Effect of laser puncture on liver enzymes post burn

Aya G. F. Elsayed, Shaimaa M. A. Elsayeh, Rokaia A. Toson, Sara S. Youssef, Nada M. Yousef

 

 Aya G. F. Elsayed, Shaimaa M. A. Elsayeh, Rokaia A. Toson, Sara S. Youssef, Nada M. Yousef – Effect of laser puncture on liver enzymes post burn. Fizjoterapia Polska 2023; 23(5); 35-41

DOI: https://doi.org/10.56984/8ZG20B860

Abstract
Objective. The present study was carried out to investigate the impact of laser puncture as an adjunctive therapy on liver enzymes after a burn. Material and Methods: The study included 30 injured patients with burned body surface areas ranging from 30 to 50%. They were aged from 25 to 40 years. Cases from Orabi Hospital were randomized into two groups, equal in number. Group A included 15 cases as they received laser acupuncture (infrared diode laser, wavelength 808 nanometers, with pulse interval: 200 nanoseconds, power density: 0.4 Watt/cm², and energy density 4 Joule/cm²); it was located in direct connection with skin perpendicular to the body acupoints (ST36), (SP6), (LR3), (GB34), (BL18) on each side of the body as well as Zhongwan (RN12) and conducted for 90 seconds for every point three times a week, for 4 weeks after leaving the intensive care unit, conventional physiotherapy program as well as medical treatment. Group B included 15 patients as they received only their conventional physiotherapy program as well as medical treatment. Aspartate transaminase (AST) and liver enzymes, alanine transaminase (ALT) were determined using a spectrophotometer. Results. After four weeks of our intervention, it was found that the laser puncture group had significantly lower ratios of plasma liver enzymes than those in the control group. Thus, it can be concluded that laser puncture serves as an efficient adjunctive therapy for improving liver function after a burn.

Keywords
laser puncture, liver enzymes, burn

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Effect of laser puncture on arterial blood gases for mechanically ventilated patients: a randomized controlled trial

Hany Farid Eid Morsy Elsisi, Zeinab Sami Ali Ahmed, Azza Fekry Ismail, Amany Raafat Mohamed, Rania M. El-Sherif

Hany Farid Eid Morsy Elsisi, Zeinab Sami Ali Ahmed, Azza Fekry Ismail, Amany Raafat Mohamed, Rania M. El-Sherif – Effect of laser puncture on arterial blood gases for mechanically ventilated patients: a randomized controlled trial. Fizjoterapia Polska 2019; 19(4); 24-27

DOI: https://doi.org/10.56984/8ZG1A3D62

Abstract
Purpose. To determine the effect of laser puncture on arterial blood gases for mechanically ventilated patients. Design. Single blind randomized controlled trial. Methods. Forty patients participated in the study, they were recruited from the critical care unit in Cairo University hospitals Kasr el Einy hospitals, Cairo, Egypt; their ages ranged from 50-70 years old, through a period of 33 months (from May 2016 to February 2019). Confidentiality was assured. They were assigned randomly into two groups equally in number; 20 patients each: Group (A) patients received both Laser puncture with an output of 5–20 mW, wavelength of 905 nm and frequency of 5000 Hz. laser probe stimulated on each point for 1 min, once daily for 10 days and routine intensive care physical therapy program twice per day. Group (B) patients received a routine intensive care physical therapy program (modified postural drainage, airway clearance techniques, lung expansion techniques and circulatory exercises for lower limbs) twice per day for 10 days. Pre and post Blood gas analysis for assessment of arterial blood gases (PaO2, PaCO2, O2%, and PaO2/FiO2) for all patients. Results. This study revealed improvement in PaO2/FiO2 in group (A), non significant change in PaO2, PaCO2 level, O2% after 10 days in both groups. Conclusion. Laser puncture had a significant effect in PaO2/FiO2, so this study supports the value of laser puncture on arterial blood gases for mechanically ventilated patients.

Key words:
arterial blood gases, laser puncture, mechanically ventilated patients

 

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