摘要
随着老龄化社会和城市化进程的加剧,脑卒中已成为我国成年人致死和致残的第一位因素;同时,居民不健康生活方式流行,心脑血管病高危因素暴露,使我国脑卒中疾病呈爆发式增长的趋势。近年来,激光在脑卒中康复中的应用研究也越来越深入,对国内外激光在改善脑卒中患者肢体功能康复、促进脑功能康复、治疗偏瘫侧肩痛以及手功能康复的监测等几个方面的应用进行了综述,分析了激光在脑卒中康复患者应用中的优缺点,指出了激光治疗的改进方向和建议措施,为脑卒中患者今后的临床治疗改进提供借鉴。
Objective: This article aims to study the application of laser in stroke rehabilitation patients,and to provide basis for clinical treatment. Method: By reviewing the literature about the use of lasers at home and abroad in recent decades,this article has analyzed the application of lasers in improving the rehabilitation of stroke patients’ limb function,promoting brain function rehabilitation,treating hemiplegic shoulder disease and monitoring hand function rehabilitation. Results: In this article,it has been found that for the low-energy laser,the therapeutic intervention effect is the best when its wavelength range is from 655 to 950 nm. Generally,each course of treatment lasts for 6 days and after one-day intermission can the next course of treatment begin. Each treatment cycle covers from 2 to 8 courses of treatment. Besides,for the high-energy laser,it is often used to treat patients with pain in complex areas after ischemic stroke. Generally,the laser treatment of trigger points is employed,1 time/d,5-10 min/time,6 days per week,and it lasts for 6 weeks. Conclusion: Laser therapy,as an adjuvant therapy in stroke rehabilitation patients,is effective and safe. However,issues on the choice of optimal therapeutic dose,the setting of the treatment duration and the effects evaluation still need further studying.
作者
易维君
张林
王珍珍
楚晓红
陈锦
YI Weijun;ZHANG Lin;WANG Zhenzhen;CHU Xiaohong;CHEN Jin(The Second Affiliated Hospital of PLA Army Medical University,Chongqing 400037,China)
出处
《激光杂志》
CAS
北大核心
2021年第9期198-201,共4页
Laser Journal
基金
院管课题(No.XQQCC-095-2019-01)。
关键词
激光
脑卒中
康复
laser
stroke
rehabilitation