首页|氦氖激光血管内照射对脑梗塞患者白细胞粘附功能等的影响

氦氖激光血管内照射对脑梗塞患者白细胞粘附功能等的影响

Effect of intravascular He-Ne laser irradiation on blood for leukocyte adhesion function and serum soluble intercellular molecule-1 in cerebral infarction patients

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目的 观察低能量氦氖激光血管内照射(ILIB)对脑梗塞患者白细胞粘附功能(LAF)和血清可溶性细胞粘附分子-1(sICAM-1)水平的影响。方法 脑梗塞患者66例,30例单纯应用药物治疗(常规组),36例在药物治疗的基础上加用ILIB治疗(ILIB组)。检测两组患者治疗前、治疗后5,10 d后 LAF和血清sICAM-1浓度,并对患者治疗前后的临床神经功能缺损程度及临床疗效进行评价。结果 急性脑梗塞患者LAF和血清sICAM-1浓度明显高于正常对照组(t=16.50~17.94,P<0.001)。常规组治疗后LAF和血清sICAM-1浓度降低,仅在治疗10 d时差异有非常显著性(t=3.18,P<0.01;t=3.96,P<0.001),而ILIB组治疗后5 d及10 d时LAF和血清sICAM-1浓度均明显降低(t=4.48~12.72,P<0.001),且明显低于同期常规组(t=2.67~7.81,P<0.01或0.001)。ILIB组比常规治疗组患者出现神经功能明显恢复的时间较早,治疗有效率高(χ2=4.48,P<0.05)。结论 ILIB能降低脑梗塞患者LAF和血清sICAM-1浓度,这可能是ILIB治疗脑梗塞的作用机制之一。
Objective To investigate the effect of intravascular He-Ne laser irradiation on blood(ILIB) for leukocyte adhesion function(LAF) and serum soluble intercellular adhesion molecule-1(sICAM-1) in cerebral infarction(CT) patients. Methods  30 CI cases were treated with drug treatment(group A);other 36 cases,based on the drug treatment,received the ILIB therapy(group B) once a day for 10 times.another 40 healthy subjects were as control group.The LAF and sICAM-1 concentrations were measured before treatment and after the 5th and 10th day of treatment. Results The LAF and sICAM-1 concentrations in CI patients were obviously higher than those of control group(t=16.50~17.94,P<0.001).In group A,the LAF and sICAM-1 concentrations were significantly decreased in the 10th day after treatment(t=3.18,P<0.01;t=3.96,P<0.001),but,in group B,they presented on the 5th and 10th day after ILIB treatment(t=4.48~12.72,P<0.001).However,these parameters of group B were obviously lower than those of group A in the same stage(t=2.67~7.81,P<0.01 or 0.001).While the effective rate(72.22%) of group B was higher than that of group A(46.67%)(χ2=4.48,P<0.05). Conclusion These findings indicate that the ILIB therapy can decrease the LAF and sICAM-1 concentrations in CI patients and it is one of those mechanisms for treating CI patients probably.

赵仁亮、王春霞、李文健、王少萍、韩仲岩

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青岛医学院附属医院神经科

青岛医学院第二附属医院神经科

激光,氦氖 脑梗塞 受体,白细胞粘着

2001

中华理疗杂志
中华医学会

中华理疗杂志

ISSN:0254-1408
年,卷(期):2001.24(1)
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