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[动物实验中双相脉冲电流直接刺激和干扰电流疗法促进骨愈合的荧光显微镜研究结果]

[Results of fluorescence microscopy studies of bone healing by direct stimulation with bipolar impulse currents and with the interference current procedure in the animal experiment].

作者信息

Schubert T, Kleditzsch J, Wolf E

出版信息

Z Orthop Ihre Grenzgeb. 1986 Jan-Feb;124(1):6-12. doi: 10.1055/s-2008-1044515.

Abstract

42 cross-breed rabbit bastards of either sex were osteotomized on the left proximal third of the tibia. A teflonisolated stable plating was made by means of the polychromatically KF-AO-instrumentarium. The animals were fluorescentlabelled in weekly intervals. Tetraverinex, alizarin complexon, fluorexon, xylenol orange and calceine were used as colours. The animals were stimulated in the bipolar squaretopped pulse current procedure (1 Hz and 10 Hz, resp., +/- 25 and +/- 50 microA, resp., intensity, permanent stimulation) or in the interference current procedure (oscillation frequency 100 Hz, intensity 1 mA, 4 hours daily). An osteotomized group served as a control. The undecalcified bone sections were quantitatively measured in the area of the periosteal and endoosteal accummulation seams as well as in the area of the Haversians canals and compared by means of multiple variance analyses. A delay in the Haversian remodelling within the first 2 weeks was found in the animals only osteotomized. This delay could not be detected in all electrically stimulated groups. The electrical stimulation leads to a shortening of the fracture healing period by skipping the physiologically occurring delay of the Haversian remodelling in fractures and osteotomies. Further on there was derived a growth function of the osteones as a regression function r (t) = a + beta X e gamma t. For the rabbit the concrete formula expression r (t) = 50.9 X e-0.094 X t + 17.4 for the animals not treated and r (t) = 42.9 X e-0.067 X t + 8.5 for the electrical stimulated animals has been found.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

42只不同性别的杂种兔在胫骨近端三分之一处进行截骨术。使用多色KF-AO器械制作聚四氟乙烯隔离的稳定接骨板。每周对动物进行荧光标记。使用四乙烯五胺、茜素氨羧络合剂、荧光素、二甲酚橙和钙黄绿素作为标记物。动物接受双极方波脉冲电流刺激(分别为1赫兹和10赫兹,电流强度分别为±25微安和±50微安,持续刺激)或干扰电流刺激(振荡频率100赫兹,强度1毫安,每天4小时)。一组截骨动物作为对照。对未脱钙的骨切片在骨膜和骨内膜堆积缝区域以及哈弗斯管区域进行定量测量,并通过多因素方差分析进行比较。仅接受截骨术的动物在最初两周内哈弗斯重塑出现延迟。在所有电刺激组中均未检测到这种延迟。电刺激通过跳过骨折和截骨术中生理上出现的哈弗斯重塑延迟,导致骨折愈合期缩短。此外,还得出了骨单位的生长函数,即回归函数r(t)=a+β×eγt。对于兔子,未治疗动物的具体公式为r(t)=50.9×e-0.094×t+17.4,电刺激动物的公式为r(t)=42.9×e-0.067×t+8.5。(摘要截选至250字)

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