Milojević Momir, Kuruc Vesna
Institut za plućne bolesti, Sremska Kamenica, Medicinski fakultet, Novi Sad.
Med Pregl. 2003 Sep-Oct;56(9-10):413-8.
Modern concept of acupuncture is based on the fact there are designated locations on the surface of human body, which are related to integrative systems of an organism by means of sensory nerves, correlating and synchronizing organ functioning, depending on external and internal conditions, by means of nervous and neurohumoral regulation of metabolic and regenerative processes, including also mobilisation of immunological, protective and antistress reactions. Apart from standard needle acupuncture, other methods of stimulating acupuncture points are also applied. Due to invention of low power lasers, irradiation laser acupuncture has been introduced into routine medical practice, characterised by painless and aseptic technique and outstanding clinical results.
The investigation was aimed at defining therapeutic effects of low power laser irradiation by stimulating acupuncture points or local treatment of asthma. A prospective analysis included 50 patients treated at the Institute of Pulmonary Diseases in Sremska Kamenica during 2000, 2001 and 2002. Together with conservative treatment of present disease, these patients were treated with laser stimulation of acupuncture points in duration of ten days. During treatment changes of functional respiratory parameters were recorded. Results were compared with those in the control group. The control group consisted of the same number of patients and differed from the examination group only by not using laser stimulation.
Patients with bronchial asthma presented with significant improvement (p < 0000,5) of all estimated lung function parameters just 30 minutes after laser stimulation. Improvements achieved on the third and the tenth day of treatment were significantly higher (p < 0.001 to p < 0.00005) in the examination group in comparison with the control group. Further investigation confirmed that improvement of measured lung function parameters was significantly higher in younger patients, in patients whose disease lasted shorter, as well as in women. Patients with asthma, who were treated every three months for a one year period, presented with significantly lower frequency and intensity of attacks.
The mechanism of laser stimulation activity in treatment of bronchial asthma is explained in detail, correlating our results to those obtained by other authors.
A ten-day course of low-power laser stimulation of acupuncture points in patients with bronchial asthma improves both the lung function and gas exchange parameters. Positive effects of laser treatment in patients with bronchial asthma are achieved in a short time and they last long, for several weeks, even months. Successive laser stimulation in asthmatics prolongs periods of remission and decreases the severity of asthmatic attacks. Better positive effects of laser stimulation are achieved in younger asthmatics, in those with shorter disease history and in female patients. There is a negative correlation between effects of laser stimulation and patients' age and disease history. However, these characteristics do not affect response rate and speed but positive laser stimulation effects are achieved in a shorter period in female asthmatics.
现代针灸概念基于这样一个事实，即人体表面存在特定部位，这些部位通过感觉神经与机体的整合系统相关联，通过神经和神经体液对代谢和再生过程的调节，包括调动免疫、保护和抗应激反应，根据外部和内部条件使器官功能相互关联并同步。除了标准的针刺疗法外，还应用其他刺激穴位的方法。由于低功率激光的发明，激光照射针灸已被引入常规医疗实践，其特点是无痛、无菌技术且临床效果显著。
本研究旨在确定通过刺激穴位或局部治疗哮喘的低功率激光照射的治疗效果。一项前瞻性分析纳入了2000年、2001年和2002年在斯雷姆斯卡·卡梅尼察肺病研究所接受治疗的50例患者。在对当前疾病进行保守治疗的同时，这些患者接受了为期十天的穴位激光刺激治疗。在治疗期间记录呼吸功能参数的变化。结果与对照组进行比较。对照组由相同数量的患者组成，与检查组的区别仅在于未使用激光刺激。
支气管哮喘患者在激光刺激后仅30分钟，所有评估的肺功能参数就有显著改善（p < 0.0005）。与对照组相比，检查组在治疗第三天和第十天取得的改善显著更高（p < 0.001至p < 0.00005）。进一步研究证实，年轻患者、病程较短的患者以及女性患者的肺功能参数测量改善显著更高。在一年期间每三个月接受治疗的哮喘患者，发作频率和强度显著降低。
详细解释了激光刺激治疗支气管哮喘的作用机制，并将我们的结果与其他作者获得的结果进行了关联。
对支气管哮喘患者进行为期十天的低功率激光穴位刺激疗程可改善肺功能和气体交换参数。激光治疗对支气管哮喘患者的积极作用在短时间内即可实现，且持续时间长，可达数周甚至数月。对哮喘患者进行连续激光刺激可延长缓解期并降低哮喘发作的严重程度。在年轻哮喘患者、病程较短的患者和女性患者中，激光刺激的积极效果更好。激光刺激效果与患者年龄和病程呈负相关。然而，这些特征并不影响反应率和速度，而是女性哮喘患者在更短的时间内就能获得激光刺激的积极效果。
