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低水平激光疗法对链脲佐菌素诱导糖尿病大鼠跟腱切断术后愈合的影响。

Effect of low-level laser therapy on healing of tenotomized Achilles tendon in streptozotocin-induced diabetic rats.

机构信息

Department of Anatomical sciences and Biology, Medical Faculty, Shahid Beheshti University, MC, PO Box 19395/4719, Tehran, 1985717443, Iran.

出版信息

Lasers Med Sci. 2013 Feb;28(2):399-405. doi: 10.1007/s10103-012-1074-7. Epub 2012 Feb 28.

DOI:10.1007/s10103-012-1074-7
PMID:22370620
Abstract

Diabetes mellitus (DM) is associated with musculoskeletal damage. Investigations have indicated that healing of the surgically tenotomized Achilles tendon was considerably augmented following low-level laser therapy (LLLT) in non-diabetic, healthy animals. The aim of the present study was to evaluate the effect of LLLT on the Achilles tendon healing in streptozotocin-induced diabetic (STZ-D) rats via a biomechanical evaluating method. Thirty-three rats were divided into non-diabetic (n = 18) and diabetic (n = 15) groups. DM was induced in the rats by injections of STZ. The right Achilles tendons of all rats were tenotomized 1 month after STZ injections. The two experimental groups (n = 6 for each group) of non-diabetic rats were irradiated with a helium-neon (He-Ne) laser at 2.9 and 11.5 J/cm(2) for ten consecutive days. The two experimental groups of diabetic rats (n = 5 for each group) were irradiated with a He-Ne laser at 2.9 and 4.3 J/cm(2) for ten consecutive days. The tendons were submitted to a tensiometric test. Significant improvements in the maximum stress (MS) values (Newton per square millimeter) were found following LLLT at 2.9 J/cm(2) in both the non-diabetic (p = 0.031) and diabetic (p = 0.019) experimental groups when compared with their control groups. LLLT at 2.9 J/cm(2) to the tenotomized Achilles tendons in the non-diabetic and diabetic rats significantly increased the strength and MS of repairing Achilles tendons in our study.

摘要

糖尿病(DM)与肌肉骨骼损伤有关。研究表明,在非糖尿病健康动物中,低水平激光疗法(LLLT)可显著增强手术切断的跟腱的愈合。本研究旨在通过生物力学评估方法评估 LLLT 对链脲佐菌素诱导的糖尿病(STZ-D)大鼠跟腱愈合的影响。33 只大鼠分为非糖尿病(n=18)和糖尿病(n=15)组。大鼠通过注射链脲佐菌素诱导糖尿病。所有大鼠的右侧跟腱在 STZ 注射后 1 个月被切断。两组非糖尿病实验大鼠(每组 n=6)连续 10 天用氦氖(He-Ne)激光照射 2.9 和 11.5 J/cm²。两组糖尿病实验大鼠(每组 n=5)连续 10 天用 He-Ne 激光照射 2.9 和 4.3 J/cm²。对肌腱进行张力测试。与对照组相比,2.9 J/cm²的 LLLT 可显著提高非糖尿病(p=0.031)和糖尿病(p=0.019)实验组的最大应力(MS)值(每平方毫米牛顿)。与对照组相比,2.9 J/cm²的 LLLT 可显著提高非糖尿病和糖尿病大鼠切断的跟腱的强度和 MS。

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