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KMID : 1189420160290040014
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Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology
2016 Volume.29 No. 4 p.14 ~ p.23
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Review of the Properties of the Laser and the Spectrum of Laser Instruments for Diabetic Ulcer
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Kang Ki-Wan
Kang Ja-Yeon
Jeong Ju-Hui
Kim Hong-Jun
Seo Hyung-Sik
Jang In-Soo
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Abstract
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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.
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KEYWORD
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Diabetic ulcer , Diabetic foot , Laser therapy , LLLT , Photobiomodulation
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