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低强度激光疗法治疗疱疹病毒感染:一篇叙述性文献综述

Low-Level Laser Therapy for Herpesvirus Infections: A Narrative Literature Review.

作者信息

Moskvin Sergey Vladimirovich

机构信息

O.K. Skobelkin State Scientific Center of Laser Medicine Under the Federal Medical Biological Agency, Studencheskaya Str., 40, Moscow 121165, Russia.

出版信息

J Lasers Med Sci. 2021 Jul 24;12:e38. doi: 10.34172/jlms.2021.38. eCollection 2021.

Abstract

Herpesvirus infection has a variety of clinical forms and is extremely widespread in the world while existing treatment methods are not always quite effective. The search for new treatment modalities is a relevant problem and numerous studies show the therapeutic effect of low-level laser therapy (LLLT) on different herpesvirus types. The mechanisms of laser light action and the impact of LLLT on the pathological pathways of herpes infections are described. A narrative review of the relevant papers is conducted. The reviewed studies confirm that LLLT is a potential prospective treatment method for patients infected with the herpesvirus. However, it is necessary to improve the methodology and optimize the combination of laser action with antiviral medications. The review shows that it is most effective to combine laser impact on skin lesions with the application of topical antiviral gels or creams, additionally using a combined procedure of laser ultraviolet blood illumination (LUVBI, 365-405 nm) + intravenous laser blood irradiation (ILBI, 525 nm).

摘要

疱疹病毒感染有多种临床形式,在世界范围内极为普遍,而现有的治疗方法并不总是十分有效。寻找新的治疗方式是一个相关问题,众多研究表明低强度激光疗法(LLLT)对不同类型的疱疹病毒具有治疗效果。文中描述了激光作用的机制以及LLLT对疱疹感染病理途径的影响。对相关论文进行了叙述性综述。综述研究证实,LLLT对疱疹病毒感染患者而言是一种潜在的前瞻性治疗方法。然而,有必要改进方法并优化激光作用与抗病毒药物的联合使用。该综述表明,将激光对皮肤病变的作用与局部应用抗病毒凝胶或乳膏相结合最为有效,此外还可采用激光紫外线血液照射(LUVBI,365 - 405纳米)+静脉激光血液照射(ILBI,525纳米)的联合程序。

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本文引用的文献

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Low-Level Laser Therapy in Russia: History, Science and Practice.俄罗斯的低强度激光疗法:历史、科学与实践。
J Lasers Med Sci. 2017 Spring;8(2):56-65. doi: 10.15171/jlms.2017.11. Epub 2017 Mar 28.
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Laser treatment of recurrent herpes labialis: a literature review.激光治疗复发性唇疱疹:文献综述。
Lasers Med Sci. 2014 Jul;29(4):1517-29. doi: 10.1007/s10103-013-1311-8. Epub 2013 Apr 13.
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[The rationale for the application of laserophoresis of biologically active compounds].
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