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红蓝近红外发光二极管(LED)光生物调节疗法对浅表性消融性分段治疗后伤口愈合速度的影响。

The effect of combined red, blue, and near-infrared light-emitting diode (LED) photobiomodulation therapy on speed of wound healing after superficial ablative fractional resurfacing.

机构信息

Department of Dermatology, University of California, Irvine, 118 Medical Surge I, Irvine, CA, 92697, USA.

Beckman Laser Institute, University of California, Irvine, Irvine, CA, USA.

出版信息

Lasers Med Sci. 2024 Mar 27;39(1):94. doi: 10.1007/s10103-024-04042-x.

Abstract

Objective of the study is to assess the effects of wound healing with a commercially available light emitting diode (LED) photo biomodulation (PBM) device that emits three wavelengths (465, 640 and 880nm) after ablative fractional laser (AFL) treatment to healthy skin on the bilateral inner biceps. We conducted a prospective intraindividual randomized controlled study with 25 volunteers. AFL treatment was performed on healthy skin of the bilateral inner biceps. Subjects applied the LED light device for 30 min to the assigned bicep 3 times a week over 4 weeks, beginning on day 0. Subjects were followed up on days 2, 4, 6, 9, 13, 20 and 27 for treatment with the PBM device, clinical digital photography of the test and control sites, and in-person subject assessment, with follow ups on days 34 and 55 for clinical photography and assessment. Three blinded evaluators were asked to determine which bicep healed faster between day 0 to day 13. Pain, discomfort, and itch were also assessed. The three blinded evaluators chose the treatment arm as the faster healed arm in greater than 50% of the images, although the results were not statistically significant. There was no statistically significant difference between test and control arms in terms of pain, discomfort and itch. In conclusion, PBM therapy has the potential to improve wound healing. In this study, a three wavelength PBM device resulted in some subjects achieving faster healing after AFL but the results were not statistically significant.

摘要

目的是评估一种市售的发光二极管(LED)光生物调节(PBM)设备对经消融性点阵激光(AFL)治疗后的健康皮肤双侧内二头肌伤口愈合的影响。我们进行了一项前瞻性个体内随机对照研究,共有 25 名志愿者参与。在健康的双侧内二头肌皮肤进行 AFL 治疗。受试者在第 0 天开始,每周 3 次,每次 30 分钟,将 LED 光设备应用于指定的二头肌,持续 4 周。在第 2、4、6、9、13、20 和 27 天,对 PBM 设备治疗、测试和对照部位的临床数码摄影以及受试者进行现场评估,并在第 34 和 55 天对临床摄影和评估进行随访。三位盲法评估员被要求确定在第 0 天至第 13 天之间哪只二头肌愈合更快。还评估了疼痛、不适和瘙痒。尽管结果没有统计学意义,但三位盲法评估员在超过 50%的图像中选择了治疗手臂作为愈合更快的手臂。在疼痛、不适和瘙痒方面,试验组和对照组之间没有统计学差异。总之,PBM 疗法有可能改善伤口愈合。在这项研究中,一种三波长的 PBM 设备使一些受试者在 AFL 后更快地愈合,但结果没有统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2676/10965566/8d51baf1c2d5/10103_2024_4042_Fig1_HTML.jpg

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