Низькоінтенсивна лазерна терапія в реабілітації хворих на ішемічну хворобу серця: огляд доказових досліджень
Анотація
Вступ. Кардіореабілітація є одним з головних досягнень кардіології та фізичної реабілітаційної
медицини другої половини 20-го століття. Заснована на методології доказової медицини, кардіореа-
білітація за короткий час еволюціонувала від «вигаданого» «альтернативного» бездоказово лікуваль-
ного напряму до абсолютно безальтернативних багатопрофільних програм, що довели свою безумовну
ефективність. У статті представлені сучасні дані про реабілітацію хворих на ішемічну хворобу серця та
аналіз доказових експериментальних і клінічних досліджень про ефективність застосування низькоін-
тенсивної лазеротерапії.
Мета — пошук доказових досліджень щодо застосування низькоінтенсивної лазеротерапії
у реабілітації хворих на ішемічну хворобу серця та аналіз їх основних положень і рекомендацій.
Матеріал і методи. Стратегія пошуку доказових досліджень включала пошук рандомізованих клініч-
них досліджень, систематичних оглядів, мета-аналізів і клінічних протоколів за ключовими словами в
електронних базах публікацій з доказової фізіотерапії PEDro, EMBASE, PubMed і «Cochrane library» за
2000–2019 рр.
Результати та обговорення. Детально розглянуті експериментальні і клінічні дослідження,
проаналізовані дані про механізми дії низькоінтенсивної лазеротерапії, її позитивний вплив на процеси
ремоделювання міокарда, зменшення зони інфаркту, профілактики рестенозу і надання кардіозахисного
ефекту. Велику увагу приділено клінічним доказовим дослідженням щодо застосування фотобіомодуляціі
для підвищення ефективності хірургічної реваскуляризації міокарда, а також в неінвазивній кардіології
та фізичній реабілітаційній медицині.
Висновок. Необхідний регулярний аналіз проведених та проведення нових доказових досліджень з
вивчення ефективності застосування низькоінтенсивної лазеротерапії в реабілітації хворих на ішемічну
хворобу серця.
Завантаження
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