Yasukawa Akio, Hrui Haruki, Koyama Yoshihisa, Nagai Masahiro, Takakuda Kazuo
Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Tokyo, Japan.
J Vet Med Sci. 2007 Aug;69(8):799-806. doi: 10.1292/jvms.69.799.
The effect of low reactive-level laser therapy (LLLT) with a He-Ne laser on operative wound healing was investigated in a rat model. 10-millimeter surgical wounds were created on the backs of Sprague Dawley rats, and animals were assigned to one of eleven groups (n=5). Ten groups received either 8.5 mW or 17.0 mW irradiation of 15 seconds LLLT a day with one of five different irradiation frequencies, i.e. daily (from the 1st to 6th day following surgery), every other day (the 1st, 3rd, and 5th day), on only the 1st day, on only the 3rd day, and on only the 5th day; the 1st day was the day following the surgery. The control group received no irradiation. A skin specimen was harvested from the dorsal thoracic region on the 7th day to measure the rupture strength. The control group had the lowest rupture strength (5.01 N), and the 17.0 mW every other day irradiation group had the highest rupture strength (13.01 N). Statistical differences were demonstrated in the 8.5 mW irradiation setting between the every other day irradiation group and the control group (p<0.05); and in 17.0 mW irradiation setting between the every day irradiation, the every other day, and the 1st day only groups vs. the control group (p<0.01). Histological examination demonstrated that wound healing in the 17.0 mW every other day irradiation group was promoted most significantly such as the prevention of excessive inflammation, increased formation of collagen fibers, and recovery in continuity of tissues. The control group showed poor wound healing and the other experimental groups showed intermediate healing. Thus LLLT with a He-Ne laser was found to promote the healing of operative wounds in the present rat model, in which the most favorable application of LLLT was the 17.0 mW setting of 15 seconds a day with a frequency of every other day.
在大鼠模型中研究了氦氖激光低强度激光疗法(LLLT)对手术伤口愈合的影响。在斯普拉格-道利大鼠背部制造10毫米的手术伤口,并将动物分为11组之一(n = 5)。10组每天接受8.5毫瓦或17.0毫瓦的15秒低强度激光疗法照射,照射频率有五种不同情况,即每天(手术后第1至6天)、隔天(第1、3和5天)、仅在第1天、仅在第3天和仅在第5天;第1天为手术后的第一天。对照组不接受照射。在第7天从胸背部采集皮肤标本以测量断裂强度。对照组的断裂强度最低(5.01牛),隔天照射17.0毫瓦组的断裂强度最高(13.01牛)。在8.5毫瓦照射设置下,隔天照射组与对照组之间存在统计学差异(p<0.05);在17.0毫瓦照射设置下,每天照射组、隔天照射组和仅第1天照射组与对照组之间存在统计学差异(p<0.01)。组织学检查表明,隔天照射17.0毫瓦组的伤口愈合促进最为显著,如预防过度炎症、增加胶原纤维形成以及组织连续性恢复。对照组伤口愈合较差,其他实验组伤口愈合情况居中。因此,在本大鼠模型中发现氦氖激光低强度激光疗法可促进手术伤口愈合,其中最有利的低强度激光疗法应用是每天15秒、频率为隔天的17.0毫瓦设置。