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氦氖激光疗法对链脲佐菌素诱导的糖尿病大鼠胫骨部分截骨术愈合的影响。

The effects of helium-neon light therapy on healing of partial osteotomy of the tibia in streptozotocin induced diabetic rats.

作者信息

Abdi Shabnam, Bayat Mohammad, Javadieh Farshad, Mohsenifar Zhaleh, Rezaie Fatemesadat, Bayat Maryam

机构信息

Medical Faculty, Cellular and Molecular Biology Research Center, Department of Pathology, Ayatollah Taleghani Hospital, Shahid Beheshti University, M.C., Tehran, Iran.

出版信息

Photomed Laser Surg. 2009 Dec;27(6):907-12. doi: 10.1089/pho.2008.2421.

Abstract

OBJECTIVE

The effect of light therapy (LT) on surgically created partial osteotomy in streptozotocin (STZ)-induced diabetic rats was examined.

BACKGROUND DATA

LT has been shown to enhance bone repair in healthy human and animal models.

MATERIALS AND METHODS

Forty male rats were divided into groups 1 to 5. Diabetes was induced in rats of groups 1, 2, and 3 using an intraperitoneal injection of STZ. All diabetic rats were maintained for 30 days after STZ injection. Under general anesthesia and sterile conditions, a partial transversal standardized osteotomy was made in the mid-portion of the right tibia. The defects in groups 2, 3, and 5 were treated using a helium-neon (He-Ne) laser (632.8 nm, 10 mW, circular beam shape). Groups 1 and 4 were diabetic placebo and normal placebo groups, respectively. A dose of 369.4 J/cm2 for groups 2 and 5 and a dose of 66.8 J/cm2 for group 3 were applied three times a week. Six weeks after surgery, the right tibia was collected. The specimen was subjected to a three-point bending test.

RESULTS

LT with 369.4 J/cm2 energy density resulted in significantly greater bending stiffness in group 5 (41.8+/-5.2) than in groups 1 (18.5+/-4.1), 2 (17.7+/-1.6), and 3 (11.5+/-4) (least significant difference (LSD) test, p<0.01, p<0.001, and p<0.001, respectively). LT with 369.4 J/cm2 energy density resulted in a significantly higher stress load in group 5 (10+/-0.4) than in groups 1 (4.9+/-1.5), 2 (5.7+/-0.52), and 3 (3.9+/-1.1) (LSD test, p<0.01, p<0.01, p<0.001, respectively).

CONCLUSION

LT with a He-Ne laser in STZ-induced diabetic rats did not enhance bone repair of a partial transversal standardized osteotomy.

摘要

目的

研究光疗(LT)对链脲佐菌素(STZ)诱导的糖尿病大鼠手术造成的部分截骨术的影响。

背景资料

在健康人类和动物模型中,LT已被证明可促进骨修复。

材料与方法

40只雄性大鼠被分为1至5组。对第1、2和3组大鼠腹腔注射STZ诱导糖尿病。所有糖尿病大鼠在注射STZ后维持30天。在全身麻醉和无菌条件下,于右胫骨中部进行部分横向标准化截骨术。第2、3和5组的缺损采用氦氖(He-Ne)激光(632.8nm,10mW,圆形光束)治疗。第1组和第4组分别为糖尿病安慰剂组和正常安慰剂组。第2组和第5组的剂量为369.4J/cm2,第3组的剂量为66.8J/cm2,每周应用3次。术后6周,收集右胫骨。对标本进行三点弯曲试验。

结果

能量密度为369.4J/cm2的LT使第5组(41.8±5.2)的弯曲刚度显著高于第1组(18.5±4.1)、第2组(17.7±1.6)和第3组(11.5±4)(最小显著差异(LSD)检验,p分别<0.01、<0.001和<0.001)。能量密度为369.4J/cm2的LT使第5组(10±0.4)的应力负荷显著高于第1组(4.9±1.5)、第2组(5.7±0.52)和第3组(3.9±1.1)(LSD检验,p分别<0.01、<0.01、<0.001)。

结论

在STZ诱导的糖尿病大鼠中,使用He-Ne激光进行光疗并不能增强部分横向标准化截骨术的骨修复。

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