物睡眠后(腹腔注射0.5%硫喷妥钠溶液1.0 ml联合1%异丙酚溶液0.2 ml),在动物头皮上切开1.5 × 0.5 cm尺寸的皮肤切口。除此之外,其中一个切口经过透热处理,直到痂皮形成。两个伤口都是敞开的,没有缝合。对照组动物在创伤传导后未进行任何手术,创面基本愈合。在随后的两周内,对第一组动物引入血小板富集的血浆,每周两次皮内注射10 ml,穿刺损伤区周围。对调查组ⅱ动物按自己的程序,用餐巾浸泡在富含血小板的血浆中,以相同的速率进行电泳。从人A组(0)全静脉血中制备血小板富集的血浆,离心,1 ml中达到血小板靶量85万个。实验第21天,采用光镜和形态计量学的方法研究瘢痕形成的形态特征及其宽度。结果。应用富含血小板的血浆后,第21天模拟头皮创面处瘢痕宽度(与对照组相比,注射和电泳方法分别p < 0.05和p < 0.01)和烧伤处瘢痕宽度(p < 0.01和p < 0.005)均有统计学意义的减小。以注射法和电泳法应用于创面,与对照组比较。同时,经血小板富集的血浆电泳处理的瘢痕宽度比注射处理的瘢痕宽度小(p < 0.05),与伤口类型无关。此外,瘢痕结缔组织在应用血浆时,由于血小板的富集,在动物从实验中撤离的瞬间,胶原束定位的组织增强,使其看起来更加成熟。结论。提出的非注射引入血小板富集的血浆的方法,与标准的注射应用相比,具有一定的优势,包括结缔组织成熟程度的提高,胶原束更有组织的定位,瘢痕形成的宽度更小,手术无痛。非注射引入经血小板富集的血浆,使用电泳方法无注射后并发症,这是其标准方法的典型特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of impact of various application methods for the blood plasm, enriched by the thrombocytes, on healing of the burn and scalped wounds in experiment
Objective. Comparison, in conditions of experiment between impact of the blood plasm, enriched by thrombocytes, on the terms of the burn and scalped wounds healing and morphological characteristics of the cicatrices formatted in its injectional or noninjectional introduction, using the method of electrophoresis. Materials and methods. The investigations were conducted on 30 white rats, which were divided into three groups with 10 animals in every group, median body mass of the animals have constituted (275.5 ± 15.1) gr. After achievement of medicinal sleep (intraperitoneal introduction of 1.0 ml of 0.5% solution of sodium thiopental in combination with 0.2 ml of propofol 1% solution the scalped skin incisions with the 1.5 × 0.5 cm dimensions were performed to the animals. Besides that, one of the incisions was processed with diathermy up to the scab crust formation. Both wounds were left open, without sutures. To the control group animals after the wounding conduction no procedures were performed, the wounds have been healed in primary pattern. To the Group I animals during two consequent weeks the blood plasm, enriched by thrombocytes, was introduced, using intracutaneous injections twice a week in quantity of 10 ml, puncturing the injured zone around. To the investigation Group II animals the electrophoresis in accordance to own procedure through napkin, soaked in the blood plasm, enriched by thrombocytes, was performed with the same rate. The blood plasm, enriched by thrombocytes, was prepared from the whole venous blood of human Group A(0), using centrifugation for achievement of targeted quantity of thrombocytes 850 000 in 1 ml. Morphological features of cicatrices formatted and their width were studied, using the methods of light microscopy and morphometry on the 21th day of experiment. Results. Application of the blood plasm, enriched by thrombocytes, was accompanied by statistically significant reduction of the cicatrices width, which were formatted on the 21-th day in locations of the scalped wounds simulation (p < 0.05 and p < 0.01 accordingly, for injectional and electrophoretic methods of application in comparison with the control group) and the burn (p < 0.01 and p < 0.005, accordingly, for the injectional and electrophoretic methods of application in comparison to the control group) wound. At the same time the cicatrices width in electrophoretic application of the blood plasm, enriched by thrombocytes, was statistically significantly lesser (p < 0.05), than in its injectional introduction, not depending on the wound type. Besides that, the cicatrices connective tissue while application of the blood plasm, enriched by thrombocytes, in a moment of the animals evacuation from the experiment have looked like more mature and differed by enhanced organization of the collagen fascicles localization. Conclusion. The method of noninjectional introduction of the blood plasm, enriched by thrombocytes, which was proposed, owes certain advantages over its standard injectional application, which constitute the enhanced degree of maturation of connective tissue, more organized localization of the collagen fascicles, lesser width of the cicatrices evolved and the procedure painlessness. Noninjectional introduction of the blood plasm, enriched by thrombocytes, using method of electrophoresis is free from postinjectional complications, typical for standard methods of its introduction.
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