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大气压低温非平衡等离子体对粪肠球菌的体外灭菌实验研究

Efficacy of Atmospheric Pressure Plasma as an Antibacterial Agent Against Enterococcus Faecalis in Vitro

  • 摘要: 粪肠球菌是一种可生存于感染根管内的常见微生物。本研究旨在探寻大气压低温非平衡等离子体对粪肠球菌的体外灭菌效果。我们新研制出一种峰值电流为300mA的低温等离子体, 体外不同环境下对粪肠球菌及链球菌行灭菌实验, 并评价不同灭菌时间下的灭菌效果。结果可见等离子体处理链球菌后的抑菌圈直径为2.62±0.26 cm, 处理粪肠球菌后抑菌圈直径为1.06±0.30 cm, 两者比较有统计学差异 (P < 0.05), 并且该抑菌圈直径随着灭菌时间的延长而增大。我们还发现相同等离子参数下, 密闭平皿中的抑菌圈直径大于开放平皿中的抑菌圈直径。随后, 我们在硝酸纤维素膜上制备粪肠球菌的生物膜模型, 等离子体处理细菌生物膜后检测菌落形成单位的数目, 发现与空白对照组相比有显著的灭菌效果(P < 0.01)。透射电镜下观察等离子体处理2min后, 粪肠球菌胞浆的超微结构即发生改变。本实验的结论为这种新型的大气压低温非平衡等离子体能有效灭除粪肠球菌, 为以后口腔临床的根管消毒提供了新思路。

     

    Abstract: Enterococcus faecalis (E. faecalis) is a microorganism that can survive extreme challenges in obturated root canals. The aim of this study was to evaluate the efficacy of a non-thermal atmospheric pressure plasma plume against E. faecalis in vitro. A non-thermal atmospheric pressure plasma jet device which could generate a cold plasma plume carrying a peak current of 300 mA was used. The antibacterial efficacy of this device against E. faecalis and its biofilm under different conditions was detected. The antibacterial efficacy of the plasma against E. faecalis and Staphylococcus aureus (S. aureus) was also evaluated. After plasma treatment, the average diameter of inhibition zone on S. aureus and E. faecalis was 2.62±0.26 and 1.06±0.30 cm, respectively (P < 0.05). The diameter was increased with prolongation of the treatment duration. The diameters of inhibition zone of the sealed Petri dishes were larger than those of the uncovered Petri dishes. There was significant difference in colony-forming units between plasma group and control group on E. faecalis biofilm (P < 0.01). The transmission electron microscopy revealed that the ultrastructural changes cytoderm of E. faecalis were observed after treatment for 2 min. It is concluded that the non-thermal atmospheric pressure plasma could serve as an effective adjunct to standard endodontic microbial treatment.

     

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