三七透明质酸钠凝胶对家兔椎板切除术后硬膜外瘢痕中胶原成分的影响
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作者Author单位AddressE-Mail
徐泉 XU Quan 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
周卫 ZHOU Wei 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
孔焕宇 KONG Huan-yu 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
李莉 LI Li 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
章永东 ZHANG Yong-dong 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
张兆杰 ZHANG Zhao-jie 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
刘灿 LIU Can 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
王荣国 WANG Rong-guo 中国中医科学院望京医院,北京 100102 Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China  
期刊信息:《中国骨伤》2010年,第23卷,第4期,第278-281页
DOI:10.3969/j.issn.1003-0034.2010.04.013
基金项目:
中文摘要:

目的:探讨三七透明质酸钠凝胶在家兔术后硬膜外瘢痕组织形成过程中对Ⅰ、Ⅲ型胶原表达的影响。

方法:大耳白品系家兔96只,体重2.0~2.5 kg,6月龄,雌雄各半,按照完全随机方法分为生理盐水组(A)、三七组(B)、透明质酸钠组(C)、三七透明质酸钠凝胶组(D),制作家兔椎板切除模型,分别在硬膜囊周围涂抹生理盐水、三七浓缩液、透明质酸钠、三七透明质酸钠凝胶各0.5 ml,各组术后1、2、4、8周取材,Masson染色进行胶原生长情况的形态学观察,原位杂交方法分析Ⅰ、Ⅲ型胶原mRNA的表达。

结果:Masson染色中胶原纤维的排列,生理盐水组三七透明质酸钠凝胶组比对照组更加规整。Ⅰ型胶原mRNA表达三七透明质酸钠凝胶组在用药4周时明显低于生理盐水组、透明质酸钠组、三七组(P<0.01);Ⅲ型胶原mRNA表达三七透明质酸钠凝胶组在用药4周时明显高于生理盐水组、透明质酸钠组、三七组(P<0.01).

结论:三七透明质酸钠凝胶对家兔术后硬膜外瘢痕具有改善胶原纤维的排列,降低瘢痕硬度,增加瘢痕弹性的作用。
【关键词】透明质酸  凝胶类  三七  胶原Ⅰ型  胶原Ⅲ型
 
The effect of the Sanqi(三七) qisodium hyaluronate gel on the collagen of epidural scar after rabbits laminectomy
ABSTRACT  

Objective: To study the effects of Sanqi(三七) qisodium hyaluronate gel on collagen-Ⅰand collagen-Ⅲ expression in the process of rabbits' epidural scar formation after operation.

Methods: Ninety-six white rabbits with 6-month-old,half males and half females,weighted from 2 to 2.5 kg,which were randomly divided into normal saline group(A),Sanqi (三七) group(B),qisodium hyaluronate group(C) and Sanqi (三七) qisodium hyaluronate gel group(D). The laminectomy of rabbits were performed in group A,B,C D,the duras were surrounded with normal saline,Sanqi(三七) liquid,qisodium hyaluronate and Sanqi(三七) qisodium hyaluronate gel respectively. Animals of each group were killed at 1,2,4,8 weeks after operation. Use Masson staining for histological observation of collagen,and in situ hybridization staining for the analysis of collagen-Ⅰand collagen-Ⅲ expression.

Results: In the Masson staining,Sanqi(三七) qisodium hyaluronate gel group was more regular than the control group in the shape of collagen texture. As to the expression of collagen-Ⅰ,and Sanqi(三七) qisodium hyaluronate gel group was lower than normal saline group,the Sanqi(三七) group and qisodium hyaluronate group at 4 weeks after using medicine(P<0.01);while the Sanqi(三七) qisodium hyaluronate gel group was higher than normal saline group,Sanqi(三七) group and qisodium hyaluronate group in the collagen-Ⅲ expression(P<0.01).

Conclusion: Sanqi(三七) qisodium hyaluronate gel could improve collagen's arrangement of the rabbit's epidural scar after operation,reduce its rigidity and increase flexibility.
KEY WORDS  Hyaluronic acid  Gels  Sanqi  Collagen typeⅠ  Collagen type Ⅲ
 
引用本文,请按以下格式著录参考文献:
中文格式:徐泉,周卫,孔焕宇,李莉,章永东,张兆杰,刘灿,王荣国.三七透明质酸钠凝胶对家兔椎板切除术后硬膜外瘢痕中胶原成分的影响[J].中国骨伤,2010,23(4):278~281
英文格式:XU Quan,ZHOU Wei,KONG Huan-yu,LI Li,ZHANG Yong-dong,ZHANG Zhao-jie,LIU Can,WANG Rong-guo.The effect of the Sanqi(三七) qisodium hyaluronate gel on the collagen of epidural scar after rabbits laminectomy[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(4):278~281
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