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朱氏脱疽方对大鼠糖尿病性溃疡创面炎症因子和细菌感染的影响
于天一,杨春雨,梁学威,乔文琪,赵钢
0
黑龙江中医药大学哈尔滨 150040;黑龙江中医药大学附属第三医院哈尔滨 150030;黑龙江中医药大学哈尔滨 150040;黑龙江中医药大学附属第一医院哈尔滨 150040
摘要:
目的:观察朱氏脱疽方外敷治疗对大鼠糖尿病性溃疡面积、创面炎症因子和细菌感染水平的影响。方法:将80只10周龄Wistar大鼠随机分成20只和60只,其中20只为空白组,其余60只制备糖尿病性溃疡模型,随机分为模型组、对照组、实验组,每组各20只。实验组局部清创,表皮生长因子凝胶外用联合朱氏脱疽方油剂外敷,无菌纱布包扎;对照组局部清创,表皮生长因子凝胶外用,无菌油纱外敷,无菌纱布包扎;模型组局部清创,无菌油纱外敷,无菌纱布包扎;空白组不予处置。治疗第16天,测量并比较各组的溃疡面积、创面菌落浓度,以及创面炎症因子水平。结果:治疗第16天,与模型组相比,对照组和实验组的溃疡面积均缩小、白细胞介素(IL)-6和肿瘤坏死因子(TNF)-α水平均降低,IL-10和IL-12水平均升高,创面菌落浓度降低。实验组改善程度均优于对照组(P <0.05)。结论:朱氏脱疽方油剂联合表皮生长因子外敷应用于糖尿病性溃疡大鼠,能够改善大鼠的创面面积,降低促炎因子水平,升高抑炎因子水平,降低创面菌落数,效果优于单纯应用表皮生长因子,其作用机制可能与组方中的有效成分对炎症因子的调节和对致病微生物的直接杀灭作用有关。
关键词:  糖尿病  溃疡  脱疽  细菌感染  炎症因子
DOI:10.3969/j.issn.1007-6948.2026.01.022
投稿时间:2025-03-01
基金项目:黑龙江省中医药科研项目(ZHY2023-118);哈尔滨市科技局科技计划自筹经费项目(2023CZJNS088)
Effect of Zhushi Tuoju recipe on inflammatory factors and bacterial infection of diabetes ulcer wound in rats
YU Tian-yi,YANG Chun-yu,LIANG Xue-wei
Abstract:
Objective To observe the effect of Zhushi Tuoju recipe on diabetes ulcer in rats, and compare the changes of inflammatory factors and bacterial infection levels of the wound before and after treatment. Methods A total of eighty 10 weeks old Wistar rats were randomly assigned to two groups: a blank control group(n=20) and a model preparation group (n=60). The model preparation group then underwent induction of diabetic ulcer. Subsequently, the successfully modeled rats were randomly divided into three groups (n=20 per group): model group, control group, and treatment group. In the treatment group, local debridement, external application of epidermal growth factor gel, external application of Zhushi Tuoju recipe oil, and dressing with sterile gauze; In the control group, local debridement, external application of epidermal growth factor gel, external application of sterile gauze, and dressing with sterile gauze; Local debridement of the model group, application of sterile oil gauze, and bandaging with sterile gauze; the blank group will not be treated. On the 16th day of treatment, measure and compare the ulcer area, wound colony concentration, and inflammatory factor levels of each group. Results Compared with the control group after treatment, the treatment group showed a reduction in ulcer area, a decrease in IL-6 levels and TNF-α levels, an increase in IL-10 levels and IL-12 levels, and a decrease in wound bacterial count levels. The improvement degrees of treatment group were better than that of the control group, and there were a statistical difference (P <0.05). Conclusion It is preliminarily proved that the external application of Zhushi Tuoju recipe oil can improve the wound area of rats before and after treatment, reduce the level of proinflammatory factors, increase the level of anti-inflammatory factors, and reduce the bacterial count. Its therapeutic effect may be related to the effective ingredients in the formula, the regulation of inflammatory factors, and the direct killing of pathogenic microorganisms.
Key words:  Diabetes  ulcer  gangrene  bacterial infection  inflammatory factor

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