半导体激光鼻腔内照射对脑梗死患者甲皱微循环的影响.pdfVIP

· 23l5 · · 短 篇 论 著 · 半导体激光鼻腔 内照射对脑梗死患者甲皱微循环的影响 程 莹莹，王 晶，王玉红 【摘要】 目的 探讨脑梗死患者半导体激光鼻腔内照射治疗前后甲皱微循环的变化。方法 采用50H一1型半 导体激光治疗仪，对69例脑梗死患者的甲皱微循环进行测定。结果 脑梗死患者管袢内血液流速减慢，出现红细胞聚 集现象和偶见白色微小血栓，管袢周围偶见渗出等，甲皱微循环的总积分属 中度异常，经半导体激光鼻腔内照射后， 总积分显著下降，属轻度异常，并且血液流速增快，红细胞聚集缓解，白色微小血栓消失以及管袢充盈、管袢加长、 乳头下静脉丛减少。结论 脑梗死患者有不同程度的微循环障碍，半导体激光鼻腔内照射治疗可改善机体缺氧状态， 恢复脑细胞功能，使患者的临床症状得以改善。观测甲皱微循环对病情的发展和疗效判定有重要意义。 【关键词】 脑梗死；甲皱微循环；半导体激光治疗 【中图分类号】R743．33 R454．21 【文献标识码】B 【文章编号】1007—9572(2011)07—2315—02 EffectsofSemiconductorLaserIrradiationTreatmentthroughtheNasalPassagesonNailFold Microcirculationin Pa- tientswithCerebralInfarction CHENGYing—ying， ⅣGJing， ⅣGyu—hong．DepartmentofCardiology，General Hospital，BeijingMilitaryCommand，Beifing100700，China A【bstract】 Objective TodiscussthechangesofnailfoldmicrocirculationinpatientswithcerebrMinfarctionafter semiconductorlaserirradiationtreatmentthroughthenasalpassages．MethOds Semiconductorlasertherapeuticapparatus50H 一 1．wasappliedtotreat69patientswithcerebral infarction．Nailf0ldmicrocirculationofthesepatientswereassessed．Results Thetotalscoreofthenailfoldmicrocirculationinthepatientswith cerebralinfractionshowedmoderateanomalies，which turnedmildaftersemiconductorlaserirradiationtreatmentthroughtl1enasal cavity．Thevelocityofbloodflowbecamefaster．ag- gregationofredbloodcellsbecamerarefactive，thewhitemicroembolidisappeared，thevascularloopbecamelongandengorged， andthepapillaryvenousplexusbecamereducedaftersemiconductorlaserirradiationtreatment．Conclusion Cerebral infarction patientsdevelopmicrocirculationofdifferentdegrees，whichcouldbeimprovedalongwiththehypoxiastatusandthefunctionof braincellsaftertreatmentofsemiconductorlaserirradiation．Observationsofnailfoldmicrocirculationmightbeofrgeatsignifi． canceinpredictingthedevelopmentandtheoutcomeofthedisease． K【eyword