• 基于“去腐生肌”理论探讨消炎生肌膏促进慢性创面修复的机制
  • DOI:
    中文关键词:  去腐生肌;消炎生肌膏;创面愈合  IL-6;IFN-γ
    英文关键词:Remove the decaying flesh  Xiaoyanshengji ointment  Wound healing  IL-6  IFN-γ
    基金项目:
    作者单位邮编
    郑文彬 福建中医药大学附属人民医院肛肠二科 350004
    赵诚* 福建中医药大学附属人民医院 350004
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    中文摘要:
          目的:以去腐生肌理论为指导,观察消炎生肌膏外用促进创面的愈合作用,通过检测创面修复过程中IL-6、IFN-γ因子的表达,了解消炎生肌膏促进创面愈合的内在机制。方法:采用SD大鼠60只,雄性,随机分为空白对照组、生理盐水组、消炎生肌膏组、阳性药物红霉素软膏组,根据三个时间点各分为4个亚组,每亚组5只,共12个亚组,总共60只。在造模后根据分组给药,在观察创面愈合情况,并于第3、7、14天处死动物后取创面生长的肉芽用HE染色法观察其创面组织形态学变化,RP-PCR及免疫组化检测IL-6、IFN-γmRNA及蛋白的表达。结果:创面愈合面积可以看出,给药14d,消炎生肌膏组大鼠创面面积为(70.20±16.72)mm2,与生理盐水组(112.0±4.24)mm2相比,显著缩小(F=26.862,P=0.001);光镜下观察发现,消炎生肌膏治疗第14天视野范围内存在大量纤维细胞;ELASA检测用药第14天红霉素组和中药消炎生肌膏组IL-6表达分别为(9.72±0.47)pg/mL和(11.83±0.83)pg/mL,差异显著(F=155.791;P=0.000);红霉素组和中药消炎生肌膏组IFN-γ表达分别为(352.94±16.09)pg/mL和(377.61±15.43)pg/mL,无统计学意义(F=52.093;P=0.000);RT-PCR检测提示用药第14天用药第14天各组IL-6mRNA比较及IFN-γmRNA比较,有统计学意义(F=121.078;P=0.000;F=369.189;P=0.000P<0.05);红霉素组和中药消炎生肌膏组IL-6mRNA表达分别为(2.69±0.20)和(4.04±0.62),差异显著(P=0.030);红霉素组和中药消炎生肌膏组IFN-γ表达分别为(3.16±0.15)和(3.25±0.14),无统计学意义(P=0.431);免疫组化提示空白对照组比较,生理盐水组、红霉素组与消炎生肌膏组大鼠创面组织中IL-6、IFN-γ表达水平升高;但是红霉素组与消炎生肌膏组中,随着时间的推移IL-6、IFN-γ表达水平逐渐降低。结论:消炎生肌膏能提高大鼠创面的愈合率,其促进创面愈合的机制可能与下调创面组织中炎性因子IL-6、IFN-γ的表达有关。
    英文摘要:
          Objective: Guided by the theory of decaying and generating muscle,to observe the effect of Xiaoyanshengji ointment on promoting wound healing in rats, and to investigate the mechanism of Xiaoyanshengji ointment in promoting wound healing by detecting the expression of IL-6 and IFN-γin the process of wound healing.Method:Sixty male SD rats were randomly divided into blank control group, Xiaoyan Shengji ointment group, positive drug erythromycin ointment group and saline group, there are 12 subgroups with a total of 60 birds.The wound healing was observed and the granulation tissue was obtained after the animals were killed on the 3rd, 7th and 14th day.The histomorphological changes of the wounds were observed by HE staining and the mRNA and protein expressions of IL-6 and IFN-γwere detected by RP-PCR and immunohistochemistry.Results: The wound healing area was (70.20±16.72) mm2 in Xiaoyanshengji ointment group, which was significantly smaller than that in normal saline group (112.0±4.24) mm2(F= 26.862, P = 0.001);Under light microscope, a large number of fibrocytes were found in the visual field on the 14th day after treatment with Xiaoyan Shengji ointment;The expression of IL-6 in erythromycin group and Xiaoyanshengji ointment group were (9.72±0.47) pg/mL and (11.83±0.83) pg/mL respectively on the 14th day after treatment, the difference was significant (F= 155.791; P = 0.000) The expression of IFN-γin erythromycin group and Xiaoyanshengji ointment group were (352.94±16.09) pg/mL and (377.61±15.43) pg/mL, respectively, without statistical significance (F= 52.093; P= 0.000);The results of RT-PCR showed that there were significant differences in IL-6 mRNA and IFN-γmRNA among the groups on the 14th day (F = 121.078; P = 0.000; F = 369.189; P = 0.000 ) The expression of IL-6 mrna in erythromycin group and Xiaoyanshengji ointment group were (2.69±0.20) and (4.04±0.62) , respectively, with significant difference (P = 0.030) The expression of IFN-γin erythromycin group and Xiaoyanshengji ointment group were (3.16±0.15) and (3.25±0.14) , respectively, with no statistical significance (P = 0.431);The expression of IL-6 and IFN-γin the normal saline group, erythromycin group and Xiaoyanshengji ointment group was higher than that in the blank control group, but the expression of IL-6 and IFN-γin the erythromycin group and Xiaoyanshengji ointment group was higher than that in the normal control group, the expression levels of IL-6 and IFN-γgradually decreased with time.Conclusion: The mechanism of Yanshengji ointment in promoting wound healing may be related to the down-regulation of the expression of IL-6 and IFN-γin the wound tissue.