氦-氖激光针治疗周围神经性瘫痪的初步研究  

Preliminary study of treating peripheral paralysis by using He-Ne laser needles

作　　者：周江堡[1] 蔡方成[1] 徐春蓉[1] 王莉[1] 任永平[1] 魏玲[1] 李邦惠[1] 张萍[1] 杨定萍 

机构地区：[1]重庆医科大学儿童医院,重庆430010

出　　处：《激光杂志》1999年第5期72-73,共2页Laser Journal

摘　　要：氦－ 氖（Ｈｅ－ Ｎｅ） 激光作为一种临床疾病治疗的新技术已逐渐引起人们的重视，然而对周围神经性瘫痪治疗尚鲜有报道。作者对４０ 例临床确诊为周围神经性瘫痪病儿随机分为Ｈｅ－ Ｎｅ 激光治疗组（１６ 例） ；针灸理疗组（１５） 组；对照人组（９ 例） 进行对照治疗研究。三组间年龄、性别、病种及瘫痪程度均无明显差别，激光组采用波长６３２－８ｎｍ Ｈｅ－ Ｎｅ 激光针，输出功率１０ｍ Ｗ，根据瘫痪部位选穴位，每穴照射１０ 分钟，一日二次，７ 天一疗程；针灸组除用针灸取代激光针外余均同激光组；对照组仅给维生素Ｂ６ ，呋喃硫胺治疗。结果发现：激光组治疗２ 个疗程总有效率达８７－６ ％ ，对照组仅２２ ％ ，两组间有显著性差异（Ｘ２ ＝ ８ ．０１ ，Ｐ＜ ０－０１） 。尽管针灸组总有效率７３－３ ％ ，与激光组无显著差异，但在第一疗程中激光组有效率明显示优于针灸组，有效率分别为１１／１６（６８－７ ％ ） ；３／１５（２０ ％ ） ，统计学处理（Ｘ２＝ ４ ．９５ 　Ｐ＜ ０－０２） 有显著性差异。神经传导速度的对照研究也提示Ｈｅ －Ｎｅ 激光产生的即刻效应可使神经传导速度平均增快１０ ％ 左右，综上所述，Ｈｅ－ Ｎｅ 激光针穴位治疗周围神经性瘫痪具有较好的疗效，?He-Ne laser,as a new instrument of therapy,has been well known but seldom utilized to treat peripheral paralysis.Forty cases of children with peripheral paralysis are randomly divided into three groups:Group Ⅰ consitst of 16 cases taben therapy by using He-Ne laser,Group Ⅱ consists of 15 cases taken acupuncture treatment and the group Ⅲ consists of 9 cases as control grorp.No significant difference exists in above three group at ages,sex,kinds of disease and degree of paralysis.Every patient in group Ⅰ was performed with He-Ne laser needle shining for 10 minutes per acupoint with 632.8nm,10 mW as output power,two time a daily and 7days as one course of treatment.And the acupoint was selected according to the parts of paralysis.The every patient in group Ⅱ was treated by same way but the laser needle was substituted by acupuncture.While the patients in control were only used Vitamin B6 and thiamin tetrahydrofuryl disulfide.After 2 courses of treatment results show that 87.6% of patients in group Ⅰ get effective but only 22% of the patients in group Ⅲ get affective.There is significant difference between the two group,(X 2=8.01,P<0.01).Although the total effective rate is 73.3% in group Ⅱ,which is not different significantly from gropu Ⅰ,but after one courses of treatment,the effective rate in group Ⅰ is higher than that in group Ⅱ,with 68.7%(11/16)and 20%(3/15)respectively.so there is also significant difference between the two group,(x 2=4.94,P<0.02).The speed of the neural transmission among the patients treated by He-Ne laser is 10% quicker than that among the control group.According to above results we come to the conclusions that if we use He-Ne laser needle to treat the patients with peripheral paralysis,we coule get better effective than we use acupuncture.Be cause using He-Ne laser needle has the benefits of safety,painlessness,no nosocomial infection and no faint taking place,This is a kind of satisfactory therapy for treatment an recovery.

关 键 词：氦-氖激光 周围神经性瘫痪 激光针穴位治疗 

分 类 号：R745[医药卫生—神经病学与精神病学] R245[医药卫生—临床医学]