2014糖尿病足神经血管治疗仪精选.ppt

* This is a laser doppler image of 2 feet of a diabetic patient. The top photo shows the patient before treatment. The bottom right photo is with warmth alone – a 40% increase in circulation. The bottom left is with Anodyne – a 400% increase. As you can see, the thermal effect alone cannot account for the increased micro-circulation. * This chart shows each individual Type 1 diabetic patient’s progress. The dotted horizontal line represents the 5.07 monofilament which defines protective sensation. The white circles represent the thickness of monofilament sensed before treatment and the black circles represent the thickness of filament sensed after twelve 30-minute treatments. The higher the number, the larger the monofilament. For example, the monofilaments in the 6 range are so stiff, they resemble toothpicks. In the 4 range, the monofilaments are more like a wisp. The p value of less than .0001 means that there is less than a 1 in 10,000 chance that the data is random. This is because every single patient was able to sense a smaller monofilament at the end of the therapy protocol. Every patient had protective sensation, and Type 1 and Type 2 diabetic patients responded similarly. Other studies have shown success in neuropathies caused by PVD, alcohol, drugs, chemotherapy and HIV/AIDS. ３Ａ类激光器是指可见光激光器的出口光功率在1 - 5mw之间，一般认为对人的眼睛是不安全的，暴露在这种激光器的光束下会对眼睛视网膜造成伤害，因此不能暴露在这种激光器束下或直视激光光束。第３类激光是属于有危害性的激光，一般来讲是不允许被用在普通的民用大众领域，通常是被严格管理的，3A类激光，直视光束会有潜在危险。 糖尿病足病治疗中近红外线治疗的原理与应用  内 容 原理 适应症 禁忌症 安诺/迈能治疗仪的特点及注意事项 临床疗效 近红外线： 890nm（880 nm ），穿透深度可达5厘米 ，能直接作用到皮肤的血管、淋巴管、神经末梢及其 他皮下组织。 近红外线照射可促使组织产生NO，NO可以扩张血管、促 进血液循环、抗炎及促进骨的形成等作用。 直接进行物理照射，其发放的红外光能被机体细胞吸收 并引起血管扩张、局部血液循环改善，促进神经感觉功 能的恢复、加速伤口愈合、减轻疼痛。 安诺/迈能神经血管光能治疗仪 原 理 基点 MIRE 安慰剂(热量) 40% 增加 400% 增加 激光多谱勒扫描显示局部循环的增加 改善微循环 改善周围神经病变-感觉的改善 30 40 50 60 70 80 90 7 6 5 4 单纤维丝压力值 DPN患者年龄 LOPS-治疗前对10克单纤维丝不敏感 5.07单纤维丝 治疗后感觉水平 Kochman AB, et al. Journal of the American Podiatric Medical Association. 2002;9