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당뇨병성 궤양에 사용되는 레이저의 특성에 대한 연구

Review of the Properties of the Laser and the Spectrum of Laser Instruments for Diabetic Ulcer

  • 강기완 (우석대학교 한의과대학 한방내과학교실) ;
  • 강자연 (우석대학교 한의과대학 한방내과학교실) ;
  • 정민정 (우석대학교 한의과대학 소아과학교실) ;
  • 김홍준 (우석대학교 한의과대학 방제학교실) ;
  • 서형식 (부산대학교 한의학전문대학원 한방안이비인후피부과학교실) ;
  • 장인수 (우석대학교 한의과대학 한방내과학교실)
  • Kang, Ki-wan (Department of Internal medicine, College of Korean medicine, Woosuk University) ;
  • Kang, Ja-yeon (Department of Internal medicine, College of Korean medicine, Woosuk University) ;
  • Jeong, Min-jeong (Department of Pediatrics, College of Korean medicine, Woosuk University) ;
  • Kim, Hong-jun (Department of Prescription, College of Korean medicine, Woosuk University) ;
  • Seo, Hyung-sik (Department of Ophthalmology, Otolaryngology and Dermatology, School of Korean Medicine, Pusan National University) ;
  • Jang, In-soo (Department of Internal medicine, College of Korean medicine, Woosuk University)
  • 투고 : 2016.10.10
  • 심사 : 2016.11.17
  • 발행 : 2016.11.25

초록

Objectives : One of major complications of diabetes, diabetic ulcer is also one of the main reasons for amputation, and the prevalence rate is 4-10%. Laser therapy is widely used for leg ulcer and diabetic ulcer, and it is known to improve wound epithelialization, cellular content, and collagen deposition. The purpose of this study is to investigate the properties of the laser and the spectrum of laser instruments for diabetic ulcer. Methods : We performed literature search using the PubMed, Cochrane, CINAHL and Web of science for the data in English. In addition, other databases were checked for different languages such as OASIS and NDSL for the literature in Korean, CNKI in Chinese, and CiNii and J-STAGE written in Japanese. We excluded all review article and experimental studies, and only clinical studies using laser or light emitting diode (LED) for diabetic ulcer were selected. Results : A total twenty papers were selected. Different light sources were used as follows: LED, HeNe, InGaAlP, GaAlAs, GaAs, CO2, and KTP. The number of LED studies was 9, and HeNe laser was 7, and InGaAlP and GaAlAs laser was 2, GaAs, CO2, and KTP laser was 1 for each. Various energy density of the clinical study were reported. Conclusions : It is suggested that to select appropriate laser type and give the adequate output power to treat diabetic ulcer. Further evaluation and research for the condition of laser therapy to treat diabetic ulcers are warranted.

키워드

참고문헌

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