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本文章最後由 frank 於 2010-10-12 10:16 編輯 - x2 Y. z" ~. ~+ f
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關於窄頻雷射治療鼻子過敏,我個人感覺還滿有效的,建議大家可以試試看,當然,也有人完全沒效,不過,有沒有效,試了才知道,而且沒有什麼副作用,而且又免費,嘿嘿! 建議大家可以試試看! . `+ m: R) V" O9 q% ~7 V6 d& M
對了,若是因為鼻息肉或鼻竇炎所引發的鼻塞或鼻子不適,還是要先將這些問題處理完,再做這雷射治療,因為以目前我看到的文獻,並沒有以此類方式治療鼻息肉或鼻竇炎的文獻,引用一份文獻和各位分享 : " C/ B4 g9 q9 G2 s2 \0 D
原始期刊報告:Neuman I, Finkelstein Y. Narrow-band red light phototherapy in perennial allergic rhinitis and nasal polyposis. Annals of Allergy, Asthma & Immunology. 1997, 78: 399–406. 窄頻紅光光線療法對治療慢性過敏性鼻炎及鼻息肉症的效果,過敏、氣喘及免疫學期刊(美國)。4 y _6 o% Z( Q9 B& |. r8 [3 y
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過敏性鼻炎是所有免疫球蛋白E-中介性過敏反應中最常見之疾病,有高達30﹪的兒童及成人深受其害。患者一般接受包括抗組織胺、減充血劑、局部或全身類固醇、噴鼻液、鼻噴劑、異丙托溴銨或減敏治療等治療,儘管被普遍採用,但面對可能產生的併發症或後遺症,治療上還是不太理想。0 J% _: H; j: g7 W3 m+ n
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低能量窄頻紅光光線療法已經成功運用在許多醫學治療領域中,其中660 nm的紅光照射已被證實能抑制血液中活性氧生成,並影響Ca2+的移轉。由於過敏症狀有相當大的部分起因於活性氧的生成與Ca2+的移轉,因此嘗試用660 nm紅光治療過敏性鼻炎症狀患者。
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研究共收納實驗組(使用660nm紅光照射)50位、對照組(假光照射)29位的慢性過敏性鼻炎患者,部分患者合併有支氣管性氣喘。過敏性鼻炎以鼻癢、流鼻水、打噴嚏、鼻塞以及相關症狀作為判斷,每位病患並接受皮膚戳刺檢查確認過敏反應。罹患鼻竇炎及鼻竇異常者則不納入。6 o k& h1 F5 t* P
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本研究採雙盲、隨機與平行試驗的方式進行,每位患者接受660nm紅光或假光照射治療,每天3次、每次4.4分鐘(光能量1焦耳)共14天。在光療期間病患不得服用其他藥物,治療結果依病患主觀改善程度及醫師鼻內視鏡檢查結果作為評斷。9 y; A+ A1 n; v% t0 U" o! ~& f
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結果顯示,以660nm紅光照射治療後,有80﹪患者的鼻塞症狀、81﹪患者的流鼻水狀況獲得改善。由鼻內視鏡檢查則發現,61%的鼻塞狀況、65﹪的流鼻水症狀以及48%的中鼻甲水腫症狀獲得改善;至於鼻搔癢、及咳嗽(鼻後滴漏)症狀的病患主觀感受到改善的比例分別為60﹪、70﹪及69﹪。
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而照射假光的過敏性鼻炎患者,在鼻塞、流鼻水、鼻搔癢、頭痛及咳嗽症狀上的病患主觀改善率分別為31%、14%、32%、20%及21%。鼻內視鏡檢查在鼻塞、流鼻水、中鼻甲水腫的改善率則為21%、7%及12%。
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總和評估以660nm紅光治療過敏性鼻炎症狀,在主觀感受上有72%的病患認為有效,在鼻內視鏡檢查中顯現對70%的病患有效;在假光組則為24%及21%。
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◎660nm紅光對改善過敏性鼻炎症狀的治療效果(n=50)
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: t0 M q- T: u U- O; k' |% RBACKGROUND: Allergic rhinitis and nasal polyposis are common nasal diseases, but the available treatment modalities have only limited success. OBJECTIVE: To assess the therapeutic effect of low-energy narrow-band red light phototherapy on nasal clinical symptoms of allergic rhinitis and nasal polyposis. METHODS: In a double-blind randomized prospective study, 50 patients with allergic rhinitis and 10 with nasal polyposis received intranasal illumination at 660 nm for 4.4 minutes three times a day for 14 days (total dose 6 joules per day). Twenty-nine rhinitic patients and one patient with polyposis received equivalent sham illumination as placebo. Evaluation was based on symptom scores and a clinical assessment that included pre-treatment and post-treatment videotaped rigid and flexible nasendoscopy. RESULTS: Following treatment, improvement of symptoms was reported by 72% of the allergic rhinitis patients and objective improvement was endoscopically demonstrated in 70% of them as compared with 24% and 3%, respectively, in the placebo group. These differences were significant. No improvement was obtained in any of the patients with polyposis. CONCLUSIONS: Allergic rhinitis, if uncomplicated by polyps or chronic sinusitis, can be effectively treated by narrow-band red light illumination of the nasal mucosa at 660 nm, with marked alleviation of clinical symptoms. Whenever possible, candidates for phototherapy should be selected by endoscopic examination., O6 }8 B% |9 O' W' E
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中文部分原始出處 |
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