Pogonchenkova I V, Lyan N A, Khan M A, Ivanova I I, Aleksandrova O Yu, Dedurina A V
Moscow Center for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia.
I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2020;97(4):37-43. doi: 10.17116/kurort20209704137.
Allergic diseases are a common pathology in childhood. In the comprehensive medical rehabilitation of children with allergic pathology, non-drug methods of treatment are widely used, which help to reduce the number of drugs used, achieve and prolong the remission of the disease, favorably affect the clinical and functional indicators.
Is the scientific justification for the use of selective chromotherapy in children with bronchial asthma (BA) and atopic dermatitis (AD).
The study included 120 children with allergic diseases (BA and AD). Among 100 patients with BA, the main group included 50 children, who received exposure to monochromatic polarized green light on biologically active zones for 10 days, 50 - a comparison group that did not receive physiotherapy. The main group of children with AD included 10 patients who received selective blue chromotherapy for foci of skin lesions; the comparison group included 10 children who used only moisturizers without physiotherapy methods. In order to assess the effectiveness of the impact of physical factors in all patients, clinical and functional studies were conducted in the dynamics before and after treatment.
The results of clinical and functional examinations showed high therapeutic efficacy of the use of monochromatic polarized green light in children with BA (92.0%). The effectiveness of treating children with blood pressure AD using monochromatic polarized light (blue) was 80%. Indications for the use of selective chromotherapy in children with allergic diseases have been developed. For children with BA, selective chromotherapy of the green spectrum is indicated in the presence of a mild to moderate course of the disease, a period of incomplete remission, and an increased level of anxiety. It is advisable to prescribe selective chromotherapy of the blue spectrum to children with a moderate and mild course of AD.
The positive effect of selective chromotherapy of the green spectrum on the clinical course of BA in children, bronchial patency, the functional state of the central nervous system and its autonomic part, and the psychoemotional status of children have been identified. The use of selective blue spectrum chromotherapy in children with AD helps to decrease the severity of objective symptoms, reduce the intensity of itching and sleep disturbance, as well as a marked decrease in the area of skin lesion.
过敏性疾病是儿童期常见的病理状况。在患有过敏性病理的儿童的综合医学康复中,广泛使用非药物治疗方法,这有助于减少用药数量,实现并延长疾病缓解期,对临床和功能指标产生有利影响。
为支气管哮喘(BA)和特应性皮炎(AD)患儿使用选择性色光疗法提供科学依据。
该研究纳入了120例患有过敏性疾病(BA和AD)的儿童。在100例BA患儿中,主要组包括50名儿童,他们在生物活性区接受单色偏振绿光照射10天,50名作为未接受物理治疗的对照组。AD患儿的主要组包括10名接受皮肤病变部位选择性蓝光疗法的患儿;对照组包括10名仅使用保湿剂而未采用物理治疗方法的儿童。为了评估物理因素影响的有效性,在所有患者治疗前后的动态过程中进行了临床和功能研究。
临床和功能检查结果显示,单色偏振绿光对BA患儿的治疗效果显著(92.0%)。使用单色偏振光(蓝色)治疗AD患儿的有效率为80%。已制定了过敏性疾病患儿使用选择性色光疗法的指征。对于BA患儿,在疾病呈轻度至中度病程、不完全缓解期以及焦虑水平升高的情况下,建议使用绿色光谱的选择性色光疗法。对于AD呈中度和轻度病程的患儿,建议采用蓝色光谱的选择性色光疗法。
已确定绿色光谱的选择性色光疗法对儿童BA的临床病程、支气管通畅性、中枢神经系统及其自主部分的功能状态以及儿童的心理情绪状态具有积极作用。对AD患儿使用选择性蓝色光谱色光疗法有助于减轻客观症状的严重程度,降低瘙痒强度和睡眠障碍,以及显著减少皮肤病变面积。