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低强度激光疗法对犬污染创伤伤口细菌计数的影响。

Effect of Low-Level Laser Therapy on Bacterial Counts of Contaminated Traumatic Wounds in Dogs.

作者信息

Rico-Holgado Samuel, Ortiz-Díez Gustavo, Martín-Espada María C, Fernández-Pérez Cristina, Baquero-Artigao María R, Suárez-Redondo María

机构信息

Veterinary Teaching Hospital, Alfonso X "El Sabio" University, Madrid, Spain. Current affiliation: Vetsia Veterinary Hospital, Madrid, Spain.

Veterinary Faculty, Alfonso X "El Sabio" University, Madrid, Spain.

出版信息

J Lasers Med Sci. 2021 Dec 12;12:e78. doi: 10.34172/jlms.2021.78. eCollection 2021.

Abstract

The clinical effect of low-level laser therapy (LLLT) on canine wounds is still under debate. The aim of this pilot study was to evaluate the potential influence of LLLT on the bacterial loads of wounds, using two different energy densities or doses of laser light as an adjuvant therapy for traumatic contaminated wound management. A prospective, randomized, blinded, placebo-controlled pilot clinical trial was used to evaluate the effect of two different doses of LLLT as an adjuvant treatment of contaminated traumatic wounds on the bacterial load and wound scoring in dogs. Fourteen dogs with traumatic bites or laceration wounds were randomly assigned to one of the three groups. Animals in groups A and B received a dose of LLLT of 6 and 2 J/cm respectively. Four wavelengths were used simultaneously: 660 nm, 800 nm, 905 nm, and 970 nm. Animals in group C received placebo LLLT. Bacterial burden and clinical wound scores were evaluated. A statistically significant reduction in the average count of colony forming units was observed in group B (2 J/cm) when compared to placebo group C. Group B also showed improved wound scores. No clinically adverse effects were observed in the patients treated with LLLT. LLLT, with the parameters used in this pilot trial, decreased bacterial loads of contaminated wounds in dogs and improved wound scores, especially when using a dose of 2 J/ cm. This is the first time the effect of LLLT on bacterial load has been investigated in a clinical setting using traumatic wounds in canine patients.

摘要

低强度激光疗法(LLLT)对犬类伤口的临床效果仍存在争议。这项初步研究的目的是评估LLLT对伤口细菌载量的潜在影响,使用两种不同的能量密度或激光剂量作为创伤性污染伤口处理的辅助治疗。一项前瞻性、随机、双盲、安慰剂对照的初步临床试验用于评估两种不同剂量的LLLT作为污染性创伤伤口辅助治疗对犬类细菌载量和伤口评分的影响。14只患有创伤性咬伤或撕裂伤的犬被随机分配到三组中的一组。A组和B组动物分别接受6和2 J/cm的LLLT剂量。同时使用了四个波长:660 nm、800 nm、905 nm和970 nm。C组动物接受安慰剂LLLT。评估了细菌负荷和临床伤口评分。与安慰剂C组相比,B组(2 J/cm)观察到菌落形成单位的平均计数有统计学意义的降低。B组的伤口评分也有所改善。接受LLLT治疗的患者未观察到临床不良反应。使用本初步试验中所采用参数的LLLT降低了犬类污染伤口的细菌载量并改善了伤口评分,尤其是在使用2 J/cm剂量时。这是首次在临床环境中利用犬类患者的创伤性伤口研究LLLT对细菌载量的影响。

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