低能量氦氖激光头部功能区照射对急性脑梗死患者日常生活活动能力及相关因素的影响  

Low-energy laser irradiation of the head after acute cerebral infarction： Effect on self-care and related factors

作　　者：张顺清[1,2] 张娟[3] 常成[4] 席妹景[1] 王丽娟[1] 梁金花[1] 郭金涛[1] 程秀兰[5] 张凯[1] 

机构地区：[1]河南省濮阳市人民医院神经内科,濮阳457000 [2]郑州大学第一附属医院神经内科 [3]北京大学第五临床医学院(卫生部北京医院)核医学科 [4]郑州大学基础医学院人体解剖学教研室 [5]河南省濮阳市中医院脑病科

出　　处：《中华物理医学与康复杂志》2014年第11期851-854,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的 观察低能量氦氖激光照射头部运动功能区对急性脑梗死患者预后相关因素的影响.方法 选取急性脑梗死住院患者358例,随机分常规组（120例）、照射组（118例）、对照组（120例）.常规组患者采用神经内科常规治疗方法,照射组和对照组在常规组治疗方案的基础上于发病后72 h开始进行氦氖激光和红光头部运动功能区照射.于治疗前、治疗后1个月和治疗后3个月分别检测3组患者的血液流变、血脂、同型半胱氨酸水平,并于治疗3个月后采用Baahel指数（BI）评定3组患者的日常生活活动能力.结果 治疗1个月和3个月后,照射组高切全血黏度、血浆黏度和纤维蛋白原均显著低于对照组和常规组的同时间点,差异均有统计学意义（P＜0.05）.治疗1个月后,照射组低切全血黏度为（6.41 ±0.58）mpa·s,显著低于对照组和常规组的同时间点,差异有统计学意义（P＜0.05）.治疗1个月和3个月后,照射组的TG、LDL-C和Hcy含量均显著低于常规组和对照组同时间点,差异有统计学意义（P＜0.05）;治疗3个月后,照射组TC含量为（4.20 ±0.18）mmol/L,显著低于常规组和对照组同时间点,差异有统计学意义（P＜0.05）.治疗后3个月,照射组BI指数显示,生活独立和轻度依赖分别为27例和48例,显著优于常规组的18例和35例,以及对照组的20例和32例.结论 低能量氦氖激光头部功能区照射可促进急性脑梗死患者的神经功能恢复,具有临床辅助治疗作用.Objective To observe the effect on prognostic factors of low-energy helium-neon laser irradiation of functional areas of the head in patients with acute cerebral infarction.Methods Three-hundred fifty-eight acute cerebral infarction patients were randomly divided into a regular group （120 cases）,a treatment group （118 cases） and a control group （120 cases）.The patients in the regular group were given the conventional neurological treatment,while those in the treatment group and control group were treated using helium-neon laser and normal red light.The functional areas of the head were irradiated at 72 h after the incidence of disease on the basis of the conventional regimen.The hemorheology,blood lipid and homocysteine （HCY） levels of patients in all 3 groups were measured before treatment,1 month afterward（M1） and 3 months afterward （M3）.Their ability in activities of daily living （ADL） was also evaluated using Barthel Index （BI） at 3 months after the treatment.Results At M1 and M3 the average whole blood viscosity at high shear rate,plasma viscosity,fibrinogen triglyceride （TG）,high-density lipoprotein cholesterol （HDL-C） and HCY in the treatment group were significantly lower than in the regular and control group （P ＜ 0.05）.At M1,the average whole blood viscosity at low shear rate （6.41 ± 0.58 mpa ＊ s） in the treatment group was also significantly lower than that in the other 2 groups （P ＜ 0.05）.At M3,the average total cholesterol （TC） in the treatment group （4.20 ± 0.18 mmol/L） was significantly lower compared with that in the regular and control group （P ＜ 0.05）.According to the average BI scores,ADL in the treatment group （27 cases of independence/48 cases of mild dependence） were significantly better than that in the regular group （18/35 cases） and the control group （20/32 cases）.Conclusions Low-energy helium-neon laser irradiation of the head＇s functional regions may promote the recovery of neurological function for c

关 键 词：氦氖激光 急性脑梗死 头部功能区 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]