당뇨병성 궤양에 사용되는 레이저의 특성에 대한 연구
Review of the Properties of the Laser and the Spectrum of Laser Instruments for Diabetic Ulcer
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Objectives : One of major complications of diabetes, diabetic ulcer is also one of the main reasons for amputation, and the prevalence rate is 4-10%. Laser therapy is widely used for leg ulcer and diabetic ulcer, and it is known to improve wound epithelialization, cellular content, and collagen deposition. The purpose of this study is to investigate the properties of the laser and the spectrum of laser instruments for diabetic ulcer. Methods : We performed literature search using the PubMed, Cochrane, CINAHL and Web of science for the data in English. In addition, other databases were checked for different languages such as OASIS and NDSL for the literature in Korean, CNKI in Chinese, and CiNii and J-STAGE written in Japanese. We excluded all review article and experimental studies, and only clinical studies using laser or light emitting diode (LED) for diabetic ulcer were selected. Results : A total twenty papers were selected. Different light sources were used as follows: LED, HeNe, InGaAlP, GaAlAs, GaAs, CO2, and KTP. The number of LED studies was 9, and HeNe laser was 7, and InGaAlP and GaAlAs laser was 2, GaAs, CO2, and KTP laser was 1 for each. Various energy density of the clinical study were reported. Conclusions : It is suggested that to select appropriate laser type and give the adequate output power to treat diabetic ulcer. Further evaluation and research for the condition of laser therapy to treat diabetic ulcers are warranted.
Abstract
Objectives : One of major complications of diabetes, diabetic ulcer is also one of the main reasons for amputation, and the prevalence rate is 4-10%. Laser therapy is widely used for leg ulcer and diabetic ulcer, and it is known to improve wound epithelialization, cellular content, and collagen deposition. The purpose of this study is to investigate the properties of the laser and the spectrum of laser instruments for diabetic ulcer. Methods : We performed literature search using the PubMed, Cochrane, CINAHL and Web of science for the data in English. In addition, other databases were checked for different languages such as OASIS and NDSL for the literature in Korean, CNKI in Chinese, and CiNii and J-STAGE written in Japanese. We excluded all review article and experimental studies, and only clinical studies using laser or light emitting diode (LED) for diabetic ulcer were selected. Results : A total twenty papers were selected. Different light sources were used as follows: LED, HeNe, InGaAlP, GaAlAs, GaAs, CO2, and KTP. The number of LED studies was 9, and HeNe laser was 7, and InGaAlP and GaAlAs laser was 2, GaAs, CO2, and KTP laser was 1 for each. Various energy density of the clinical study were reported. Conclusions : It is suggested that to select appropriate laser type and give the adequate output power to treat diabetic ulcer. Further evaluation and research for the condition of laser therapy to treat diabetic ulcers are warranted.
참고문헌 (32)
- "2014Statistical Yearbook on the Usage of Medical Services by Region" (2014)[URL]
- Singh N, "Preventing Foot Ulcers in Patients With Diabetes", JAMA, 293(2), pp.217~228 (2005)
- Litscher G, "Laserneedle-Acupuncture Science and Practice", pp.160~ (2007), Medical Korea
- 황의형, "레이저침 시술에 사용되는 레이저 기기의 적용 범위에 대한 고찰", 대한침구의학회지, 26(1), pp.49~57 (2009), 대한침구의학회
- 이득주, "하니매화레이저를 이용한 여드름 흉터 치료 1례", 한방안이비인후피부과학회지, 29(2), pp.106~111 (2016), 대한한방안이비인후피부과학회[DOI]
- Carvalho AF, "Low-level laser therapy and Calendula officinalis in repairing diabetic foot ulcers", Rev Esc Enferm USP, 50(4), pp.626~634 (2016)
- Sanati MH, "Effect of Ga-As Laser on Decrease of Wound Surface Area and ABI Value In Diabetic Foot Ulcers", J Zanjan Univ Med Sci Health Serv, 24(103), pp.20~31 (2016)
