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对接受双冷冻疗法方案治疗的痛风模型 Wistar 大鼠的分析。

Analysis of Wistar Rats Submitted to a Gout Model, Treated with Double Cryotherapy Protocol.

机构信息

Universidade Estadual do Oeste do Paraná-Unioeste, Cascavel, Brazil.

出版信息

Ther Hypothermia Temp Manag. 2022 Mar;12(1):30-37. doi: 10.1089/ther.2021.0001. Epub 2021 Apr 27.

Abstract

Gout arthritis commonly affects joint regions by deposition of crystals, promoting functional damage mainly during periods of exacerbation. Cryotherapy is a commonly used resource to contain inflammatory processes, however, its use during a gout crisis is not yet well understood. Therefore, the objective was to evaluate the parameters of Wistar rats submitted to an experimental gout model and treated with dual cryotherapy protocol. Twenty-one male Wistar rats were used, separated into three groups: control group (CG), lesion group (LG), and lesion + cryotherapy group (LCG). Gout model induction was through intra-articular injection, with urate crystal solution, in the right knee and cryoimmersion treatment was performed for 20 minutes at a temperature of 5° ± 2°C. Seven evaluations and two treatment moments were performed, and the following parameters were analyzed: joint edema, grip strength, joint disability, motor function, and leukocyte migration through synovial lavage. In the statistical analysis we used SPSS 20.0 with Generalized Linear Models, with least significant difference posttest, always with 5% significance level. The treatment reduced edema, promoted strength recovery, and was effective in reducing total leukocytes in the synovial fluid. No difference was observed between the injured groups for joint disability and motor function. Cryotherapy promoted edema reduction and increased pelvic limb grip strength in Wistar rats during the acute period.

摘要

痛风性关节炎通常通过晶体沉积影响关节区域,主要在加重期促进功能损伤。冷冻疗法是一种常用的资源,用于控制炎症过程,然而,其在痛风危机期间的使用尚未得到很好的理解。因此,本研究的目的是评估接受实验性痛风模型的 Wistar 大鼠的参数,并使用双重冷冻疗法方案进行治疗。使用了 21 只雄性 Wistar 大鼠,分为三组:对照组(CG)、病变组(LG)和病变+冷冻疗法组(LCG)。痛风模型通过关节内注射尿酸晶体溶液在右膝关节中诱导,冷冻浸泡治疗在 5°±2°C 的温度下进行 20 分钟。进行了七次评估和两次治疗,分析了以下参数:关节肿胀、握力、关节残疾、运动功能和通过滑膜灌洗的白细胞迁移。在统计分析中,我们使用了 SPSS 20.0 进行广义线性模型分析,使用最小显著差异后检验,始终具有 5%的显著性水平。该治疗方法可减轻肿胀,促进力量恢复,并有效减少滑膜液中的总白细胞。在关节残疾和运动功能方面,受伤组之间没有差异。冷冻疗法可在急性期间减轻 Wistar 大鼠的肿胀并增加后肢握力。

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