Kasai S, Kono T, Yamamoto Y, Kotani H, Sakamoto T, Mito M
Department of Surgery, Asahikawa Medical College, Hokkaido, Japan.
J Clin Laser Med Surg. 1996 Jun;14(3):107-9. doi: 10.1089/clm.1996.14.107.
Low-power laser analgesic effect was generally accepted in clinical cases, whereas there was no direct evidence to indicate that low-power laser irradiation suppressed an impulse conduction within a peripheral nerve. The effect of low-power laser irradiation on electrically evoked responses within the sural nerve was electrophysiologically analyzed in anesthetized rabbits. High threshold evoked responses (conduction velocity was about 11 m/sec, unmyelinated A delta), which were induced by an electrical stimulation to the peripheral stump of the nerve, were significantly suppressed (9 to 19% inhibition) during low-power laser irradiation, which applied to the exposed sural nerve between the stimulus site and the recording site. The suppressive effect was reversible and recovered to the control level after the irradiation. Experimental evidence indicated that low-power laser irradiation suppressed the impulse conduction of unmyelinated A delta afferents in peripheral sensory nerve, which caused a pain sensation. Our data suggest that low-power laser acts as a reversible direct suppressor of neuronal activity.
低功率激光的镇痛效果在临床病例中已得到普遍认可,然而,尚无直接证据表明低功率激光照射会抑制外周神经内的冲动传导。本研究通过电生理学方法分析了低功率激光照射对麻醉兔腓肠神经电诱发反应的影响。对神经外周残端进行电刺激所诱发的高阈值诱发反应(传导速度约为11米/秒,无髓鞘Aδ纤维),在低功率激光照射应用于刺激部位与记录部位之间暴露的腓肠神经时,受到显著抑制(抑制率为9%至19%)。这种抑制作用是可逆的,照射后恢复至对照水平。实验证据表明,低功率激光照射抑制了外周感觉神经中引起疼痛感觉的无髓鞘Aδ传入纤维的冲动传导。我们的数据表明,低功率激光可作为神经元活动的可逆性直接抑制剂。