Pinheiro Antonio Luiz Barbosa, Meireles Gyselle Cynthia Silva, Carvalho Carolina Montagn, de Barros Vieira Alessandro Leonardo, dos Santos Jean Nunes, Ramalho Luciana Maria Pedreira
Laser Center, School of Dentistry, Federal University of Bahia, Salvador, Brazil.
Photomed Laser Surg. 2006 Oct;24(5):616-24. doi: 10.1089/pho.2006.24.616.
This study aimed to evaluate, by light microcopy, the differences in healing process of cutaneous wounds on nourished or undernourished rats following illumination by polarized light (lambda400-2000 nm) with 20 or 40 J/cm(2).
There are some reports in the literature on different effects of polarized light on wound healing. Amongst the factors that interfere with wound healing one is the nutritional status of the subject.
Thirty nourished or undernourished Wistar rats had one standardized surgical wound created on the dorsum and were divided into six groups: group 1, control (standard diet); group 2, control (Northeastern Brazilian Basic Diet [DBR]); group 3, standard diet + polarized light (20 J/cm(2)); group 4, standard diet + polarized light (40 J/cm(2)); group 5, DBR + polarized light (20 J/cm(2)); group 6, DBR + polarized light (40 J/cm(2)). The first application of treatment was carried out immediately after wounding and repeated every 24 h during 7 days. The animals were sacrificed, and specimens were taken and routinely processed to wax, cut, and stain with hematoxylin and eosin (H&E) and Sirius Red. These were then analyzed under light microscopy. The analysis included re-epitheliialization, inflammatory infiltrate, and fibroblastic proliferation. Sirius Red-stained slides were used to perform descriptive analysis of collagen.
The analysis of the results showed better results in these groups illuminated with 20 J/cm(2).
It is concluded that nutritional status influenced the progression of the healing process as well as the quality of the healed tissue, and that the use of polarized light resulted in a positive biomodulatory effect.
本研究旨在通过光学显微镜评估营养良好或营养不良的大鼠在接受波长为400 - 2000 nm、能量密度为20或40 J/cm²的偏振光照射后皮肤伤口愈合过程的差异。
文献中有一些关于偏振光对伤口愈合不同影响的报道。影响伤口愈合的因素之一是个体的营养状况。
30只营养良好或营养不良的Wistar大鼠在背部制造一个标准化手术伤口,并分为六组:第1组,对照组(标准饮食);第2组,对照组(巴西东北部基础饮食[DBR]);第3组,标准饮食 + 偏振光(20 J/cm²);第4组,标准饮食 + 偏振光(40 J/cm²);第5组,DBR + 偏振光(20 J/cm²);第6组,DBR + 偏振光(40 J/cm²)。在受伤后立即进行首次治疗,并在7天内每24小时重复一次。处死动物,取标本并常规处理成蜡块,切片,用苏木精和伊红(H&E)及天狼星红染色。然后在光学显微镜下进行分析。分析包括再上皮化、炎性浸润和成纤维细胞增殖。用天狼星红染色的玻片对胶原蛋白进行描述性分析。
结果分析表明,接受20 J/cm²照射的组效果更好。
得出的结论是,营养状况影响愈合过程的进展以及愈合组织的质量,并且偏振光的使用产生了积极的生物调节作用。