【摘要】：目的: 評(píng)價(jià)氦氖激光在治療炎癥性皮膚病中的作用。 方法: 150例皮膚潰瘍(潰瘍組)的患者,隨機(jī)分為甲、乙兩組。甲組:潰瘍部位,每日碘伏消毒加氦氖激光照射,每次20分鐘;乙組:潰瘍部位,每日碘伏消毒。該組患者平均療程2周,治療一個(gè)月后判定療效。190例伴有滲出的急性或慢性濕疹急性發(fā)作患者(濕疹組),隨機(jī)分為甲、乙兩組。甲組:口服第二代抗組胺藥物及外用1%氫化考的松乳膏(氫考)、滲出部位進(jìn)行氦氖激光照射,每次20min,1次/d;乙組:口服第二代抗組胺藥及外用1%氫化考的松乳膏;治療一周后判定療效。110例病毒感染性疾病患者(病毒組),隨機(jī)分為甲、乙兩組。甲組:口服抗病毒藥物加氦氖激光照射,每次20分鐘;乙組:單純口服抗病毒藥物;治療一周后判定療效。統(tǒng)計(jì)學(xué)分析采用卡方檢驗(yàn)。 結(jié)果: 潰瘍組:甲組(78例)有效45例,有效率57.69%;乙組(72例)有效23例,有效率31.94%。兩組有效率χ2=10.02,P0.05,具有統(tǒng)計(jì)學(xué)意義。濕疹組:甲組(100例)有效31例,有效率31.00%;乙組(90例)有效5例,有效率0.06%。兩組有效率χ2=35.3,P0.05,具有統(tǒng)計(jì)學(xué)意義。病毒組:甲組(53例)有效34例,有效率64.15%;乙組(57例)有效19例,有效率33.33%。兩組有效率χ2=10.45,P0.05,具有統(tǒng)計(jì)學(xué)意義。 結(jié)論 1.氦氖激光照射在治療皮膚潰瘍、濕疹、病毒感染性疾病等炎癥性皮損中有顯著療效。 2.氦氖激光治療感染性、外傷性、外科術(shù)后及小面積的腫瘤所致的皮膚潰瘍效果較佳,治療深在的潰瘍?nèi)?褥瘡、血管炎)及長(zhǎng)期因血液循環(huán)及糖尿病所致的淤積性潰瘍方面療效欠佳。 3.氦氖激光與傳統(tǒng)的治療皮膚潰瘍、濕疹、病毒感染性疾病等的方法相比更加方便、快捷、依從性好、無(wú)痛苦及無(wú)毒副作用。氦氖激光是一種對(duì)人體無(wú)害,無(wú)痛苦的激光,臨床上可大力推廣。 4.氦氖激光是治療多種炎癥性皮損的有效方法之一。
[Abstract]:Objective: to evaluate the role of He-Ne laser in the treatment of inflammatory dermatosis. Methods: 150 patients with skin ulcer (ulcer group) were randomly divided into two groups: group A and group B. Group A: ulcer site, daily iodophor disinfection plus He-Ne laser irradiation, 20 minutes each time, group B: ulcer site, daily iodophor disinfection. 190 patients with acute or chronic eczema with exudation were randomly divided into two groups: group A and group B. Group A: the second generation of antihistamines and 1% hydrocortisone cream were taken orally, and the exudates were irradiated by He-Ne laser once a day for 20 min, group B: the second generation of antihistamines and the 1% hydrocortical loose cream were given orally. 110 patients with viral infectious diseases (viral group) were randomly divided into two groups: group A and group B. Group A: oral antiviral drugs plus He-Ne laser irradiation, 20 minutes each time; Group B: oral antiviral drugs alone, after a week of treatment to determine the efficacy. Chi-square test was used for statistical analysis. Results: in the ulcer group, 45 cases were effective in group A (78 cases), the effective rate was 57.69 cases, and the effective rate was 31.94 cases in group B (72 cases). The effective rate of the two groups was 蠂 2 + 10.02 (P 0.05), which was statistically significant. Eczema group: group A (100 cases) effective 31 cases, effective rate 31.00 cases, group B (90 cases) effective 5 cases, effective rate 0.06. The effective rate of the two groups was 蠂 ~ 2 ~ 2 ~ (3) 3 ~ (3) P _ (0.05), which was statistically significant. Virus group: 34 cases were effective in group A (53 cases), the effective rate was 64.15 cases, and in group B (57 cases), the effective rate was 33.3333 cases (19 cases). The effective rate of the two groups was 蠂 2 10.45 (P 0.05), which was statistically significant. Conclusion 1. He-Ne laser irradiation is effective in treating skin ulcers, eczema, viral infections and other inflammatory lesions. 2. He-Ne laser treatment of infectious, traumatic, postoperative and small areas of tumors caused by skin ulcers is better, treatment of deep ulcers such as (bedsore, Vasculitis) and chronic congestive ulcers due to blood circulation and diabetes are not effective. 3. He-Ne laser is more convenient, faster, more compliance, no pain and no side effects than the traditional treatment of skin ulcers, eczema, viral infectious diseases and so on. He-Ne laser is a harmless and painless laser, which can be popularized in clinic. 4. He-Ne laser is one of the effective methods for the treatment of various inflammatory lesions.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2011
【分類(lèi)號(hào)】：R751

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