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基于近红外区域的糖尿病周围神经病变无创治疗设备的研制。

Development of a near infrared region based non-invasive therapy device for diabetic peripheral neuropathy.

机构信息

Department of Electronics and Communication Engineering, SRM Institute of Science and Technology, Kattankulathur, 603203, India.

Faculty of Information Technology, Belgrade Metropolitan University, Belgrade, 11000, Serbia.

出版信息

Sci Rep. 2024 Nov 14;14(1):27993. doi: 10.1038/s41598-024-78144-5.

DOI:10.1038/s41598-024-78144-5
PMID:39543326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11564650/
Abstract

Diabetic Peripheral Neuropathy (DPN) is a nerve damage that is treated with painkillers and steroids which have the drawback of interference with other medications and the dangers of side effects. Novelty of the proposed work is to develop a Near Infrared Region (NIR) based non-invasive therapy device called 'DPNrelief-1.0V'developed with a 890 nm wavelength diodes. DPNrelief-1.0V delivers a total dosage of 6.174 J/cm with heat absorption by tissue of 61.74 Joules at 30 minutes. The device was tested by carrying out a pilot study with 8 patients where 4 were treatment group and control group. The DPNrelief-1.0V is validated by Nerve Conduction Study (NCS) test. The degenerated nerves pre-therapy showed less amplitude, Conduction Velocity (CV) and latency which was improved post-therapy by 100% in amplitude of nerve signal, 100% in CV and a decrease of 36.2% in latency. Independent t-test was conducted to find the difference between control and treatment, wherein a p value < 0.05 was obtained depicting significant difference between two groups. Furthermore, the performance of the device is validated by one-way test repeated measures Analysis of Variance (ANOVA), wherein a p value of < 0.05 was obtained depicting a difference in nerve condition pre-and post-therapy. The performance of DPNrelief-1.0V has outperformed Anodyne therapy device with lesser dosage, treatment time and portability and in curing the symptoms of DPN. DPNrelief-1.0V finds its potential in the field of medicine for treating DPN.

摘要

糖尿病周围神经病变(DPN)是一种神经损伤,用止痛药和类固醇治疗,这些药物有干扰其他药物的副作用和不良反应的危险。拟议工作的新颖之处在于开发了一种基于近红外区(NIR)的非侵入性治疗设备,称为“DPNrelief-1.0V”,它使用 890nm 波长的二极管。DPNrelief-1.0V 在 30 分钟内提供 6.174J/cm 的总剂量,组织吸收 61.74 焦耳的热量。该设备通过对 8 名患者进行试点研究进行了测试,其中 4 名患者为治疗组,4 名为对照组。通过神经传导研究(NCS)测试验证了 DPNrelief-1.0V。治疗前退化的神经表现出较小的幅度、传导速度(CV)和潜伏期,治疗后神经信号幅度提高了 100%,CV 提高了 100%,潜伏期降低了 36.2%。进行了独立 t 检验以发现对照组和治疗组之间的差异,其中 p 值<0.05 表明两组之间存在显著差异。此外,通过单向测试重复测量方差分析(ANOVA)验证了设备的性能,其中获得的 p 值<0.05 表明治疗前后神经状况存在差异。DPNrelief-1.0V 的性能优于 Anodyne 治疗设备,具有较小的剂量、治疗时间和便携性,并能治愈 DPN 的症状。DPNrelief-1.0V 在治疗 DPN 的医学领域具有潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/1f381ce08912/41598_2024_78144_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/f046015aad15/41598_2024_78144_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/bf10499e2719/41598_2024_78144_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/b37a51418a0a/41598_2024_78144_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/1f381ce08912/41598_2024_78144_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/f046015aad15/41598_2024_78144_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/bf10499e2719/41598_2024_78144_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/b37a51418a0a/41598_2024_78144_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb21/11564650/1f381ce08912/41598_2024_78144_Fig4_HTML.jpg

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