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低强度激光波长对大鼠挤压伤后坐骨神经再生的比较影响。

Comparative effects of wavelengths of low-power laser in regeneration of sciatic nerve in rats following crushing lesion.

机构信息

Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Medical School of Ribeirão Preto, University of São Paulo, Av. Bandeirantes 3900, Ribeirão Preto 14049-900, SP, Brazil.

出版信息

Lasers Med Sci. 2010 May;25(3):423-30. doi: 10.1007/s10103-009-0750-8. Epub 2010 Feb 6.

Abstract

Peripheral nerves are structures that, when damaged, can result in significant motor and sensory disabilities. Several studies have used therapeutic resources with the aim of promoting early nerve regeneration, such as the use of low-power laser. However, this laser therapy does not represent a consensus regarding the methodology, thus yielding controversial conclusions. The objective of our study was to investigate, by functional evaluation, the comparative effects of low-power laser (660 nm and 830 nm) on sciatic nerve regeneration following crushing injuries. Twenty-seven Wistar rats subjected to sciatic nerve injury were divided into three groups: group sham, consisting of rats undergoing simulated irradiation; a group consisting of rats subjected to gallium-aluminum-arsenide (GaAlAs) laser at 660 nm (10 J/cm(2), 30 mW and 0.06 cm(2) beam), and another one consisting of rats subjected to GaAlAs laser at 830 nm (10 J/cm(2), 30 mW and 0.116 cm(2)). Laser was applied to the lesion for 21 days. A sciatic functional index (SFI) was used for functional evaluation prior to surgery and on days 7, 14, and 21 after surgery. Differences in SFI were found between group 660 nm and the other ones at the 14th day. One can observe that laser application at 660 nm with the parameters and methods utilised was effective in promoting early functional recovery, as indicated by the SFI, over the period evaluated.

摘要

周围神经是一种结构,如果受损,会导致显著的运动和感觉功能障碍。已有多项研究采用了具有促进早期神经再生作用的治疗资源,如低强度激光。然而,这种激光疗法在方法学方面尚未达成共识,因此得出了相互矛盾的结论。本研究的目的是通过功能评估,研究低强度激光(660nm 和 830nm)对挤压伤后坐骨神经再生的比较作用。27 只 Wistar 大鼠行坐骨神经损伤后,随机分为三组:假手术组,仅接受模拟照射;另一组给予 660nmGaAlAs 激光照射(10J/cm2、30mW、0.06cm2 光斑),还有一组给予 830nmGaAlAs 激光照射(10J/cm2、30mW、0.116cm2 光斑)。激光应用于损伤部位 21 天。在手术前和手术后第 7、14 和 21 天,采用坐骨神经功能指数(SFI)进行功能评估。第 14 天,660nm 组与其他两组之间的 SFI 存在差异。可以看出,在评估期间,在使用的参数和方法下,660nm 激光照射可有效促进早期功能恢复,如 SFI 所示。

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