激光生物学报摘要, 更新时间: 2007年10月13日
  由美国生科集团 (BVTech, Inc.) 主办
  
激光佐治慢性皮肤溃疡疗效观察及诱导HSP70表达研究
激光生物学报摘要 2007-4

谢慧清a,周建大b,孙绍丹a,李旭红a,邓丽明a,李凤梅a (中南大学湘雅三医院 a.康复医学科;b.烧伤整形外科,湖南 长沙 410013)

摘 要:目的:探讨激光治疗慢性皮肤溃疡的疗效及诱导创面组织 HSP70表达情况。方法:将64例84处慢性皮肤溃疡创面随机分为传统治疗组和激光治疗组,激光治疗组在传统治疗基础上加用激光治疗,所有创面在治疗后3周进行疗效判定;同期随机切取5例创面组织,并设正常皮肤为对照,行组织切片HSP70免疫组化染色,计数HSP70阳性细胞数并检测阳性细胞灰度值进行统计学分析;设计引物行RT-PCR检测 HSP70 mRNA表达情况。结果:两组慢性皮肤溃疡患者经相应治疗均较治疗前明显改善,但激光治疗组创面的治愈率和总有效率明显高于传统治疗组(P<0.05或P<0.01);免疫组化染色显示,正常皮肤和慢性溃疡组织中未见明显HSP70阳性表达细胞,激光治疗后3周后可见较多量的HSP70表达阳性细胞,其阳性细胞计数明显高于其它两组(P<0.01),细胞信号灰度表达明显低于其它两组(P<0.05),而传统治疗组与正常对照组无显著差异;RT-PCR结果发现激光治疗组组织中扩增到一条特异性泳带, 大小约268 bp,正常皮肤和传统治疗组组织中未扩增到明显 HSP70 mRNA基因片段。结论:激光佐治慢性皮肤溃疡具有良好临床疗效,可能与激活创面细胞的热休克内源性保护机制而发挥抗感染和促进愈合作用有关。


Clinical Effect and HSP70 Expression of Laser Treatment of Chronic Ulcer of Skin

XIE Hui-qinga,ZHOU Jian-da b, SUN Shao-dana,LI Xu-honga ,DENG Li-minga,LI Feng-meia (The Third Xiangya Hospital , Central South University a. The Department of Rehabilitation Medcine ; b. The Department of Burns and Plastic Surgery , Changsha 410013 , Hunan , China)

Abstract: Objective: To investigate the clinical effect and HSP70 expression on the wound surface of chronic ulcer of skin by laser therapy. Methods: Randomly divided the raw surface of 64 example of 84 place into traditional treatment group and laser treatment group .Laser treatment group was treated with laser therapy on the base of traditional treatment Assessment it's curative effect after 3 weeks post of all wound surface. At the same time to obtain wound tissue of 5 cases, and set of normal skin as a compare group, profess the slice of HSP70 for immunohistochemistry. Statistics analysis was progressed by counting HSP70 masculine cell and detect its gray scale value. Design the primer for RT-PCR test to detect the HSP70 mRNA expression information. Result: Two sets patients corresponding to cure was better than prior treatment but the wound healing rate and effeciency of laser treatment group is higher than tradition treatment group (P <0.05 or 0.01). And immunity class dyeing showed there was no obviously expression of HSP70 positive cell in between normal skin and chronic ulcer of skin, 3 weeks post laser treatment can observe abundant HSP70 masculine cell expression , its masculine cell count is obviously higher than other two sets (P <0.01).The gray scale of cell signal is obviously lesser than other two sets( P <0.05 ).There is no clear difference between tradition therapy group and normal control group. PT-PCR result shows that the tissue group of laser therapy had amplified a specific single band of swim band of size about 268 bp. There is no significant amplification of HSP70 m RNA gene fragment in normal control group and tradition therapy group. Conclusion: There is good clinical curative effect of the laser treatment of chronic ulcer of skin it maybe the relation between the activation of endogenous protection mechanism of wound cells heat shock and reduce infection and promote the wound healing process.


 

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