低能级半导体砷酸镓激光对蝮蛇毒液实验中毒的影响

Elziliam Aranha de Sousa, J. A. H. M. Bittencourt, Nayana Keyla Seabra de Oliveira, S. V. C. Henriques, Leide C. S. Picanço, Camila Pena Lobato, J. R. Ribeiro, W. L. Pereira, J. Carvalho, J. Silva
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引用次数: 4

摘要

在巴西亚马逊地区,大多数蛇咬伤事故都是由Bothrops atrox造成的,它的毒液会造成明显的局部组织损伤。试验组为5只雄性小鼠,分别给药B. atrox毒液(VB)、B. atrox毒液+抗蛇毒血清(VAV)、B. atrox毒液+激光(VL)、B. atrox毒液+抗蛇毒血清+激光(VAVL)或单独给药无菌生理盐水(SSS)。经皮内给药0.05 mg kg-1的牛头蛇毒诱导足跖水肿,以mm为单位表达。小鼠皮下注射0.10 mg kg-1毒液,评价其痛觉活性,并以注射后爪的舔和咬反应时间(秒)作为疼痛反应的指标。注射毒液(0.10 mg kg-1)后,通过计数腓肠肌中存在的白细胞数量来确定炎症浸润。通过测定注射毒液(0.20 mg kg-1)后血浆肌酸激酶活性的升高来研究肌肉毒性。肌肉注射毒液0.10 mg kg-1进行肌坏死组织学检查。用砷化镓激光照射毒液注射部位,部分动物腹腔注射抗蛇毒血清。GaAs激光照射联合抗蛇毒血清对小鼠的疼痛、水肿、炎症和肌坏死有明显的缓解作用。抗蛇毒血清和砷化镓激光联合治疗比单独治疗更有效。提示激光治疗与抗蛇毒血清联合使用,可明显减轻蛇毒所致的局部损伤。
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INFLUENCE OF A LOW-LEVEL SEMICONDUCTOR GALLIUM ARSENATE LASER IN EXPERIMENTAL ENVENOMATION INDUCED BY BOTHROPS ATROX SNAKE VENOM
Bothrops atrox is responsible for the majority of snakebite accidents in Brazilian Amazon and its venom can cause prominent local tissue damage. Experimental groups consisted of five male mice, each administered either B. atrox Venom (VB), B. atrox Venom + Antivenom (VAV), B. atrox Venom + Laser (VL), B. atrox Venom + Antivenom + Laser (VAVL), or Sterile Saline Solution (SSS) alone. Paw oedema was induced by intradermal administration of 0.05 mg kg-1 of B. atrox venom and was expressed in mm of directly induced oedema. Mice were subcutaneously injected with 0.10 mg kg-1 of venom for evaluation nociceptive activity and the time (in seconds) spent in licking and biting responses of the injected paw were taken as an indicator of pain response. Inflammatory infiltration was determined by counting the number of leukocytes present in the gastrocnemius muscle after venom injection (0.10 mg kg-1). Myotoxicity was studied by determining the plasmatic rise of creatine kinase activity after venom injection (0.20 mg kg-1). For histological examination of myonecrosis, venom (0.10 mg kg-1) was administered intramuscularly. The site of venom injection was irradiated by GaAs laser and some animals received antivenom intraperitoneally. GaAs laser irradiation administered in conjunction with antivenom, reduced pain, oedema, inflammation and myonecrosis induced by B. atrox venom in mice. The combined antivenom and GaAs laser treatment was more effective than separately treatments. The results suggest that laser therapy may reduce the local effects induced by B. atrox venom when associated with antivenom.
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