ABSTRACT
OBJECTIVE: To study therapeutic effects of Spider toxin oral ulcer powder on recurrent aphthous ulcer (RAU) model rats and its mechanism. METHODS: In vitro antimicrobial activity of the powder was determined by disk diffusion method. 50 healthy SD rats were randomly divided into normal group, model group, positive group (Guilin watermelon frost, 100 mg/kg) and oral ulcer powder high-dose and low-dose groups (70, 35 mg/kg), with 10 rats in each group. Except for normal group, RAU model was established in the right oral submucosa of rats in other groups by acetic acid method. After modeling, administration groups were smeared with corresponding drugs on ulcers for 3 days. Normal group and model group were not treated. The ulcer surface of rats was observed and the ulcer area was measured on the 1st and 3rd days after administration. The morphological changes of ulcer tissues were observed. The serum levels of SOD, MDA, GSH, TNF-α, IL-1, IL-6 and IFN-γ were detected. The protein expressions of MMP-9, NF-κB, Caspase-3 and PARP in ulcer tissues of rats were detected by immunohistochemistry. RESULTS: The oral ulcer powder showed obvious in vitro bacteriostasis effect. Compared with blank group, oral ulcer and histopathological changes were obvious in model group; serum levels of TNF-α, IL-1, IL-6 and MDA were increased significantly, while the levels of IFN-γ, SOD and GSH were decreased significantly (P<0.01); the expression of MMP-9, NF-κB, Caspase-3 and PARP in ulcer tissue were increased significantly (P<0.05 or P<0.01). Compared with model group, the ulcer area of rats in each dosage group was significantly reduced (P<0.05 or P<0.01) or nearly healed, the pathological changes of tissue were significantly alleviated; serum levels of MDA, TNF-α, IL-1 and IL-6 were decreased significantly, while the levels of SOD, GSH and IFN-γ were increased significantly (P<0.05 or P<0.01); the expression of MMP-9, NF-κB, Caspase-3 and PARP in ulcer tissue were decreased significantly (P<0.01). CONCLUSIONS: Spider toxin oral ulcer powder shows strong bacteriostasis, detumescence and repair effects, and has obvious therapeutic effect on RAU model rats. Its mechanism may be related to reducing the level of inflammatory factors, mediating the expression of apoptotic factors and regulating immune imbalance.
ABSTRACT
Objective To compare the effect of different flow rate of oxygen inhalation on relieving scapuledynia after laparoscopic cholecystectomy(LC) with carbon dioxide pneumoperitoneum. Methods 100 patients adopted LC were divided into the 2 L/min group (n=50), the 4 Ldmin group (n=50), both re-ceived oxygen inhalation 6 hours after LC. The incidence and degree of scapulodynia and the blood- gas analysis were analyzed. Results The incidence of scapulodynia after LC in the 4 L/min group was signifi-cantly lower than that of 2 L/min group. PaCO2,PaO2 and pH in the 4 L/min group were different from those of the 2 L/min group. Conclusions Increasing flow rate of oxygen inhalation can relieve incidence and degree of scapulodynia after laparoscopic cholecystectomy.