中国激光, 2010, 37 (2): 599, 网络出版: 2010-02-03   

3种剂量弱激光对大鼠皮肤创伤愈合的影响

Effects of Low-Level Laser Therapy on Cutaneous Wound Healings with Three Doses
作者单位
1 天津医科大学 生物医学工程系激光医学实验室,天津 300070
2 天津医科大学 口腔医院,天津 300070
摘要
保持功率密度为10 mW/cm2不变,用3种剂量(1.2,2.4和3.6 J/cm2)的630 nm连续输出型弱激光对Wistar大鼠背部皮肤开放型切除创口进行照射,通过测量创口面积和组织病理学分析观察1-4 J/cm2能量密度范围内,不同剂量的弱激光对创口愈合的影响。创口面积的方差分析(ANOVA)结果表明,空白对照组与各照射剂量组之间不存在统计学差异。而组织病理学分析结果表明,弱激光照射组较空白对照组有以下特点:炎性期持续时间短,肉芽组织出现早,在同一时期,肉芽组织成熟、胶原数量多且其中成熟胶原所占比重大、表皮新生速度快,并且,这种优势随着所用剂量的增加而更加明显。可以认为功率密度为10 mW/cm2,1-4 J/cm2能量密度范围内的630 nm弱激光对创伤愈合具有一定的局部促进作用,效果随剂量增加而更好。
Abstract
To observe the influences of different daily doses between 1-4 J/cm2 of low-level laser therapy (LLLT) on wound healings,the dorsal cutaneous excisional wounds of Wistar rats were irradiated with 630 nm at three daily doses of 1.2 J/cm2,2.4 J/cm2 and 3.6 J/cm2 under a constant power density of 10 mW/cm2. The analysis of variance (ANOVA) of areas of the wounds indicates that there were no statistical differences among the control group and the other three different doses groups. However,microscopic observations,both hematoxylin and eosin staining and Masson staining,could tell evidently better results of LLLT groups when compared to the control group,including the shorter period of inflammation,the greater development of granulations and collagens,and better epithelialization. The microscopic evaluations also suggest that larger dose brings better wound healing results within the 1-4 J/cm2 range.
参考文献

[1] . 弱激光生物刺激效应在创伤治疗中的作用[J]. 医疗卫生装备, 2007, 28(10): 26-28.

    . Effect of low-level laser biostimulation in wound healing[J]. Chinese Medical Equipment Journal, 2007, 28(10): 26-28.

[2] 徐朝阳,谭石慈,邢达. He-Ne激光照射巨噬细胞对胞内钙浓度及其免疫活性的影响[J]. 中国激光,2004,31(2):253-256

    Xu Chaoyang,Tan Shici,Xing Da. Effect of He-Ne laser irradiation on [Ca2+]i and immunocompetence in macrophages [J]. Chinese J. Lasers,2004,31(2):253-256

[3] . Nussbaum,G. David Baxter,Lothar Lilge. A review of laser technology and light-tissue interactions as a background to therapeutic applications of low intensity lasers and other light sources[J]. Physical Therapy Reviews, 2003, 8: 31-44.

[4] . Woodruff,Julie M. Bounkeo,Windy M. Brannon et al.. The efficacy of laser therapy in wound repair:a meta-analysis of the literature[J]. Photomedicine and Laser Surgery, 2004, 22(3): 241-247.

[5] . Mester,T. Spiry,B. Szende et al.. Effect of laser rays on wound healing[J]. Am. J. Surg., 1971, 122: 532-535.

[6] . . Effect of equal daily doses achieved by different power densities of low-level laser therapy at 635 nm on open skin wound healing in normal and corticosteroid-treated rats[J]. Lasers Med. Sci., 2009, 24(4): 539-547.

[7] . 数码照相结合ImageJ医学图像分析软件法与无菌薄膜勾边法测量糖尿病皮肤溃疡面积的可靠性比较[J]. 中国修复重建外科杂志, 2008, 22(5): 563-566.

    . . A comparsion of digital planimetry and transparency tracing based methods for measuring diabetic cutaneous ulcer surface area[J]. Chinese Journal of Reparative and Reconstructive Surgery, 2008, 22(5): 563-566.

[8] . Demidova-Rice,Elena V. Salomatina,Anna N. Yaroslavsky et al.. Low-level light stimulates excisional wound healing in mice[J]. Lasers in Surgery and Medicine, 2007, 39: 706-715.

[9] . A. P. Medrado,Lívia S. Pugliese,Sílvia Rdgina A. Reis et al.. Influence of low level laser therapy on wound healing and its biological action upon myofibroblasts[J]. Lasers in Surgery and Medicine, 2003, 32: 239-244.

[10] . . Comparison between wound healing in induced diabetic and nondiabetic rats after low-level laser therapy[J]. Photomedicine and Laser Surgery, 2006, 24(4): 474-479.

