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红光 LED 光生物调节疗法对皮肤烧伤愈合过程中炎症细胞的影响。

Effects of photobiomodulation therapy with red LED on inflammatory cells during the healing of skin burns.

机构信息

Postgraduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil.

出版信息

Lasers Med Sci. 2022 Sep;37(7):2817-2822. doi: 10.1007/s10103-022-03537-9. Epub 2022 Mar 2.

Abstract

The aim of this study was to evaluate the effects of red light emitting diode (LED) photobiomodulation therapy protocol on inflammatory cells during the healing of third-degree skin burns. Fifty Wistar rats were randomly divided into control group (CTRL) (n = 25) and red group (RED) (n = 25), with subgroups (n = 5) for each time of euthanasia (7, 14, 21, 28, and 32 days). Treatment animals were daily irradiated (630 nm ± 10 nm, 300 mW, 9 J/cm per point, 30 s, continuous emission mode) at the 4 angles of the wound (total: 36 J/cm). After specimen removal, histological sections were stained with hematoxylin and eosin for quantitative analysis of the inflammatory infiltrate (neutrophils and lymphocytes) under light microscopy. Greater number of inflammatory cells was observed in irradiated groups when compared to CTRL at 7, 14, 21, and 28 days, but with statistically significant difference only at 14 days (p = 0.02). At 32 days, higher inflammatory cell value was observed in CTRL when compared to RED, but with no statistically significant difference (p = 0.91). The results suggest that red LED, according to the protocol used, modulates the number of inflammatory cells in the early stages of the healing of third-degree skin burns. Nevertheless, this low-intensity light therapy may not, be efficient in reducing the number of neutrophils and lymphocytes in advanced stages of the repair process of skin burns. Further studies with other therapy protocols are needed to assess the effects of this type of light on the inflammatory response of skin burns.

摘要

本研究旨在评估红光发光二极管(LED)光生物调节治疗方案对三度皮肤烧伤愈合过程中炎症细胞的影响。将 50 只 Wistar 大鼠随机分为对照组(CTRL)(n = 25)和红光组(RED)(n = 25),每组分为 5 个亚组(n = 5)用于安乐死时间(7、14、21、28 和 32 天)。治疗动物每天在伤口的 4 个角度进行照射(630nm±10nm,300mW,9J/cm 每点,30s,连续发射模式)(总:36J/cm)。标本取出后,用苏木精和伊红染色,在光学显微镜下对炎症浸润(中性粒细胞和淋巴细胞)进行定量分析。与 CTRL 相比,照射组在 7、14、21 和 28 天时观察到更多的炎症细胞,但仅在 14 天时具有统计学意义(p = 0.02)。在 32 天时,与 RED 相比,CTRL 观察到更高的炎症细胞值,但无统计学意义差异(p = 0.91)。结果表明,根据所使用的方案,红光 LED 调节三度皮肤烧伤愈合早期的炎症细胞数量。然而,这种低强度光疗可能无法有效减少皮肤烧伤修复过程晚期中性粒细胞和淋巴细胞的数量。需要进一步研究其他治疗方案,以评估这种类型的光对皮肤烧伤炎症反应的影响。

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