- Feitosa MC, "Effects of the Low-Level Laser Therapy(LLLT)in the process of healing diabetic foot ulcers", Acta Cir Bras, 30(12), pp.852~857 (2015)
- Nteleki B, "Conventional podiatric intervention and phototherapy in the treatment of diabetic ulcers", Semin Vasc Surg, 28(3-4), pp.172~183 (2015)
- Abd El-Kader SM, "Impact of Different Therapeutic Modalities on Healing of Diabetic Foot Ulcers", Eur J Gen Med, 12(4), pp.319~325 (2015)
- Kajagar BM, "Efficacy of Low Level Laser Therapy on Wound Healing in Patients with Chronic Diabetic Foot Ulcers-A Randomised Control Trial", Indian J Surg, 74(5), pp.359~363 (2012)
- Sun XH, "A Case Report of Abdominal Diabetic Chronic Ulcer Treated with Semiconductor Laser", Chin J Laser Med Surg, 21(2), pp.130~131 (2012)
- Kaviani A, "A Randomized Clinical Trial on the Effect of Low-Level Laser Therapy on Chronic Diabetic Foot Wound Healing : A Preliminary Report", Photomed Laser Surg, 29(2), pp.109~116 (2011)
- Minatel DG, "Phototherapy Promotes Healing of Chronic Diabetic Leg Ulcers That Failed to Respond to Other Therapies", Lasers Surg Med, 41(6), pp.433~441 (2009)
- Minatel DG, "Phototherapy(LEDs 660", 890㎚)in the treatment of leg ulcers in diabetic patients : case study, 2009, pp.84(3), 279~283
- Park HW, "Efficiency of a Low Level Laser to the Wound in the Foot of a Diabetic Patient:Case Report", J Korean Photodyn Assoc, 4(1), pp.40~42 (2007)
- Kazemi-Khoo N, "Successful treatment of diabetic foot ulcers with low-level laser therapy", The Foot, 16(4), pp.184~187 (2006)
- Schindl A, "Systemic Effects of Low-Intensity Laser Irradiation on Skin Microcirculation in Patients with Diabetic Microangiopathy", Microvasc Res, 64(2), pp.240~246 (2002)
- Landau Z, "Topical Hyperbaric Oxygen and Low Energy Laser Therapy for Chronic Diabetic Foot Ulcers Resistant to Conventional Treatment", Yale J Biol Med, 74(2), pp.95~100 (2001)
- Schindl M, "Induction of complete wound healing in recalcitrant ulcers by low intensity laser irradiation depends on ulcer cause and size", Photodermatol Photoimmunol Photomed, 15(1), pp.18~21 (1999)
- Schindl A, "Diabetic Neuropathic Foot Ulcer : Successful Treatment by Low-Intensity Laser Therapy", Dermatology, 198(3), pp.314~316 (1999)
- Schindl A, "Low-Intensity Laser Irradiation Improves Skin Circulation in Patients With Diabetic Microangiopathy", Diabetes Care, 21(4), pp.580~584 (1988)
- Landau Z, "Topical hyperbaric oxygen and low energy laser for the treatment of diabetic foot ulcers", Arch Orthop Trauma Surg, 117(3), pp.156~158 (1998)
- Lagan KM, "Combined phototherapy low intensity laser therapy in the management of diabetic ischaemic and neuropathic ulceration : A sigle case series investigation", Laser Ther, 10, pp.103~110 (1998)
- Rinaldi F, "The diabetic foot. General considerations and proposal of a new therapeutic and preventive approach", Diabetes Res Clin Pract, 21(1), pp.43~49 (1993)
- Tuner J, "Laser Therapy Clinical Practice and Scientific Background. Jang IS Trans", pp.29~35 (2011), Jeongdam
- 서동교, "당뇨병성 족부 궤양의 치료", 대한족부족관절학회지, 18(1), pp.1~7 (2014), 대한족부족관절학회[DOI]
- World Association of Laser Therapy, "Consensus agreement on the design and conduct of clinical studies with low-level laser therapy and light therapy for musculoskeletal pain and disorders", Photomed Laser Surg, 24(6), pp.761~762 (2006)
- Zhang LJ, "Case Series of He-Ne Laser Therapy with Surgery in Diabetic Foot Ulcer", Chin Community Doctors, 14, pp.92~ (2012)
- Monami M, "Randomised, double-blind versus placebo, proof of concept clinical trial to evaluate efficacy and safety of g.68.y", etoh in diabetic infected foot ulcers (DANTE study), 2012, pp.55(Suppl1), S476~
- Cao JH, "Clinical study of Laser Therapy with Oointment in Diabetic Foot Ulcer", Chin Rural Health, 6(12), pp.31~ (2015)
- Santomauro AC, "A New Proposal for the Treatment of Patients with Diabetic Foot Photodynamic Therapy", Diabetes, 64(Suppl1), pp.A185~A186 (2015)