[11] . F. Allendorf,Marc Bessler,James Huang et al.. Helium-Neon laser irradiation at fluences of 1,2,and 4 J/cm2 failed to accelerate wound healing as assessed by both wound contracture rate and tensile strength[J]. Lasers in Surgery and Medicine, 1997, 20: 340-345.

[12] 陈杰,李甘地. 病理学[M]. 北京:人民卫生出版社,2006. 57-58

    Chen Jie,Li Gandi. Pathology[M]. Beijing:People’s Medical Publishing House,2006. 57-58

[13] . Vidinsky,P. Gál,T. Toporcer et al.. Histological study of the first seven days of skin wound healing in rats[J]. Acta Vet. BRNO, 2006, 75: 197-202.

[14] . . Histological assessment of the effect of laser irradiation on skin wound healing in rats[J]. Photomedicine and Laser Surgery, 2006, 24(4): 480-488.

[15] . Peter Lorenz,Michael T. Longaker. Wounds:biology,pathology,and management[J]. Essential Practice of Surgery, 2003, 1: 77-88.

[16] . Baum,Christopher J. Arpey. Normal cutaneous wound healing:clinical correlation with cellular and molecular events[J]. Dermatol. Surg., 2005, 31: 674-686.

[17] . Singer,Richard A. F. Clark. Cutaneous wound healing[J]. The New England Journal of Medicine, 1999, 341(10): 738-746.

[18] . A. Reis,Alena P. Medrado,Antnio T. Marchionni et al.. Effect of 670-nm laser therapy and dexamethasone on tissue repair:a histological and ultrastructural study[J]. Photomedicine and Laser Surgery, 2008, 4: 305-311.

[19] 李燕,角建瓴,刘承宜 等. 氯胺酮对He-Ne激光照射促人正常皮肤成纤维细胞增殖作用的影响[J]. 中国激光,2004,31(4):509-512

    Li Yan,Jiao Jianling,Liu Chengyi et al.. Effects of ketamine in combination with 468.7 mJ/cm2 He-Ne laser irradiation on proliferation in human skin fibroblasts [J]. Chinese J. Lasers,2004,31(4):509-512

[20] . Biomed,Heidi Abrahamse. Effect of multiple exposure of low-level laser therapy on the cellular responses of wounded human skin fibroblasts[J]. Photomedicine and Laser Surgery, 2006, 24(6): 705-714.

[21] . Low-energy laser Irradiation increases endothelial cell proliferation,migration,and eNOS gene expression possibly via PI3K signal pathway[J]. Lasers in Surgery and Medicine, 2008, 40: 46-54.

[22] 付春茂,孙新华. 氦氖激光照射对兔正畸牙周组织中血管内皮细胞生长因子受体-2表达的影响[J]. 中国激光,2008,35(1):156-160

    Fu Chunmao,Sun Xinhua. Effects of He-Ne laser irradiation on vascular endothelial cell growth factor R-2 expression in periodontium of tooth movement in rabbits [J]. Chinese J. Lasers,2008,35(1):156-160

[23] . Arun Maiya,Pramod Kumar,Laxmi Rao. Effect of low intensity helium-neon (He-Ne) laser irradiation on diabetic wound healing dynamics[J]. Photomedicine and Laser Surgery, 2005, 23(2): 187-190.

[24] . Byrnes,Lauren Barna,Michelle Chenault et al.. Photobiomodulation improves cutaneous wound healing in an animal model of type Ⅱ diabetes[J]. Photomedicine and Laser Surgery, 2004, 22(4): 281-290.

[25] . D. Butler,M. T. Longaker,G. P. Yang. Current progress in keloid research and treatment[J]. J. Am. Coll. Surg., 2008, 206(4): 731-731.

[26] . Pathophysiology and current management of burn injury[J]. Adv. Skin Wound Care, 2005, 18: 323-332.

[27] . Y. John Chen,Alan A. Rogers. Recent insights into the causes of chronic leg ulceration in venous diseases and implications on other types of chronic wounds[J]. Wound Rep. Reg., 2007, 15: 434-449.

[28] . Jones,Kristopher Fennie,Amber Lenihan. Evidence-based management of chronic wounds[J]. Adv. Skin Wound Care, 2007, 20: 591-600.

[29] . Eming,Thomas Krieg,Jeffery M. Davidson. Inflammation in wound repair:molecular and cellular mechanisms[J]. Journal of Investigative Dermatology, 2007, 127: 514-525.

[30] . A. Vladimirov,A. N. Osipov,G. I. Klebanov. Photobiological principles of therapeutic applications of laser radiation[J]. Biochemistry (Moscow), 2004, 69(1): 81-90.

潘振华, 李迎新, 王兴, 陈洪丽, 肖全芝. 3种剂量弱激光对大鼠皮肤创伤愈合的影响[J]. 中国激光, 2010, 37(2): 599. Pan Zhenhua, Li Yingxin, Wang Xing, Chen Hongli, Xiao Quanzhi. Effects of Low-Level Laser Therapy on Cutaneous Wound Healings with Three Doses[J]. Chinese Journal of Lasers, 2010, 37(2): 599.

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