Other language title :
ﺗﺴﻬﻴﻞ ﺟﺮﻳﺎﻥ ﺧﻮﻥ ﻣﻮﻳﺮﮔﻲ ﻭ ﺍﻓﺰﺍﻳﺶ ﺑﻘﺎ ﺑﺎﻓﺘﻲ ﺩﺭ ﺯﺧﻢ ﺳﻮﺧﺘﮕﻲ ﭘﻮﺳﺖ ﺗﻮﺳﻂ ﻫﻴﺪﺭﻭژﻝ ﻛﺮﺑﻮﻣﺮ 940
Title of article :
Carbomer 940 Hydrogel Enhances Capillary Blood Flow and Tissue Viability in a Skin Burn Wound
Author/Authors :
Hayati, Farzad department of Surgery and Radiology - Faculty of Veterinary Medicine - University of Tehran , Ghamsari, Mehdi Department of Surgery and Radiology - Faculty of Veterinary Medicine - University of Tehran , Tavassoli, Abbas Department of Pathology - Faculty of Veterinary Medicine - University of Tehran , Azizzadeh, Mohammad Department of Clinical Science - Faculty of Veterinary Medicine - Ferdowsi University of Mashhad
Abstract :
Objective- To evaluate the application of Carbomer 940 hydrogel on saving zone of stasis in skin burn wound.
Design- Experimental study
Animals- Twenty rats.
Procedures- After shaving the backs, a ‘comb burn’ was contacted bilaterally on the dorsum of the rats 0.5 cm lateral and parallel to the midline by using a brass probe consisting of four rows (10×20 mm) and three interspaces (5×20 mm). All rats randomly separated into experimental and control groups. After burn induction, Carbomer 940 hydrogel was administered topically to the experimental group while 0.9% saline was administered through the same route in the control group. Dressings were changed every day. Doppler flowmetry measurements and histopathology were used for evaluation of perfusion and viability in the zone of stasis. Blood flow measurements repeated every 24 hours and skin specimens were taken at day 3 for histopathology evaluation.
Results- Our results show that blood flow in zone of stasis increased 24 hours post-burning in experimental group and the differences between the results obtained from the experimental and the control groups were found to be statistically significant (p<0.05) at 24, 48 and 72 hours after burn creation. Histopathologically, epithelial tissue in zone of stasis in experimental group statistically more than the control group and sebaceous glands and hair follicles remained viable in group treated by hydrogel.
Conclusion and Clinical Relevance- Our experimental study revealed that Carbomer 940 hydrogel improved tissue perfusion and decreased the area of skin necrosis in the zone of stasis in rats. Application of this hydrogel in treatment of burn injury has positive effects and causes better burn wound healing in rats.
Farsi abstract :
ﻫﺪﻑ- ﺍﺭﺯﻳﺎﺑﻲ ﻛﺎﺭﺑﺮﺩ ﻫﻴﺪﺭﻭژﻝ ﻛﺎﺭﺑﻮﻣﺮ 940 ﺩﺭ ﺣﻔﻆ ﻧﺎﺣﻴﻪ ﺳﻜﻮﻥ ﺩﺭ ﺯﺧﻢ ﺳﻮﺧﺘﮕﻲ ﭘﻮﺳﺖ.
ﻃﺮﺡ ﻣﻄﺎﻟﻌﻪ- ﻣﻄﺎﻟﻌﻪ ﺗﺠﺮﺑﻲ ﺩﺭ ﺣﻴﻮﺍﻧﺎﺕ ﺯﻧﺪﻩ
ﺣﻴﻮﺍﻧﺎﺕ- 20 ﺳﺮ ﺭﺕ
ﺭﻭﺵ ﻛﺎﺭ- ﺑﻌﺪ ﺍﺯ ﺗﺮﺍﺷﻴﺪﻥ ﻣﻮ ﺩﺭ ﻗﺴﻤﺖ ﭘﺸﺘﻲ ﺣﻴﻮﺍﻥ، ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻣﺪﻝ ﺳﻮﺧﺘﮕﻲ ﺷﺎﻧﻬﺎﻱ ﻛﻪ ﺷﺎﻣﻞ ﭼﻬﺎﺭ ﺭﺩﻳﻒ ﻣﺴﺘﻄﻴﻞ ﺷﻜﻞ ﺑﺎ ﺍﺑﻌﺎﺩ )10 ×20 ﻣﻴﻠﻴﻤﺘﺮ( ﻭ ﺳﻪ ﻓﻀﺎﻱ ﺑﻴﻨﺎﺑﻴﻨﻲ ﺑﺎ ﺍﺑﻌﺎﺩ )20×5 ﻣﻴﻠﻴﻤﺘﺮ( ﻣﻴﺒﺎﺷﺪ، ﺩﻭ ﺭﺩﻳﻒ ﺳﻮﺧﺘﮕﻲ ﺑﻪ ﻓﺎﺻﻠﻪ 0/5 ﺳﺎﻧﺘﻴﻤﺘﺮ ﺍﺯ ﺳﺘﻮﻥ ﻓﻘﺮﺍﺕ ﻭ ﺑﻪ ﻃﻮﺭ ﻗﺮﻳﻨﻪ ﺍﻳﺠﺎﺩ ﮔﺮﺩﻳﺪ. ﺗﻤﺎﻣﻲ ﺭﺗﻬﺎ ﺑﻪ ﺻﻮﺭﺕ ﺗﺼﺎﺩﻓﻲ ﺑﻪ ﺩﻭ ﮔﺮﻭﻩ ﺁﺯﻣﺎﻳﺶ ﻭ ﻛﻨﺘﺮﻝ ﺗﻘﺴﻴﻢ ﺷﺪﻧﺪ. ﺑﻌﺪ ﺍﺯ ﺍﻟﻘﺎ ﺳﻮﺧﺘﮕﻲ، ﺯﺧﻤﻬﺎﻱ ﮔﺮﻭﻩ ﺁﺯﻣﺎﻳﺶ ﺗﻮﺳﻂ ﻫﻴﺪﺭﻭژﻝ ﻛﺎﺭﺑﻮﻣﺮ 940 ﻭ ﺯﺧﻤﻬﺎﻱ ﮔﺮﻭﻩ ﻛﻨﺘﺮﻝ ﺗﻮﺳﻂ ﺳﺎﻟﻴﻦ % 0/9ﺑﻪ ﺻﻮﺭﺕ ﻣﻮﺿﻌﻲ ﺩﺭﻣﺎﻥ ﺷﺪﻧﺪ. ﭘﺎﻧﺴﻤﺎﻥ ﻭ ﺩﺭﻣﺎﻥ ﺗﻮﺳﻂ ﺗﺮﻛﻴﺒﺎﺕ ﺫﻛﺮ ﺷﺪﻩ ﺑﻪ ﺻﻮﺭﺕ ﺭﻭﺯﺍﻧﻪ ﺗﻌﻮﻳﺾ ﺷﺪ. ﺟﺮﻳﺎﻥ ﺧﻮﻥ ﻧﻮﺍﺣﻲ ﻣﺨﺘﻠﻒ ﺳﻮﺧﺘﮕﻲ ﺗﻮﺳﻂ ﻟﻴﺰﺭ ﺩﺍﭘﻠﺮ ﻭ ﺑﻪ ﺻﻮﺭﺕ ﺭﻭﺯﺍﻧﻪ ﺍﻧﺪﺍﺯﻩ ﮔﻴﺮﻱ ﺷﺪ. ﺩﺭ ﺭﻭﺯ ﺳﻮﻡ ﻣﻄﺎﻟﻌﻪ ﻣﻘﺎﻃﻊ ﻫﻴﺴﺘﻮﭘﺎﺗﻮﻟﻮژﻳﻚ ﺗﻬﻴﻪ ﮔﺮﺩﻳﺪ.
