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低强度激光疗法对头颈部癌放疗患者分离菌落的影响。

Effect of Low-level Laser Therapy on Colonies Isolated From Patients Undergoing Radiotherapy for Head and Neck Cancer.

作者信息

Hasanah Novia Tri, Sufiawati Irna, Kusumadjati Adji, Sunardi Mas Adi

机构信息

Oral Medicine Residency Program, Faculty of Dentistry, Universitas Padjadjaran, Bandung, West Java, Indonesia.

Department of Oral Medicine, Faculty of Dentistry, Universitas Padjadjaran, Bandung, West Java, Indonesia.

出版信息

J Lasers Med Sci. 2024 May 8;15:e11. doi: 10.34172/jlms.2024.11. eCollection 2024.

Abstract

Studies on head and neck cancer (HNC) patients undergoing radiotherapy have revealed increased numbers of spp., leading to oral candidiasis and oral mucositis. The effects of laser therapy on spp. have been studied with varied results. This study aimed to investigate the effect of low-level laser therapy (LLLT) on colonies isolated from HNC patients undergoing radiotherapy. This study included a treated group, wherein 11 isolates were obtained from the saliva of HNC patients undergoing radiotherapy at a dose exceeding 30 Gy. The control groups consisted of an untreated negative control and a positive control treated with nystatin. The treatment groups were subjected to LLLT in continuous mode for 50 seconds at a wavelength of 976 nm, 0.1 W at a dose of 5 J/cm for Laser 1 (L1) group and 0.2 W at a dose of 10 J/cm for Laser 2 (L2) group. The tests were conducted using inoculum equivalent to a 0.5-McFarland suspension on 96-well plates. All test group inoculums were then cultured on Sabouraud dextrose agar (SDA), and the colony count was assessed at 10 CFU/mL. LLLT at 5 and 10 J/ cm reduced colonies by 7.01% and 10.94%, respectively, but the reductions were not statistically significant (>0.05). Nystatin eliminated all the colonies. LLLT shows potential for reducing colonies in HNC patients undergoing radiotherapy. However, further studies with varied parameters and methods are necessary.

摘要

对头颈部癌症(HNC)患者进行放疗的研究表明,[某种菌]数量增加,导致口腔念珠菌病和口腔黏膜炎。激光疗法对[某种菌]的影响已有研究,但结果各异。本研究旨在调查低强度激光疗法(LLLT)对从接受放疗的HNC患者分离出的[某种菌]菌落的影响。本研究包括一个治疗组,其中从接受超过30 Gy剂量放疗的HNC患者唾液中获得了11株[某种菌]分离株。对照组包括未经治疗的阴性对照组和用制霉菌素治疗的阳性对照组。治疗组在波长976 nm下以连续模式接受LLLT照射50秒,激光1(L1)组功率为0.1 W,剂量为5 J/cm,激光2(L2)组功率为0.2 W,剂量为10 J/cm。使用相当于0.5麦氏浊度悬液的接种物在96孔板上进行试验。然后将所有试验组接种物在沙氏葡萄糖琼脂(SDA)上培养,并在10 CFU/mL时评估菌落计数。5 J/cm和10 J/cm的LLLT分别使[某种菌]菌落减少了7.01%和10.94%,但减少量无统计学意义(>0.05)。制霉菌素消除了所有菌落。LLLT显示出减少接受放疗的HNC患者中[某种菌]菌落的潜力。然而,需要采用不同参数和方法进行进一步研究。

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