630～650nm光(红光)治疗烧伤创面的疗效观察  

Clinical efficacy observation of 630-650nm visible light in treatment of burn wound

作　　者：毛和水[1,2] 王野平 江文政[1] 仇旭光[1] 方勇[2] 

机构地区：[1]浙江省金华市中心医院,金华321000 [2]上海交通大学医院附属第三人民医院

出　　处：《浙江创伤外科》2017年第5期831-833,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的研究630~650nm可见光治疗烧伤创面的疗效及安全性评价。方法收集上海市第三人民医院烧伤整形科自2013年12月份至2014年12月份烧伤/创伤部位对称或临近的患者44例,共78个创面,随机分为治疗组和对照组。治疗组(n=40)创面使用630~650光治疗,对照组采用常规使用1%磺胺嘧啶银乳膏换药,两组共治疗21天,每日摄像,观察并计算创面愈合率、创面分泌物、创缘反应以及安全性评价。结果治疗组创面愈合率高于对照组,并减少创面分泌物、缓解创缘反应。结论临床观察表明,630~650nm光能减少创面分泌物的分泌,减轻创缘反应,缓解疼痛,促进创面愈合。Objective To evaluate the efficacy and safety of 630~650 nm visible light on treatments of burn wound. Methods A total of forty-four patients with 78 burn or trauma wounds were selected for clinical study in Shanghai No.3 people＇s hospital from December 2013 to Decem-ber 2014, and the wounds were randomly divided into control and experimental groups. In the experimental group（ n=40）, the wounds were treated by630~650 nm visible light once per day for 21 days.In the control group（n=38）,the wounds were treated 1% silver sulfadiazine cream dressing once per day for 21 days. The wound healing rate and inflammatory response were daily observed with camera and calculated using Image. The safety issues int-wo groups were evaluated as well. Results The wound healing rate was significantly increased in the experimental group comparing with that in the control group, the redness and pain in the wounds in the experimental group were significantly lower than that in the control group. Conclusion The results from clinical observations suggest that application of 630 ~650 nm visible light can relieve the pain, attenuate inflammatory response and enhance healing rate of wounds.

关 键 词：630~650nm 可见光 LLLT 创面愈合 炎症反应 

分 类 号：R658.3[医药卫生—外科学]