Intravenous Laser Therapy in Young Children with Thermal Injuries
https://doi.org/10.15360/1813-9779-2014-5-52-58
Abstract
Objective: to evaluate the laboratory and clinical effects of combined intravenous laser therapy in young children with thermal
injuries in the acute period of burn disease.
Subjects and methods. Forty children whose mean age was 2.67±0.35 years were examined; thermal injuries accounted for 25.05±1.01% of the total body surface area; of them degrees IIIaIIIb was 19.04±0.85%. A comparison group (n=15) received conventional therapy without taking into account and correcting baseline and current hemostasiological disorders. On day 1, a study group (n=25) had programmed anticoagulant therapy and intravenous laser therapy at different radiation frequencies with a Mustang 20002+ laser therapy apparatus (patent for invention No. 2482894) in addition to the conventional therapy. The laser therapy cycle was 6 to 16 sessions. The investigators estimated and compared the following examined parameters: white blood cell count; leukocytic index of intoxication; plasma average mass molecules at a wavelength of 254 nm; toxogenic granularity of neutrophils; wound exudate discharge time; surgical plasty area; and hospitalization time.
Results. The positive laboratory and clinical effects of the performed combined intravenous laser therapy in the combined therapy of burn disease in young children were comparatively shown in the study group patients. The significant decrease in the level of an inflammatory response and endogenous intoxication led to a rapider burn wound cleansing, active epithelization, and reduced surgical plasty volumes.
Conclusion. Combined intravenous laser therapy signif icantly exerts antiinflammatory and detoxifying effects in young children with 40% thermal injuries in the acute period of burn disease. Abolishing a systemic inflammatory response by combined intravenous laser therapy initiated early regenerative processes in the burn wound and caused reductions in surgical plasty volumes and hospitalization time, which optimizes ther apy for burn disease.
About the Author
R. V. Bocharov
Emergency Medical Care Hospital Two, Tomsk, Russia
Russian Federation
72, O. Koshevoy St., Tomsk 634021
Russian Federation
72, O. Koshevoy St., Tomsk 634021
References
1. Golubev A.M., Sundukov D.V., Bashirova A.R., Golubev M.A. Morfologicheskie izmeneniya golovnogo mozga pri kombinirovannykh otravleniyakh azaleptinom v sochetanii s etilovym alkogolem. Obshchaya Reanimatologiya. [Brain morphological changes in acute combined intoxication with asaleptin and ethyl alcohol. General Reanimatology]. 2012; 8 (6): 31—36. [In Russ.]
2. Goldzon M.A., Dolgikh V.T., Girsh A.O. Narushenie sistemnoi gemodinamiki, sokratimosti i metabolizma miokarda pri tyazheloi termicheskoi travme v eksperimente i ikh korrektsiya. Obshchaya Reanimatologiya. [Systemic hemodynamic, myocardial contractile and metabolic disorders in severe thermal injury in the experiment and their correction. General Reanimatology]. 2012; 8 (3): 14—17. [In Russ.]
3. Yakovlev V.N., Levikov D.I., Marchenkov Yu.V., Shumakov D.V., Goncharov P.N., Kuznetsov A.M., Poptsov V.N., Rybakova M.K., Molochnikov I.O., Neznamova N.G., Savchenko M.V., Shaibakova V.L. Tyazhelaya sochetannaya travma, oslozhnennaya povrezhdeniem klapannogo apparata serdtsa. Obshchaya Reanimatologiya. [Severe concomitant injury complicated by heart valvular apparatus damage. General Reanimatology]. 2012; 8 (1): 26—30.
4. Khubutiya M.Sh., Shabanov A.K., Skulachev M.V., Bulava G.V., Savchenko I.M., Grebenchikov O.A., Sergeyev A.A., Zorov D.B., Zinovkin R.A. Mitokhondrialnaya i yadernaya DNK u postradavshikh s tyazheloi sochetannoi travmoi. Obshchaya Reanimatologiya. [Mitochondrial and nuclear DNA in patients with severe polytrauma. General Reanimatology]. 2013; 9 (6): 30—35.