ﻧﺘﺎﻳﺞ- ﻧﺘﺎﻳﺞ ﺣﺎﺻﻞ ﺍﺯ ﺍﻧﺪﺍﺯﻫﮕﻴﺮﻱ ﺗﻮﺳﻂ ﻟﻴﺰﺭ ﺩﺍﭘﻠﺮ ﻧﺸﺎﻥ ﻣﻴﺪﻫﺪ ﺟﺮﻳﺎﻥ ﺧﻮﻥ 72 ،48 ،24 ﺳﺎﻋﺖ ﺑﻌﺪ ﺍﺯ ﺍﻟﻘﺎ ﺳﻮﺧﺘﮕﻲ ﺩﺭ ﻧﻮﺍﺣﻲ ﺳﻜﻮﻥ ﺩﺭ ﺭﺗﻬﺎﻱ ﮔﺮﻭﻩ ﺁﺯﻣﺎﻳﺶ ﺩﺭ ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﮔﺮﻭﻩ ﻛﻨﺘﺮﻝ ﺑﻬﻄﻮﺭ ﻣﻌﻨﻴﺪﺍﺭﻱ ﺍﻓﺰﺍﻳﺶ ﻳﺎﻓﺘﻪ ﺍﺳﺖ. ﻫﻤﭽﻨﻴﻦ ﻧﺘﺎﻳﺞ ﺣﺎﺻﻞ ﺍﺯ ﻣﻄﺎﻟﻌﻪ ﻫﻴﺴﺘﻮﭘﺎﺗﻮﻟﻮژﻳﻚ ﻧﺸﺎﻥ ﻣﻴﺪﻫﺪ ﺑﺎﻓﺖ ﺍﭘﻴﺘﻠﻴﺎﻝ ﺩﺭ ﻧﻮﺍﺣﻲ ﺳﻜﻮﻥ ﺩﺭ ﮔﺮﻭﻩ ﺁﺯﻣﺎﻳﺶ ﺑﻪ ﻃﻮﺭ ﻣﻌﻨﻴﺪﺍﺭﻱ ﺑﻴﺸﺘﺮ ﺍﺯ ﮔﺮﻭﻩ ﻛﻨﺘﺮﻝ ﻣﻴﺒﺎﺷﺪ، ﻫﻤﭽﻨﻴﻦ ﻏﺪﺩ ﺳﺒﺎﺳﻪ ﻭ ﻓﻮﻟﻴﻜﻮﻟﻬﺎﻱ ﻣﻮ ﺩﺭ ﻧﻮﺍﺣﻲ ﺳﻜﻮﻥ ﺩﺭ ﺭﺗﻬﺎﻱ ﮔﺮﻭﻩ ﺁﺯﻣﺎﻳﺶ ﺯﻧﺪﻩ ﺑﺎﻗﻲ ﻣﺎﻧﺪﻧﺪ.
ﻧﺘﻴﺠﻬﮕﻴﺮﻱ ﻭ ﻛﺎﺭﺑﺮﺩ ﺑﺎﻟﻴﻨﻲ ﻣﻄﺎﻟﻌﻪ ﺗﺠﺮﺑﻲ ﻣﺎ ﻧﺸﺎﻥ ﻣﻴﺪﻫﺪ ﻛﻪ ﻫﻴﺪﺭﻭژﻝ ﻛﺎﺭﺑﻮﻣﺮ 940 ﺑﺎﻋﺚ ﺑﻬﺒﻮﺩ ﺟﺮﻳﺎﻥ ﺧﻮﻥ ﺑﺎﻓﺘﻲ ﻭ ﻛﺎﻫﺶ ﻣﺴﺎﺣﺖ ﻧﻜﺮﻭﺯ ﺩﺭ ﻧﻮﺍﺣﻲ ﺳﻜﻮﻥ ﻣﻴﮕﺮﺩﺩ. ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺍﻳﻦ ﻫﻴﺪﺭﻭژﻝ ﺩﺭ ﺩﺭﻣﺎﻥ ﺁﺳﻴﺐ ﻫﺎﻱ ﺳﻮﺧﺘﮕﻲ ﺗﺎﺛﻴﺮ ﻣﺜﺒﺖ ﺩﺍﺷﺘﻪ ﻭ ﺑﺎﻋﺚ ﺍﻟﺘﻴﺎﻡ ﺑﻬﺘﺮ ﺯﺧﻤﻬﺎﻱ ﺳﻮﺧﺘﮕﻲ ﺩﺭ ﭘﻮﺳﺖ ﺭﺕ ﻣﻴﺸﻮﺩ.
Keywords :
Carbomer 940 , Hydrogel , Rat , Zone of stasis , Burn wound healing
Journal title :
Astroparticle Physics