364 KB24 KB200820252014Horjak, MatejaKic, NatašaPodbevšek, JožicaTonin, KatarinaZupanc, Aleksanderletnik:13številka:3str. 28-33ISSN:1580-9315COBISSID:1989481URN:URN:NBN:SI:doc-HROJJJDLslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)burn woundsceljenje ranfotobiostimulacijafototerapijaopeklinske ranephotobiostimulationPhototherapyWound HealingSvetlobna terapija za zdravljenje opeklinske rane| Light therapy for healing burn wounds|The use of light therapy as additional therapy for healing of wounds is increasing. This case presents a 47-year old patient with deep dermal burns on the head, hands and trun. Open burn wounds on the head and in the front part of the elbow were treated with light therapy five times a week for 10 minutes. We used polarized, incoherent, lowlevel visible light (wave length 480 % 3400 nm, degree of polarization 95 %, power density 40 mW/cm2, light energy 2.4 J/cm2 at 10 cm distance of from the skin). The surface of wounds on the head was 25.1 cm2 before and 1.5 cm2 after 15 sessions of light therapy. The wound surface on the anterior part of the elbow was 18.5 cm2 before and 3.6 cm2 after 15 sessions of light therapy. The wound on head has healed in four weeks; the wound on elbow has healed in five weeks. Light therapy was continued for another week after healing for better epithelialisation. This case report showed that the healing of burn wound with light therapy could be successfulSvetlobna terapija se vse pogosteje uporablja kot dodatek k drugim medicinskim postopkom zdravljenja ran. Primer prikazuje 47-letnega bolnika po globokih opeklinah glave, rok in trupa. Odprte opeklinske rane na glavi in v sprednjem delu komolca smo zdravili s svetlobno terapijo petkrat tedensko po 10 minut. Za celjenje opeklinskih ran smo uporabili polarizirano, nekoherentno, nizko energijsko vidno svetlobo (valovna dolžina od 480 do 3400 nm, stopnja polarizacije 95 %, specifična energetska gostota 40 mW/cm2, energijska svetloba na minuto 2,4 J/cm2 na razdalji 10 centimetrov od kože). Skupna površina ran na glavi pred obsevanjem je bila 25,1 cm2, po 15 obsevanjih pa 1,5 cm2; v sprednjem delu komolca je bila površina rane pred obsevanjem 18,5 cm2, po 15 obsevanjih pa 3,6 cm2. Rana na glavi se je zacelila v štirih tednih, rana na roki pa v petih tednih. Obe smo zdravili s svetlobno terapijo še teden dni po zacelitvi za utrditev epitelizacije. Prikaz primera je pokazal, da je zdravljenje opeklinske rane s pomočjo svetlobne terapije lahko uspešnoTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča