低能量雷射治療手部骨折病例報告

目前對於手部的非開放性骨折，通常以石膏、輕型石膏或藥物治療爲主，較少對骨折處進行積極的介入治療，過去復健治療使用的光療－低能量雷射治療，也建議可於臨床上治療使用，但是目前再確切的治療參數。過去雖然有許多的動物及細胞實驗研究，證實低能量雷射照射對骨細胞具有正面助益，而低能量雷射介入臨床的療效研究卻非常少。本研究選取兩位無接受內固定手術的手部骨折患者，一位爲35歲第三根掌骨骨折及第四根近端指骨析的女性，骨折發生後第二週，開始於兩個骨折處進行830nm二極體會射(10Hz, duty cycle 50%, 60mW, 9.7J/(平方公分), 830nm)照射；另一名爲70歲第五根掌骨骨折的男性，骨折發生後第四週，開始於骨折處進行同樣雷射照射每週進行五次的照射，經持續兩週的照射後，評估治療前後疼痛情形、腫脹情形及影像學上骨折改善情形，結果發現兩週治療後病人自覺疼痛減少，骨折部位腫脹消退，並且一位患者骨折部位於影像評估上，有癒合現象，但是另一名悲者者無改變，未來仍需進行更樣本研究來繼續觀察及探討。

關鍵字

低能量雷射治療；非開放性骨折； 830nm二極體雷射

並列摘要

At present regarding close bone fracture of head is usually by the cast, splint or medication primarily, but it is less to cure the fracture area directly. In the physical therapy, it uses phototherapy, such as the low-level laser therapy, to treat in clinical, but treatment parameters are not confirmed. In the past researches, they confirmed that low-level laser could improve to increase the osteocyte in animal experiment, but human's studies were less reported. In our study, we select two subjects hand hone close fracture without surgery. One is 35 y/o female of third metacarpal bone fracture and the fourth proximal phalanx bone fracture. After onset for two weeks, she started to beam the 830nm diode laser (10Hz, duty cycle 50%, 60mW, 9.7J/cm^2, 830nm) to two fracture areas. Another is 70 y/o male of fifth metacarpal bone fracture. After onset for four weeks, he started to beam the same laser. The programs are the same to supply two weeks treatment and fie times treatment each week. We evaluated the swelling, pain and X-ray image after treating. After two-weeks laser treatment it can improve to reduce swelling and pain. We found one fracture healing but another didn't in X-ray image. We suggest the efficacy of 830nm laser, and conduct the more studies to confirm in the future.

並列關鍵字

Low-level laser therapy ； Close fracture ； 830nm diode laser

國際替代計量

低能量雷射治療手部骨折病例報告

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