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脉冲电磁场通过壳聚糖导管加速横断坐骨神经桥接的功能恢复:动物模型研究。

Pulsed electromagnetic fields accelerate functional recovery of transected sciatic nerve bridged by chitosan conduit: an animal model study.

机构信息

Department of Clinical Sciences, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.

Department of Surgery, Faculty of Specialized Veterinary Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.

出版信息

Int J Surg. 2014 Dec;12(12):1278-85. doi: 10.1016/j.ijsu.2014.11.004. Epub 2014 Nov 11.


DOI:10.1016/j.ijsu.2014.11.004
PMID:25448645
Abstract

INTRODUCTION: Effect of whole body exposure to pulsed electromagnetic fields (PEMF) on nerve regeneration in a rat sciatic nerve transection model was assessed. METHODS: Sixty male white Wistar rats were divided into four experimental groups (n = 15), randomly: In transected group (TC) left sciatic nerve was transected and stumps were fixed in adjacent muscle. In chitosan group (CHIT) the defect was bridged using a chitosan conduit filled with phosphate-buffered saline. In treatment group (CHIT/PEMF) the whole body was exposed to PEMF (0.3 mT, 2 Hz) for 4 h/day within 1-5 days. In normal control group (NC) sciatic nerve was only dissected and manipulated. Each group was subdivided into three subgroups of five animals each and nerve fibers were studied 4, 8 and 12 weeks after surgery. RESULTS: Behavioral, functional, electrophysiological, biomechanical, gastrocnemius muscle mass findings and morphometric indices confirmed faster recovery of regenerated axons in CHIT/PEMF than in CHIT group (p < 0.05). Immunohistochemical reactions to S-100 in CHIT/PEMF were more positive than that in CHIT group. DISCUSSION: Whole body exposure to PEMF improved functional recovery and morphometric indices of sciatic nerve. Detailed mechanism of neuroprotective action remains to be investigated. CONCLUSION: PEMF combine with chitosan grafting could be considered as an effective, safe and tolerable treatment for peripheral nerve repair in clinical practice.

摘要

介绍:评估全身暴露于脉冲电磁场(PEMF)对大鼠坐骨神经横断模型中神经再生的影响。

方法:将 60 只雄性白色 Wistar 大鼠随机分为 4 个实验组(n=15):在横断组(TC)中,左侧坐骨神经被横断,残端固定在相邻的肌肉中。在壳聚糖组(CHIT)中,使用充满磷酸盐缓冲盐水的壳聚糖导管桥接缺损。在治疗组(CHIT/PEMF)中,全身在 1-5 天内每天接受 0.3 mT、2 Hz 的 PEMF 照射 4 小时。在正常对照组(NC)中,仅解剖和操作坐骨神经。每个组进一步分为 5 只动物的 3 个亚组,术后 4、8 和 12 周研究神经纤维。

结果:行为、功能、电生理、生物力学、比目鱼肌质量发现和形态计量学指数证实,CHIT/PEMF 组比 CHIT 组再生轴突更快恢复(p<0.05)。CHIT/PEMF 中的 S-100 免疫组织化学反应比 CHIT 组更阳性。

讨论:全身暴露于 PEMF 可改善坐骨神经的功能恢复和形态计量学指数。神经保护作用的详细机制仍有待研究。

结论:PEMF 联合壳聚糖移植可被认为是临床外周神经修复的有效、安全和可耐受的治疗方法。

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Pulsed electromagnetic fields accelerate functional recovery of transected sciatic nerve bridged by chitosan conduit: an animal model study.

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Potentially commercializable nerve guidance conduits for peripheral nerve injury: Past, present, and future.

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[2]
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[3]
Pulsed Electromagnetic Field Stimulation in Lumbar Spine Fusion for Patients With Risk Factors for Pseudarthrosis.

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[4]
Biomechanical microenvironmental stimulating effect of pulsed electromagnetic field on the regeneration of crush injured rat sciatic nerve.

Biomed Eng Lett. 2023-4-7

[5]
Efficiency of pulsed electromagnetic fields on pain, disability, anxiety, depression, and quality of life in patients with cervical disc herniation: a randomized controlled study.

Turk J Med Sci. 2019-8-8

[6]
Bridging larger gaps in peripheral nerves using neural prosthetics and physical therapeutic agents.

Neural Regen Res. 2019-7

[7]
Tissue engineering for the repair of peripheral nerve injury.

Neural Regen Res. 2019-1

[8]
Effects of Pulsed Electromagnetic Field with Predatory Stress on Functional and Histological Index of Injured-Sciatic Nerve in Rat.

Bull Emerg Trauma. 2017-4

[9]
Circadian Rhythm Influences the Promoting Role of Pulsed Electromagnetic Fields on Sciatic Nerve Regeneration in Rats.

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[10]
Degradation characteristics, cell viability and host tissue responses of PDLLA-based scaffold with PRGD and β-TCP nanoparticles incorporation.

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