低强度脉冲超声促进受损周围神经再生

Gang Chen, S. Tao, Changshun Chen, Hai-Zhen Zuo
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摘要

目的观察低强度脉冲超声对周围神经损伤后再生的影响。方法将80只大鼠随机分为大鼠右坐骨神经移植和损伤模型。实验组采用低强度脉冲超声治疗,而实验组未经治疗。治疗后对置换大鼠的神经损伤进行治疗。评估再生后的情况。结果实验组大鼠接受SFI和SNCV治疗4周[(29.1±5.1),(11.0±2.7)mm],6周[(27.5±4.5),(15.8±2.9)mm],8周[(23.2±4.5,21.3±2.7)mm]。时间与大鼠有显著性差异,差异有统计学意义(t=2.630、3.060、3.140、2.280、2.650、5.120,P<0.05);2周[(188.2±33.4)no/mm2],实验组神经纤维密度略低于大鼠,植入4周[(2385.4±394.2)no/mm2]6周[(2433.4±334.2)no/mm2]和8周[(3259.7±416.7)no/mmm2],实验组的神经纤维密度显著高于上述大鼠,差异有统计学意义(t=2.240,2.430,2.740,3.280,P<0.05);实验组大鼠的平均神经再生率分别为4周[(1.42±0.44)mm/d]、6周[(1.45±0.44”mm/d]和8周[(1.29±0.28)mm/d]。以大鼠为中心,差异有统计学意义(t=2.500,2.840,3.070,P<0.05);实验组神经纤维再生和雪旺细胞增殖均被大鼠明显替代。结论低强度脉冲超声能有效促进周围神经损伤后的再生,神经功能得到有效恢复,效果显著。关键词:低强度脉冲超声;周围神经;损坏;再生;实验研究
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Low-intensity pulsed ultrasound improvedthe regeneration ofinjuried peripheral nerve
Objective Observe the effect of low-intensity pulsed ultrasound on regeneration after peripheral nerve injury. Methods Eighty rats were randomly divided into implanted and injured rat right sciatic nerve preparation model. The experimental group was treated with low-intensity pulsed ultrasound to treat the experimental group without treatment. The nerve injury of the replacement rats was treated after treatment. The post-regeneration situation is evaluated. Results Rats in the experimental group were treated with SFI and SNCV for 4 week [(29.1±5.1), (11.0±2.7) mm], 6 week [(27.5±4.5), (15.8±2.9) mm], and 8 week [(23.2±4.5), (21.3±2.7) mm]. The time was significantly different from the rats, the difference was statistically significant (t=2.630, 3.060, 3.140, 2.280, 2.650, 5.120, P<0.05); 2 week [(188.2±33.4) no/mm2], the nerve fiber density of the experimental group was slightly lower than that of the rats, implanted for 4 week [(2 385.4±394.2) no/mm2], 6 week [(2 439.4±334.2) no/mm2] and 8 week [(3 259.7±416.7) no/mm2], the nerve fiber density of the experimental group was significantly higher than the above rats, the difference was statistically significant (t=2.240, 2.430, 2.740, 3.280, P<0.05); the rats in the experimental group had a mean nerve regeneration rate of 4 week [(1.42±0.44) mm/d], 6 week [(1.48±0.44) mm/d] and 8 week [(1.29±0.28) mm/d]. Focusing on rats, the difference was statistically significant (t=2.500, 2.840, 3.070, P<0.05); the nerve fiber regeneration and Schwann cell proliferation in the experimental group were significantly replaced by rats. Conclusion Low-intensity pulsed ultrasound can effectively promote regeneration after peripheral nerve injury, and the nerve function is effectively restored, and the effect is remarkable. Key words: Low intensity pulsed ultrasound; Peripheral nerve; Damage; Regeneration; Experimental study
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