PLA植入物对家兔生理性成骨及血液系统的影响

M. Rybalka, L. Stepchenko, L. Galuzina, D. Krutous
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摘要

pla基植入物具有与人体组织高度的生物相容性,并且具有可生物降解和骨整合的特性。骨组织生长发育的调节与血液系统有着千丝万缕的联系,血液系统是钙稳态的塑性物质和激素的来源。当PLA植入家兔的顶骨时,它们的身体发生了典型的骨科和创伤手术后的变化。术后可发生宏微量元素代谢失调和红细胞生成紊乱,对幼兔体内骨组织生长产生负面影响。研究表明,腐殖质能够影响成骨细胞的活性,调节矿物质代谢。试验将32只家兔分为4组,每组8只;16只兔子接受手术使用PLA植入物,将其放置在双侧顶骨中。16只手术兔中8只给予湿润剂加水,其余给予纯净水。16只兔术前完整8只加水,非手术对照组不加水。测定PLA植入物使用过程中腐殖质对生理性成骨和血液学参数的影响。实验第14天,与手术对照组相比,手术组的红细胞、血红蛋白没有减少,白细胞没有增加。在接受湿润剂的幼兔股骨中记录到骨细胞和成骨细胞层数的增加,在胸骨中记录到骨细胞和成骨细胞层数的增加。与非手术对照组相比,接受湿润剂的非手术组的红细胞和血红蛋白数量也有所增加。在接受Humilid的家兔中,在生理性和修复性成骨的背景下,骨组织生长增强。
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Influence of humic substances on physiological osteogenesis and the blood system of rabbits while using PLA implants
PLA-based implants are characterized by high biocompatibility with body tissues, and are also distinguished by their biodegradable and osseointegrative properties. The regulation of bone tissue growth and development is inextricably linked with the blood system, which is a source of plastic substances and hormones of calcium homeostasis. When PLA implants were inserted into the parietal bone of rabbits, changes occurred in their bodies that were typical for the period after orthopedic and traumatological operations. Metabolism dysregulation of macro- and microelements and disturbances of erythropoiesis, which can occur in the postoperative period, have a negative effect on the bone tissue growth in the young rabbits’ body. It has been proven that humic substances were able to influence the activity of osteoblasts and regulate mineral metabolism. For the experiment, 32 rabbits were divided into four groups, 8 rabbits in each group; sixteen rabbits underwent surgery using PLA implants, which were placed bilaterally in the parietal bone. Eight of the 16 operated rabbits were given Humilid together with water, the rest of them received pure water. Eight of 16 rabbits, intact before surgery, received Humilid together with water, the non-surgical control group did not receive Humilid. The influence of humic substances on physiological osteogenesis and hematological parameters during the use of PLA implants was determined. On the 14th day of the experiment, the rabbits of the surgical group receiving Humilid did not show a decrease in erythrocytes, hemoglobin, and an increase in leukocytes, in contrast to the rabbits of the surgical control group. An increase in the number of osteons and osteoblasts layers was recorded in the femur of the young rabbits that were receiving Humilid, and in the sternum – the number of osteons and layers of osteoblasts. There was also an increase in the number of erythrocytes and hemoglobin in the non-surgical group rabbits that were receiving Humilid to compare the rabbits of the non-surgical control group. ln rabbits that received Humilid, there was an intensification of bone tissue growth against the background of physiological and reparative osteogenesis.
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