5. Mukhametzyanov A.M., Gizatullin T.R., Khatmullina K.R. Klinikosta tisticheskaya kharakteristika detei s ozhogovoi travmoi. Materialy 3 go syezda kombustiologov Rossii. [Clinical and statistical characteristics of children with burn injury. Proceedings of the 3rd Congress of Combustiologists of Russia]. Moscow; 2010: 24—25. [In Russ.]
6. Bocharov R.V. Farmakologicheskaya optimizatsiya efferentnykh metodov detoksikatsii u detei pri tyazheloi termicheskoi travme: avtoref. dis. … kand. med. nauk. [Pharmacological optimization of efferent detoxification methods in children with severe thermal injury: Abstract of Cand, Med. Sci, Thesis]. Tomsk, 2008: 25. [In Russ.]
7. Lopatkin N.A., Lopukhin Yu.M. Efferentnye metody v meditsine. [Efferent methods in medicine]. Moscow: Meditsina Publishers; 1989: 352. [In Russ.]
8. Luzhnikov E.A. (red.). Meditsinskaya toksikologiya. Natsionalnoe rukovodstvo. [Medical toxicology. National guide]. Moscow: GEO TARMedia; 2012: 149—151. [In Russ.]
9. Moskvin S.V., Azizov G.A. Vnutrivennoe lazernoe obluchenie krovi. [Intravenous laser blood radiation]. Moscow: Matriks; 2004: 32. [In Russ.]
10. Moskvin S.V., Builin V.A. Osnovy lazernoi terapii. [Fundamentals of laser therapy]. Moscow Tver: Triada; 2006: 256. [In Russ.]
11. Moskvin S.V., Nasedkin A.N., Osin A.Ya., Khan M.A. Lazernaya terapiya v pediatrii. [Laser therapy in pediatrics]. Moscow: Eksmo; 2010: 480. [In Russ.]
12. Gerasimova L.I. Ostraya ozhogovaya toksemiya. Patofiziologiya krovi. V kn.: Vorobyev A.I., Gorbunov N.A. (red.). Ekstremalnye sostoyaniya (sbornik). [Acute burn toxemia. Blood pathophysiology. In: Vorobyev A.I. Gorbunov N.A. (eds.). Extreme states (collected articles)]. Moscow: Bivitek; 2004: 92—102. [In Russ.]
13. Derbenev V.A., Grebennik S.F., Yakubov E.Sh., Makoev S.N. Vliyanie vnutrivennogo lazernogo oblucheniya krovi na dinamiku ranevogo protsessa u obozhzhennykh. [Impact of intravenous laser blood radiation on the time course of wound process changes in the burned]. Lazernaya Meditsina. 2008; 12 (4): 13—17. [In Russ.]
14. Volotovskaya A.V., Slobozhanina E.I., Ulashchik V.S. Membranokletochnye effekty lazernogo oblucheniya krovi. [Cell membrane effects of laser blood radiation]. Lazernaya Meditsina. 2005; 9 (1): 4—9. [In Russ.]
15. Zhegalov V.A., Dmitriev D.G., Vorobyev A.V., Vilkov S.A. Taktika okazaniya kvalifitsirovannoi meditsinskoi pomoshchi tyazheloobozhzhennym, predotvrashchenie oshibok i oslozhnenii. [Tactics for rendering qualified medical care to the severely burned, prevention of errors and complications]. Vestnik Travmatologii i Ortopedii Imeni N.N.Priorova. 2003; 3: 91–97. [In Russ.]
Review
For citations:
Bocharov R.V. Intravenous Laser Therapy in Young Children with Thermal Injuries. General Reanimatology. 2014;10(5):52-58. https://doi.org/10.15360/1813-9779-2014-5-52-58
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