BACKGROUND:The aim of the present study was to evaluate the effects of low-level laser therapy (LLLT) on the healing of bone defects in rats with streptozotocin (STZ)-induced DM. METHODS:28 male Sprague-Dawley rats were used in this study. 14 animals received a single dose of STZ intraperitoneally (65 mg/kg) to induce Type I DM, whereas others were injected only with sterile saline solution. Four weeks later, standard bone defects were created in the tibiae of rats. Surgical wounds in one group from each of the diabetic and non-diabetic animals were irradiated with diode laser for every other day for 4 weeks and they were described as DM + LLLT and CONT + LLLT groups, respectively. Remaining two groups received no laser treatment. New bone formation, osteoblast and blood vessel counts were calculated in histologic sections. RESULTS:DM group had significantly smaller bone area and lower blood vessel count when compared to DM + LLLT, CONT and CONT + LLLT groups (p < 0.05 for each). CONT and CONT + LLLT groups had significantly larger bone area than DM + LLLT group (p < 0.05 for both). CONCLUSIONS:LLLT application promoted vascularization and new bone formation in animals with DM to a limited extent, since it was unable to support the healing process up to the level of non-diabetic animals.

译文

背景:本研究的目的是评估低剂量激光疗法(LLLT)对链脲佐菌素(STZ)诱导的DM大鼠骨缺损愈合的作用。
方法:采用28只雄性Sprague-Dawley大鼠。 14只动物腹膜内接受单剂STZ(65 mg / kg)诱导I型DM,而其他动物仅注射无菌盐溶液。四周后,在大鼠胫骨中形成了标准的骨缺损。每隔一天用二极管激光照射来自糖尿病和非糖尿病动物中每组的一组手术伤口,持续4周,分别称为DM LLLT组和CONT LLLT组。其余两组未接受激光治疗。在组织学切片中计算新的骨形成,成骨细胞和血管计数。
结果:与DM LLLT,CONT和CONT LLLT组相比,DM组的骨面积显着更小,血管计数更低(每组p <0.05)。 CONT和CONT LLLT组的骨面积明显大于DM LLLT组(两者均p <0.05)。
结论:LLLT的应用在一定程度上促进了DM动物的血管化和新骨形成,因为它不能支持非糖尿病动物的愈合过程。

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