Ostronosova N S
Ter Arkh. 2006;78(3):41-4.
To analyse effects of outpatient laser therapy on the course of different forms of bronchial asthma (BA).
The examination has covered 466 patients with BA divided into three groups: group 1 patients received monotherapy with low-intensive laser radiation (LILR); group 2 - LILR plus conventional drug therapy (CDT); group 3 - CDT only.
Group 1 and 2 patients achieved improvement after 2-3 sessions. Asphyxia attacks were less frequent and severe. These attacks disappeared to session 7-10, 10-12 in patients with exogenic, endogenic and mild, moderate mixed BA, respectively. The patients recovered sensitivity to sympathomimetics and methylxantines. Glucocorticosteroids (GCS) doses, hospital stay and temporary disability duration decreased. These two groups achieved remission within 0.5-1 year in 50% patients. Remission for 1-2 years was observed in 40% patients while in group. 3 - in 14%.
The addition of laser therapy improves a BA course, results of outpatient treatment and rehabilitation, recovers bronchial sensitivity to sympathomimetics and xantine derivatives, reduces GCS dose and duration of hospital stay and disability in BA patients.
分析门诊激光治疗对不同类型支气管哮喘(BA)病程的影响。
对466例BA患者进行检查,分为三组:第1组患者接受低强度激光辐射(LILR)单一疗法;第2组——LILR加传统药物治疗(CDT);第3组——仅接受CDT。
第1组和第2组患者在2 - 3次治疗后病情有所改善。窒息发作次数减少且程度减轻。在外源性、内源性以及轻度、中度混合性BA患者中,这些发作分别在第7 - 10次、第10 - 12次治疗时消失。患者恢复了对拟交感神经药和甲基黄嘌呤的敏感性。糖皮质激素(GCS)剂量、住院时间和暂时丧失劳动能力的持续时间均减少。这两组中50%的患者在0.5 - 1年内实现缓解。40%的患者观察到缓解持续1 - 2年,而在第3组中这一比例为14%。
添加激光治疗可改善BA病程、门诊治疗和康复效果,恢复支气管对拟交感神经药和黄嘌呤衍生物的敏感性,降低BA患者的GCS剂量、住院时间和丧失劳动能力的持续时间。