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高强度激光光疗中脉冲模式与连续波模式的对比分析:对深部组织治疗的意义

Comparative Analysis of Pulsed and Continuous Wave Modes in High-Intensity Laser Light Therapy: Implications for Deep Tissue Treatment.

作者信息

Chaki Chironjeet, De Taboada Luis, Tse Kwong Ming

机构信息

Department of Mechanical and Product Design Engineering, Swinburne University of Technology, Melbourne, Australia.

Enovis, Lewisville, Texas, USA.

出版信息

J Biophotonics. 2025 Jul;18(7):e202400164. doi: 10.1002/jbio.202400164. Epub 2025 May 19.

DOI:10.1002/jbio.202400164
PMID:40384056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12245496/
Abstract

High-intensity laser at a wavelength of 1064 nm has gained significant attention in the field of therapeutic applications due to its potential to penetrate deeper. Continuous wave laser therapy, although effective, poses a challenge of elevated skin temperature. This study endeavors to explore the transition from continuous to pulsed laser, aiming to enhance light fluence in deep tissue while mitigating skin temperature rise. Investigating continuous versus pulsed wave in transdermal deep tissue light therapy, this research utilizes a high-intensity laser at 1064 nm to optimize fluence in deep muscle tissue of the human knee, minimizing absorption-driven skin temperature rise. Simulated parameters, including peak power (60 W), pulse width (2 ms), duty cycle (10%), frequency (50 Hz), as well as beam size of 20 mm, indicate that pulsed wave irradiation after 300 s achieved the lowest skin surface temperature (42.5°C) and the highest fluence (approximately 4.2 J/cm).

摘要

波长为1064纳米的高强度激光因其具有更深穿透潜力而在治疗应用领域受到广泛关注。连续波激光疗法虽然有效,但存在皮肤温度升高的问题。本研究旨在探索从连续激光向脉冲激光的转变,以提高深部组织的光通量,同时减轻皮肤温度升高。在经皮深部组织光疗中研究连续波与脉冲波,本研究使用1064纳米的高强度激光来优化人体膝盖深部肌肉组织中的光通量,将吸收驱动的皮肤温度升高降至最低。模拟参数包括峰值功率(60瓦)、脉冲宽度(2毫秒)、占空比(10%)、频率(50赫兹)以及20毫米的光束尺寸,结果表明,300秒后脉冲波照射实现了最低的皮肤表面温度(42.5°C)和最高的光通量(约4.2焦耳/平方厘米)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/bfb89462d811/JBIO-18-e202400164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/605fe59ae8fd/JBIO-18-e202400164-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/d5f9491c8753/JBIO-18-e202400164-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/f1261d3c6a59/JBIO-18-e202400164-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/3a6b481b6012/JBIO-18-e202400164-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/3a7540908cd7/JBIO-18-e202400164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/f14ed57c0fe5/JBIO-18-e202400164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/bfb89462d811/JBIO-18-e202400164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/605fe59ae8fd/JBIO-18-e202400164-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/d5f9491c8753/JBIO-18-e202400164-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/f1261d3c6a59/JBIO-18-e202400164-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/3a6b481b6012/JBIO-18-e202400164-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/3a7540908cd7/JBIO-18-e202400164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/f14ed57c0fe5/JBIO-18-e202400164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/644e/12245496/bfb89462d811/JBIO-18-e202400164-g002.jpg

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本文引用的文献

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Three-dimensional irradiance and temperature distributions resulting from transdermal application of laser light to human knee-A numerical approach.经皮应用激光于人体膝盖之三维辐照度与温度分布—数值方法。
J Biophotonics. 2023 Sep;16(9):e202200283. doi: 10.1002/jbio.202200283. Epub 2023 Jun 14.
2
Spread of the Optical Power Emission of Three Units Each of Two Different Laser Therapy Devices Used in Sports Medicine, Which Cannot Be Assessed by the Users, Shown by Means of High-Fidelity Laser Measurement Technology.采用高保真激光测量技术展示了运动医学中使用的两种不同激光治疗设备各三个单元的光功率发射扩散情况,用户无法对其进行评估。
Biomedicines. 2023 Feb 16;11(2):585. doi: 10.3390/biomedicines11020585.
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Utilization of the 1064 nm Wavelength in Photobiomodulation: A Systematic Review and Meta-Analysis.
1064纳米波长在光生物调节中的应用:一项系统评价和荟萃分析。
J Lasers Med Sci. 2021 Dec 28;12:e86. doi: 10.34172/jlms.2021.86. eCollection 2021.
4
Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial.比较低水平激光和脉冲及连续超声波对慢性非特异性下腰痛疼痛和身体残疾的影响:一项随机对照临床试验。
Adv Rheumatol. 2019 Dec 17;59(1):57. doi: 10.1186/s42358-019-0099-z.
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