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中国真菌学杂志 2019, Vol. 14  Issue (5): 292-296.

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不同激光不同能量对红色毛癣菌的体外抑制评估及部分机制的探讨

熊瑛1, 陈婷1, 柴宝2, 曾飞鹏2, 孙文文1, 吴波1   

  1. 1. 深圳市妇幼保健院皮肤科, 深圳 518000;
    2. 深圳市南山区人民医院皮肤科, 深圳 518000
  • 收稿日期:2018-11-19 出版日期:2019-10-28 发布日期:2019-10-28
  • 通讯作者: 吴波,E-mail:13828700253@163.com E-mail:13828700253@163.com
  • 作者简介:熊瑛,女(汉族),硕士,副主任医师.E-mail:251122645@qq.com

In vitro evaluation of inhibitory effect and mechanism of various lasers on Trichophyton rubrum under different energies

XIONG Ying1, CHEN Ting1, CHAI Bao2, ZENG Fei-peng2, SUN Wen-wen1, WU Bo1   

  1. 1. Shenzhen Maternity and Child Healthcare Hospital, Dermatology department, shenzhen 518000;
    2. Shenzhen Nan Shan Hospital, Dermatology department, shenzhen 518000
  • Received:2018-11-19 Online:2019-10-28 Published:2019-10-28

摘要:

目的 探讨多种激光在不同的能量下对红色毛癣菌的体外抑制作用以及可能的作用机制。方法 将Q开关Nd:YAG 532nm激光、Q开关Nd:YAG 1064nm激光、长脉宽Nd:YAG1064nm激光和强脉冲光分为不同能量组及未照光组,体外照射红色毛癣菌的菌落,观察第0、1、3、7天时菌落直径的变化差异,用酶联免疫吸附测定激光照射后红色毛癣菌产生角蛋白酶的活性。结果 与未照光组相比,上述激光在低能量时对红色毛癣菌的菌落直径与角蛋白酶活性无明显影响。2~4J/cm2能量Q开关Nd:YAG 532nm激光、4~8J/cm2能量Q开关Nd:YAG 1064nm激光、4J/cm2长脉宽Nd:YAG 1064nm激光能显著抑制菌落的生长,红色毛癣菌角蛋白酶的活性出现明显下降。结论 2~4J/cm2能量Q开关Nd:YAG 532nm激光、4~8J/cm2能量Q开关Nd:YAG 1064nm激光、4J/cm2长脉宽Nd:YAG 1064nm激光能抑制红色毛癣菌生长及角蛋白酶的活性。

关键词: 激光, 甲真菌病, 红色毛癣菌

Abstract:

Objective To investigate inhibitory effect of various lasers on Trichophyton rubrum under different energies, and explore the possible mechanism. Methods Plates of standard size of T.rubrum colonies were assigned as control or experimental Groups. Experimental group was irradiated by different lasers, which including Q-switched Nd:YAG 532nm laser, Q-switched Nd:YAG 1064nm laser, long pulse width Nd:YAG 1064nm laser and intense pulsed light. The effects of different lasers energies on isolated colonies were assessed. After irradiation, the sizes of colonies were measured at 1st, 3rd and 7th days, the degree of keratinase production was measured by enzyme-linked immunosorbent assay. Results Compared with the control group, low power lasers did not have any inhibitory effect on the growth and keratinase production of Trichophyton rubrum. Q-switched Nd:YAG 532nm laser at 2-4J/cm2,Q-switched Nd:YAG 1064nm laser at 4-8J/cm2 and long pulse width Nd:YAG 1064nm laser at 4J/cm2 could significantly inhibit the growth of colonies and the production of keratinase. Conclusion Growth of T.rubrum and the production of keratinase could be effectively suppressed by Q-switched Nd:YAG 532nm laser at 2-4J/cm2, Q-switched Nd:YAG 1064nm laser at 4-8J/cm2 and long pulse width Nd:YAG 1064nm laser at 4J/cm2.

Key words: laser, onychomycosis, Trichophyton rubrum

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