Citation
Mustafa, Nur Faizah
(2005)
Effects of Topical Application of Eupatorllum Odoratum, Channa Striatus, Centella Aslat Ica and Silver Sulphadiazine on Burn Wounds in an Animal Model.
Masters thesis, Universiti Putra Malaysia.
Abstract
The merit of attempting to treat burn wounds has long been appreciated
since the last century, at least in the sense of providing a clean wound,
avoiding formation of purulent and exudation as well as to enhance a
granulation and reepithelization. It has been a special consideration in
medical practice as bum denatures cellular protein, inhibits cellular
metabolism hence secondary interference of local vascular supply.
Therefore, the present study was designed to investigate the effect of a crude
methanolic extract of Eupatoriurn odoraturn, Channa striatus and Centella
asiatica on burn wound healing as these natural resources have been
traditionally used in burn treatment. A standard reproducible of second degree burn wounds was inflicted using a cylindrical stainless steel template
(2.5 an diameter) on 225 adult male Sprague Dawley weighing between 250 -
350g. The animals were divided into five groups with nine animals in each
group, representing a control and experimental groups. Extracts of
Eupatoriurn odoraturn, Channa striatus and Centella asiatica with silver
sulphadiazine, as a standard treatment were applied twice daily, except in
the control group where wounds were left without any topical treatment.
The rats were closely monitored to assess any changes. The rats were
euthanized at 3, 7, 14, 21 and 28 days post burned. The macroscopic
appearance of burn wounds was evaluated and recorded. The percentage of
wound contractions was measured. The burn sites were excised and
subjected to water content assessment and biomechanical study. Apart from
that, histological study was also performed qualitatively and quantitatively
using a hematoxylin and eosin and Masson's trichrome staining.
Results obtained from this study revealed that from macroscopic study,
Eupatoriurn odoraturn showed advanced effect to minimize the progression of
zone of stasis as compared to other groups. Quantitative evaluation of the
number of inflammatory cells (polymorphonuclear leucocytes, and
macrophages) from day 3 to day 28 in wounds treated with Eupatoriurn
odorafurn demonstrated sigruficant fall in number of inflammatory cells
(polymorphonuclear leucocytes, and macrophages) from day 3 to day 28,
whereas the number of proliferative cells (fibroblasts and endothelial cells) increased from day 7 to day 28. The Eupatorium odoratum also showed
potential to preserve viable dermal tissue and induce a well-formed of
angiogenesis with better organization as compared to other treatments. A
semi quantitative wound scoring system used to evaluate the collagen
bundles indicated that the Eupatorium odoratum treated burns demonstrated a
better orientation of collagen as compared to other experimental groups as
characterized by more densely packed fibres with thick bundles of wellaligned
collagen and showed a basket-weave-like pattern with a more
random structure. Eupatorium odoratum also promoted remodeling of
collagen by synthesis of inter and intra-molecular protein crosslinking and
thus produced a marked increased @<0.05) in tensile strength as compared
to other experimental groups. Eupatorium odoratum also consistently
prevented burn edema as shown by reduction in wet to dry weight ratio of
- -
the burn site tissues. On the other hand, burn wounds treated with Channa
striatus showed earlier re-epithelialization as early as 3 days post burned
while Eupatotium odoratum treated burn wounds at day 7. The results also
demonstrated that burn wounds treated with Channa striahrs showed rapid
cleansing of the wound with minimal scarring at day 28.In conclusion, the present study showed that the Eupatoriurn odoraturn was
the most superior treatment agent for burn wounds followed by Channa
striahcs and then Centella asiatica in relation to macroscopic evaluation,
histological findings, edema measurement and biomechanical property.
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