我們的研究係以明膠為基本材料,加入葛根濃縮粉末,並以戊二醛 來進行化學交聯,製成長度12 mm,內徑約為 1.7 mm,外徑約為 2.5 mm 的可降解性實驗組葛根明膠神經導管。對照組則製備不含葛根的明膠神 經導管。兩組各採用10 隻雌性 SD 大鼠,截斷坐骨神經 10 mm,將導管 植入後飼養八週,然後將大鼠犧牲收成,以解剖目測觀察、電生理、組 織學方法評估神經再生情形。結果顯示,兩組皆可以肉眼觀察到橫跨斷 面的成功神經再生,而且導管降解情況良好。在電生理評估上,實驗組 在潛期及神經傳導速率上,比對組組有良好的表現,而且已達到統計上 的顯著差異。在組織學評估上,可以觀察到實驗組的再生神經比對照組 更為緻密,有髓鞘的軸突較多,軸突形狀也較大而圓。因此,我們的結 論是,葛根明膠神經導管,比未加葛根的導管,更能促進神經的再生與 神經功能的恢復。本研究尚有許多改善空間,葛根對神經再生的作用與 機轉,仍需後續的研究來進一步加以探討。
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