Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (22): 3506-3512.doi: 10.3969/j.issn.2095-4344.0847
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Xu Hai-tao1, Wang Min2, Xiang Xi-juan3
Received:
2018-02-20
Online:
2018-08-08
Published:
2018-08-08
Contact:
Xiang Xi-juan, Department of Ophthalmology, Yongchuan District Hospital of Traditional Chinese Medicine, Chongqing 402160, China
About author:
Xu Hai-tao, Master, Attending physician, Department of Orthopedics, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China
Supported by:
the Funded Project of Yongchuan Hospital Affiliated to Chongqing Medical University, No. YJLCX201540
CLC Number:
Xu Hai-tao, Wang Min, Xiang Xi-juan. Topical usage of nerve growth factor-insulin gel on deep II scald wound increases microvessel density and proliferating cell nuclear antigen expression[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(22): 3506-3512.
2.4 各组创面观察 初始建立的烫伤模型创面呈灰白色,质地硬;伤后24 h,烫伤边缘与周围正常组织界限清楚,边界明显发红、水肿(图3);经不同凝胶制剂局部外用后,各组烫伤创面随着时间逐渐缩小,联合组在同一观察时相点缩小更为明显。伤后3 d,各组创面均可见不同程度的红肿及炎性渗出,创面未见明显缩小。伤后7 d,除糖尿病对照组外,其余各组创面无明显红肿、渗出,均形成痂皮,而联合组创面干燥、边缘收缩明显,痂皮与基底紧密相连。伤后11 d,各组创面干燥、无红肿,神经生长因子、胰岛素组、联合组可见新生上皮组织移行,以联合组最为显著。伤后15 d,正常对照组、糖尿病对照组也见明显新生上皮移行,而联合组大部分创面痂皮脱落、已愈合。伤后21 d,联合组创面无明显瘢痕形成、完全愈合,而神经生长因子、胰岛素组大部分创面愈合,正常对照组、糖尿病对照组仅部分创面愈合。"
2.6 各组创面组织学观察 糖尿病大鼠烫伤后创面组织苏木精-伊红染色后,观察创面符合深Ⅱ度烫伤,损伤深度可达真皮深层(图4)。烫伤后1 d,各组表现为不同程度的组织结构破坏、血管扩张、炎性细胞浸润;烫伤后3 d可见少量新生毛细血管,联合组最为明显。烫伤后7-11 d,各组毛细血管及炎性细胞逐渐增加。烫伤后15 d,联合组再上皮化明显,新生胶原纤维排列整齐,毛细血管管径大致相同;胰岛素组、神经生长因子组比正常对照组、糖尿病对照组的新生血管数量增多,但胶原纤维排列紊乱,毛细血管管径不一。烫伤后21 d,联合组创面被上皮细胞覆盖,胶原纤维排列整齐;其他各组均有不同程度的上皮化,但正常对照组、糖尿病对照组不及胰岛素组、神经生长因子组,见图5。"
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