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LED光疗对甲状腺功能减退大鼠组织修复过程中相对伤口收缩和再上皮化的影响:形态计量学和组织学研究

Effects of LED phototherapy on relative wound contraction and reepithelialization during tissue repair in hypothyroid rats: morphometric and histological study.

作者信息

Paraguassú Gardênia Matos, da Guarda Milena Góes, Xavier Flávia Calo Aquino, Cangussu Maria Cristina Teixeira, Rodriguez Tânia Tavares, Ramalho Maria José Pedreira, Pinheiro Antônio Luis Barbosa, Ramalho Luciana Maria Pedreira

机构信息

School of Dentistry, Federal University of Bahia, Avenida Araújo Pinho, 62. Canela, Salvador, BA, CEP 40140-110, Brazil.

出版信息

Lasers Med Sci. 2014 Mar;29(2):773-9. doi: 10.1007/s10103-013-1419-x. Epub 2013 Aug 24.

DOI:10.1007/s10103-013-1419-x
PMID:23975568
Abstract

The aim of this study was to assess morphometrically and histologically, the effects of light-emitting diode (LED) (λ630 ± 20 nm) phototherapy on reepithelialization and wound contraction during tissue repair in hypothyroid rats. Thyroid hormone deficiency has been associated with disorders of tissue repair. LED phototherapy has been studied using several healing models, but their usefulness in the improvement of hypothyroidism wound healing remains unknown. Under general anesthesia, a standard surgical wound (1 cm(2)) was produced on the dorsum of 48 male Wistar rats divided into four groups of 12 animals each: EC-control euthyroid, ED-euthyroid + LED, HC-control hypothyroid, and HD-Hypothyroid + LED. The irradiation started immediately after surgery and was repeated every other day for 7 and 14 days. Photographs of the wound were taken at the day of the surgical procedure and on days 8 and 15 after surgery, when animals' deaths occurred. The specimens were removed, routinely processed, and stained with hematoxylin/eosin. Seven days after the surgery, it was possible to observe statistically significant reductions in the wound area of the irradiated euthyroid group, in comparison to hypothyroid group, irradiated and non-irradiated (ANOVA, p < 0.05). The reepithelialization was significantly higher in the euthyroid and hypothyroid groups irradiated with LED than in the non-irradiated groups (Fisher's test, p < 0.05). No significant difference was found in the experimental period of 14 days among the groups. The hypothyroidism delayed wound healing and the LED phototherapy, at these specific parameters, improved the process of reepithelialization in the presence of hypothyroidism.

摘要

本研究旨在通过形态学和组织学评估发光二极管(LED)(波长630±20 nm)光疗对甲状腺功能减退大鼠组织修复过程中上皮再形成和伤口收缩的影响。甲状腺激素缺乏与组织修复紊乱有关。已经使用多种愈合模型对LED光疗进行了研究,但其在改善甲状腺功能减退伤口愈合方面的效用仍不清楚。在全身麻醉下,在48只雄性Wistar大鼠的背部制作标准手术伤口(1 cm²),将其分为四组,每组12只动物:EC-对照正常甲状腺组、ED-正常甲状腺+LED组、HC-对照甲状腺功能减退组和HD-甲状腺功能减退+LED组。术后立即开始照射,每隔一天重复一次,持续7天和14天。在手术当天以及术后第8天和第15天(动物死亡时)拍摄伤口照片。取出标本,常规处理,并用苏木精/伊红染色。术后7天,与照射和未照射的甲状腺功能减退组相比,照射的正常甲状腺组伤口面积有统计学意义的显著减小(方差分析,p<0.05)。LED照射的正常甲状腺组和甲状腺功能减退组的上皮再形成明显高于未照射组(Fisher检验,p<0.05)。在14天的实验期内,各组之间未发现显著差异。甲状腺功能减退延迟了伤口愈合,而在这些特定参数下,LED光疗改善了甲状腺功能减退状态下的上皮再形成过程。

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