低强度激光照射在头颈部肿瘤根治性手术或综合治疗后患者康复中的应用

Y. Y. Gorchak, G. Guens, E. Prazdnikov, M. L. Stakhanov, D. Reshetov, D. Khlanta
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摘要

目的:评价低水平激光在头颈部肿瘤根治性手术后复杂康复治疗中的效果,并评价所讨论的治疗方法对患者生活质量的影响。材料和方法。研究对象为134例23 ~ 78岁的头颈癌患者(平均年龄- 54.24±12.7岁)。男性39例(29.1%),女性95例(70.9%)。所有患者分为三组。组1 (n = 45)患者接受传统康复治疗(体育锻炼、按摩、药物治疗);第2组(n = 45)采用传统康复加低水平激光治疗(LLLT);第三组(n = 44)患者仅接受几个LLLT疗程作为康复治疗。激光治疗采用激光设备“Azor 2K-02”(激光危害二级,GOST 12.1.040-83)。在治疗过程中,大多数患者手术部位疼痛和麻木程度早期消失或明显减轻;手术部位的皮肤敏感性和肩带及上肢肌张力的增加也得到了恢复。综合使用其他康复措施的患者在康复治疗后的主诉消退最为明显。头颈部恶性肿瘤患者根治性手术或联合治疗导致治疗部位组织器官功能紊乱。在红色和/或红外光谱范围内使用LLLT进行康复治疗可确保受损功能的充分恢复,从而提高此类患者的生活质量。
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Low-intensity laser irradiation in the rehabilitation of patients after radical surgical or combined treatment for head and neck tumors
Purpose: to evaluate the effectiveness of low-level laser radiation in the complex rehabilitation of patients with head and neck tumors after radical surgical treatment as well as to assess the influence of the discussed treatment on the quality of their life.Material and methods. 134 patients with head and neck cancer aged 23–78 years (mean age – 54.24 ± 12.7 years ) were taken into the study. There were 39 (29.1 %) men and 95 (70.9 %) women. All patients were divided into three groups. In Group 1 (n = 45), patients received traditional rehabilitation treatment (physical exercises, massage, medication); in Group 2 (n = 45), patients had a course of traditional rehabilitation plus low-level laser therapy (LLLT); in Group 3 (n = 44), patients had only several LLLT courses as rehabilitation therapy. For laser therapy, laser device “Azor 2K-02” (laser hazard of class II, GOST 12.1.040-83) was used.Results. During the treatment, most of the patients noted early disappearance or noticeable decrease in pain and numbness intensity at the site of the surgical; skin sensitivity and increase of the muscular tone in the shoulder girdle and upper limb at the site of the surgical were restored as well. The most pronounced regression of complaints after rehabilitation therapy was observed in patients who had LLLT in combination with other rehabilitative measures.Conclusion. Radical surgical or combined treatment of patients with malignant tumors of head and neck causes functional disorders of tissues and organs at the site of treatment. Rehabilitation therapy with LLLT in red and/or infrared spectrum range ensures adequate restoration of impaired functions what improves the quality of life of such patients.
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期刊介绍: The main columns of "Chinese Journal of Laser Medicine & Surgery" include treatises, which report the latest research results in basic research and clinical trials in the field of laser medicine; comprehensive reviews of the latest research progress in laser medicine at home and abroad. In addition, there are short reports and excerpts from foreign journals, conference news and other columns. The journal has published a large number of papers on basic research on laser medicine and applied research in various clinical subjects, aiming to play a positive role in promoting the application of laser in medicine and improving the level of laser medicine research.
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