激光穿刺对烧伤后肝酶影响的研究

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

摘要
目的。本研究旨在调查激光穿刺作为辅助疗法对烧伤后肝酶的影响。材料和方法:该研究包括30名受伤患者,烧伤体表面积范围为30%至50%。他们的年龄从25岁到40岁不等。来自奥拉比医院的病例被随机分为两组,数量相等。A组包括15例病例,他们接受了激光针灸治疗(红外二极管激光,波长808纳米,脉冲间隔:200纳秒,功率密度:0.4瓦特/平方厘米,能量密度4焦耳/平方厘米);它直接与皮肤垂直对准身体穴位(ST36)、(SP6)、(LR3)、(GB34)、(BL18)以及中脘(RN12),每个穴位进行90秒,每周三次,连续4周,在离开重症监护室后,进行常规物理治疗程序以及医疗治疗。B组包括15名患者,他们只接受了常规的物理治疗程序以及医疗治疗。使用分光光度计测定天门冬氨酸转氨酶(AST)和肝酶、丙氨酸转氨酶(ALT)。结果。经过四周的干预后,发现激光穿刺组的血浆肝酶比例显著低于对照组。因此,可以得出结论,激光穿刺是改善烧伤后肝功能的有效辅助疗法。
关键词
激光穿刺,肝酶,烧伤
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Impact of Supervised Active Rehabilitation Program on Functional Activity in Patients with Post Burn Lower Limb

Nancy Hassan Aboelnour, Mahmoud Ewidea, Rafik Radwan

Nancy Hassan Aboelnour, Mahmoud Ewidea, Rafik Radwan – Impact of Supervised Active Rehabilitation Program on Functional Activity in Patients with Post Burn Lower Limb. Fizjoterapia Polska 2020; 20(2); 102-108

Abstract
Objective. To determine whether active rehabilitation program including both isokinetic and aerobic exercises in lower limb after burn is effective or not? Method. Forty patients with lower limb burn were randomly divided into two equal groups, Group A (active rehabilitation group): received guidelines protocol (range of motion exercise, massage, splinting, stretching) plus active rehabilitation program consisted of combined isokinetic and aerobic exercises, while Group B (control group): received guidelines protocol and aerobic exercises. Treatment program was applied for 12 weeks (3 sessions/week). Evaluation methods included Biodex isokinetic dynamometer (BID) for obtaining peak torque (PT) of quadriceps and hamstring strength assessment and Lower Extremity Functional scale (LEFS) for functional activity assessment of lower limb. All measures were gathered before the start of the study, and after termination of the trial (after 12 weeks).
Results. An increase in PT of quadriceps and hamstring was reported in both groups at the end of the trial, 32.69% and 25.7% respectively in group A, while 14.19% and 10.22% respectively in group B. The difference between both groups was statistically significant (p < 0.05). Also, there was a statistical improvement in LEFS score in group A compared with that of group B (p < 0.05), as the percent of improvement in group A and B was 72.9% and 38.91% respectively. Conclusion. Higher statistical results were achieved with active rehabilitation program illustrating the prominent effects of isokinetic exercises in lower limb burn in the term of improving leg muscles strength and functional activity.

Key words:
Burn, Isokinetic exercise, Aerobic exercise, Biodex isokinetic dynamometer (BID), and Lower Extremity Functional scale (LEFS)

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