桔梗提取物木犀草素联合磺胺嘧啶银治疗浅Ⅱ度烫伤作用研究
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作者简介:

邹正渝(1984.11-),男,重庆人,硕士,主管检验师,主要从事临床检验诊断学方面研究

通讯作者:

赵常亮(1986.2-),男,黑龙江泰来县人,硕士,主治医师,主要从事疼痛康复方面研究

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R285

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九龙坡区科技计划项目(编号:2021-02-011-Y)


Study on the Effect of Luteolin Extracted from Platycodon Grandiflorum Combined with Silver Sulfadiazine in the Treatment of Superficial Degree Ⅱ Scalds
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    摘要:

    探讨桔梗成分木犀草素与磺胺嘧啶银联合治疗浅Ⅱ度烫伤的协同作用,为优化治疗方案 提供新的理论基础。方法 构建SD大鼠浅Ⅱ度烫伤模型,依据给药情况分为五组:A组为模型组,B组为 磺胺嘧啶银组,C组为木犀草素组,D组为磺胺嘧啶银和木犀草素联用组,N组为正常对照组。根据给药 第4天和第7天的创面愈合率评价不同给药组的疗效。通过测量大鼠烫伤区域伤口直径,采用苏木精-伊 红(HE)染色观察创面皮肤组织的病理变化,采用Western blot检测大鼠创面皮肤组织血管内皮生长因子 (VEGF)、基质金属蛋白酶2(MMP-2)和Ⅰ型胶原蛋白(Coll-Ⅰ)表达,采用ELISA检测大鼠的肿瘤 坏死因子α(TNF-α)、白细胞介素10(IL-10)水平。结果 B组、C组第7天烫伤创面愈合率均高于A组 (P<0.05);D组第7天烫伤创面愈合率均高于A组、B组、C组(P <0.05)。D组皮肤层完整,角质层、表 皮和真皮结构正常,皮肤毛囊及附属结构基本完整,恢复程度优于B组和C组。B组、C组VEGF、Coll-Ⅰ 水平高于A组,MMP-2水平低于A组(P <0.05);B组和C组VEGF、Coll-Ⅰ、MMP-2水平比较,差异 无统计学意义(P >0.05);D组VEGF、Coll-Ⅰ水平均高于A组、B组、C组,MMP-2水平均低于A组、B 组、C组(P <0.05)。B组、C组TNF-α水平均低于A组(P <0.05);B组、C组TNF-α水平比较,差异 无统计学意义(P>0.05);A组、B组、C组IL-10水平比较,差异无统计学意义(P>0.05);D组TNF-α 水平均低于A组、B组、C组,IL-10水平均高于A组、B组、C组(P <0.05)。结论 磺胺嘧啶银联合木犀 草素治疗浅Ⅱ度烫伤的效果优于单独用药,其潜在机制之一可能是通过下调MMP-2表达,上调VEGF、 Coll-Ⅰ和IL-10表达,抑制TNF-α等因子的表达,以减轻组织炎症,改善烫伤创面皮肤组织环境,促进 愈合。

    Abstract:

    To investigate the synergistic effect of luteolin extracted from platycodon grandiflorum and silver sulfadiazine in the treatment of superficial degree Ⅱ scalds, providing new theoretical basis for optimizing the treatment plan. Methods SD rat model of superficial degree Ⅱ scald was constructed and divided into five groups according to the administration : group A was the model group, group B was the sulfadiazine silver group, group C was the luteolin group, group D was the sulfadiazine silver and luteolin combination group, and group N was the normal control group. The efficacy of different administration groups was evaluated according to the wound healing rate on the 4th and 7th day of administration. The wound diameter in the scalded area of rats was measured. The pathological changes of wound skin tissue were observed by hematoxylineosin (HE) staining. The expressions of vascular endothelial growth factor (VEGF), matrix metalloproteinase 2 (MMP-2) and type I collagen (Coll-Ⅰ) in wound skin tissue of rats were detected by Western blot. The levels of tumor necrosis factor-α (TNF-α) and interleukin-10 (IL-10) in rats were detected by ELISA. Results The healing rate of scald wounds in group B and group C was higher than that in group A on the 7th day (P <0.05). The healing rate of scald wounds in group D was higher than that in group A, group B and group C on the 7th day (P <0.05). The skin layer of group D was intact, the structure of stratum corneum, epidermis and dermis was normal, and the skin hair follicles and accessory structures were basically intact, the degree of recovery was better than that of group B and group C. The levels of VEGF and Coll-Ⅰ in group B and group C were higher than those in group A, and the level of MMP-2 was lower than that in group A (P <0.05). There was no significant difference in the levels of VEGF, Coll-Ⅰ and MMP-2 between group B and group C (P >0.05). The levels of VEGF and Coll-Ⅰ in group D were higher than those in group A, group B and group C, and the levels of MMP-2 were lower than those in group A, group B and group C (P<0.05). The levels of TNF-α in group B and group C were lower than those in group A (P<0.05). There was no significant difference in the level of TNF-α between group B and group C (P >0.05). There was no significant difference in IL-10 level among group A, group B and group C (P >0.05). The level of TNF-α in group D was lower than that in group A, group B and group C, and the level of IL- 10 was higher than that in group A, group B and group C (P <0.05). Conclusion The effect of silver sulfadiazine combined with luteolin in the treatment of superficial degree Ⅱ scalds is better than that of single drug. One of the potential mechanisms may be to down-regulate the expression of MMP-2, up-regulate the expression of VEGF, Coll-I and IL-10, and inhibit the expression of TNF-α and other factors, so as to reduce tissue inflammation, improve the skin tissue environment of scald wounds and promote healing.

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邹正渝,胡龙娇,许洲松,等.桔梗提取物木犀草素联合磺胺嘧啶银治疗浅Ⅱ度烫伤作用研究[J].医学美学美容,2023,32(24):114-118.

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  • 在线发布日期: 2024-01-15
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