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低水平激光疗法治疗糖皮质激素依赖患者下肢二度烧伤创面愈合的疗效。

The efficacy of low-level laser therapy for the healing of second-degree burn wounds on lower limbs of glucocorticoid-dependent patients.

机构信息

Department Plastic and Reconstructive Surgery, The Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 280 Mohe Road, Baoshan District, Shanghai, 201999, China.

出版信息

Lasers Med Sci. 2023 Aug 15;38(1):186. doi: 10.1007/s10103-023-03838-7.

Abstract

This study was designed to investigate the effect of 630 ~ 650-nm red light on treating second-degree burns on lower limbs of glucocorticoid-dependent patients. Sixty-two glucocorticoid-dependent patients with the second-degree burns on lower limbs were divided into the control group (n = 25) and the observation group (n = 37) according to the treatment sequence and the patients' willingness. The patients in both groups were conventionally treated with 1% sulfadiazine silver cream dressing, with the only difference that the observation group received an additional 630-650-nm red light irradiation for 20 min before dressing. Each group was observed for 21 days, and observation ended if the wound healing was terminated. The wound healing rates, wound secretions, marginal response, and pain/itching levels were monitored and assessed. Compared with the control group, the observation group showed higher wound healing rate, fewer wound secretions, and more relief in marginal response. Clinical observation showed that 630-650-nm red light could effectively reduce wound purulent drainage/discharge, relieve the marginal response as well as pain, and promote wound healing.

摘要

本研究旨在探讨 630nm650nm 红光治疗糖皮质激素依赖患者下肢二度烧伤的效果。将 62 例下肢二度烧伤的糖皮质激素依赖患者按治疗顺序和患者意愿分为对照组(n=25)和观察组(n=37)。两组患者均常规采用 1%磺胺嘧啶银乳膏进行治疗,唯一的区别在于观察组在换药前接受 630nm650nm 红光照射 20min。两组均观察 21 天,若创面愈合则结束观察。监测和评估创面愈合率、创面分泌物、边缘反应和疼痛/瘙痒程度。与对照组相比,观察组的创面愈合率更高,创面分泌物更少,边缘反应缓解更明显。临床观察发现,630nm~650nm 红光能有效减少创面脓性分泌物,缓解边缘反应及疼痛,促进创面愈合。

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