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Pleurisy, Lung Infections, and Laser Therapy

Pleurisy, Lung Infections, and Laser Therapy

Laser biostimulation in the treatment of pleurisy
[Article in Serbian]
Med Pregl. 2003 Nov-Dec;56(11-12):516-20.
Milojevic M, Kuruc V.
Institut za plucne bolesti, Sremska Kamenica, Medicinski fakultet, Novi Sad.
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INTRODUCTION:
Low-intensity lasers have been utilized in medicine in two ways: for local stimulation and for stimulation of acupuncture points. Literature data reveal that this method has been indiscriminately applied in psychiatry, rheumatology, gynecology, dermatology, otorhinolaryngology, in diverse acute and chronic pains, inflammations, vascular disorders, angina pectoris, bronchial asthma. Most commonly reported clinical effects are analgesia, spasmolytic and anti-inflammatory effects, as well as faster wound and bone healing.

MATERIAL AND METHODS:
This prospective study analyses effects of laser biostimulation on patients with pleurisy. The analysis included 25 patients treated at the Institute of Lung Diseases in Sremska Kamenica during 2000, 2001 and 2002. Apart from conservative treatment, these patients were treated with laser biostimulation of acupuncture points and local region for ten days. During treatment, changes of present clinical signs, general symptoms, radiological findings, as well as changes of some relevant biochemical parameters were recorded.

RESULTS:
Results were compared with the control group which included the same number of patients, who
differed from the examined group only by not being exposed to laser biostimulation. The examined group of patients with pleuritis presented with quicker resorption of pleural effusion, less pleural adhesions, more significant decrease of clinical symptoms, especially pain, as well as more significant increase of cortisol and immunoglobulin A decrease of circulating immune complexes (CIC), leukocytes and sedimentation rate than the control group.

DISCUSSION:
Mechanisms of laser biostimulation in treatment of pleurisy were described in detail and the obtained results were correlated to those reported by other authors.

CONCLUSION:
1. Patients with pleurisy undergoing laser stimulation presented with faster resorption of effusion and remission of the subjective symptoms, as well as significant decrease of biochemical acute inflammation parameters in the peripheral blood and therefore with faster recovery.
2. In patients with pleurisy laser treatment increases regenerative mechanisms of the pleural surface, thus decreasing the quantity of formed adhesions and resulting in better mobility of the diaphragm.

PMID: 15080043 [PubMed - indexed for MEDLINE]



Role of gallium arsenide laser irradiation at 890nm as an adjunctive to
anti-tuberculosis drugs in the treatment of tuberculosis
Indian J Chest Dis Allied Sci. 2003; 45:19-23.
Puri MM, Arora VK.

OBJECTIVE:
This study was designed to explore whether LLLT could be used as an adjunctive to conventional anti tuberculosis chemotherapy.

METHODS:
130 patient with sputum positive TB randomly assigned to laser and anti TB drug group or anti TB drug only (control).

RESULTS:
Patients treated with semiconductor laser in conjunction with anti-tuberculosis drugs has a faster clearance of tuberculosis bacilli from the sputum as compared to the control group.

CONCLUSION:
Faster clearance of sputum from tuberculosis should prevent the development of resistant mutants. 

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