Photobiomodulation of acute pain syndrome after septoplasty

The paper evaluates the effectiveness of the use of therapeutic laser exposure (photobiomodulation therapy – PBMT) to minimize acute pain in the early postoperative period in patients after septoplasty. The study included two groups of patients. Patients of the first group (31 patients) underwent se...

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Main Authors: I. V. Kastyro, Yu. S. Romanko, G. M. Muradov, V. I. Popadyuk, I. K. Kalmykov, M. G. Kostyaeva, Yu. Sh. Gushchina, S. G. Dragunova
Format: Article
Language:Russian
Published: Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association" 2021-08-01
Series:Biomedical Photonics
Subjects:
Online Access:https://www.pdt-journal.com/jour/article/view/489
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author I. V. Kastyro
Yu. S. Romanko
G. M. Muradov
V. I. Popadyuk
I. K. Kalmykov
M. G. Kostyaeva
Yu. Sh. Gushchina
S. G. Dragunova
author_facet I. V. Kastyro
Yu. S. Romanko
G. M. Muradov
V. I. Popadyuk
I. K. Kalmykov
M. G. Kostyaeva
Yu. Sh. Gushchina
S. G. Dragunova
author_sort I. V. Kastyro
collection DOAJ
description The paper evaluates the effectiveness of the use of therapeutic laser exposure (photobiomodulation therapy – PBMT) to minimize acute pain in the early postoperative period in patients after septoplasty. The study included two groups of patients. Patients of the first group (31 patients) underwent septoplasty with standard management in the postoperative period. Patients of the second group (31 patients) also underwent septoplasty, and then added PBMT to the standard measures of the postoperative period at 3, 6 and 24 h after septoplasty (λ = 0.890 μm, P = 10 W, 2 min) and then intranasally 48 h after septoplasty (λ = 0.630 μm, P = 8 W, 2 min). In patients of both groups, heart rate variability and pain were assessed using a visual analog scale within 48 hours after septoplasty. In patients of the second group, after the use of PBMT, the indicators of heart rate variability had a significantly lower total power, compared with patients of the first group. So, after PBMT, the ultra-low-frequency component of the spectral analysis of heart rate variability in the first group was 18580 ± 2067 ms2, which is significantly higher than in the second group (8086 ± 3003 ms2) (p <0.001). The low-frequency component of heart rate variability was also significantly higher in the first group (1871 ± 405 ms2) compared to the second (1095 ± 190 ms2) (p <0.005), which indicates an increase in the tension of the sympathetic part of the autonomic nervous system in the group without the use of PBMT. In the first 3 hours after surgery, the severity of pain between the groups did not differ significantly (p = 0.07). In the period from 6 to 24 hours after surgery, patients who did not undergo PBMT experienced significantly higher pain than patients with PBMT (p <0.001). Thus, in our study, the group of patients with PBMT showed better results in pain and heart rate variability compared to the classical rehabilitation of patients after septoplasty.
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spelling doaj.art-f3db55aafdd743b2af4393e6f93956ad2023-03-13T07:12:31ZrusNon-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association"Biomedical Photonics2413-94322021-08-01102344110.24931/2413-9432-2021-10-2-34-41233Photobiomodulation of acute pain syndrome after septoplastyI. V. Kastyro0Yu. S. Romanko1G. M. Muradov2V. I. Popadyuk3I. K. Kalmykov4M. G. Kostyaeva5Yu. Sh. Gushchina6S. G. Dragunova7Российский Университет дружбы народовПервый МГМУ им. И.М. Сеченова Минздрава РоссииРоссийский Университет дружбы народовРоссийский Университет дружбы народовРоссийский Университет дружбы народовРоссийский Университет дружбы народовРоссийский Университет дружбы народовРоссийский Университет дружбы народовThe paper evaluates the effectiveness of the use of therapeutic laser exposure (photobiomodulation therapy – PBMT) to minimize acute pain in the early postoperative period in patients after septoplasty. The study included two groups of patients. Patients of the first group (31 patients) underwent septoplasty with standard management in the postoperative period. Patients of the second group (31 patients) also underwent septoplasty, and then added PBMT to the standard measures of the postoperative period at 3, 6 and 24 h after septoplasty (λ = 0.890 μm, P = 10 W, 2 min) and then intranasally 48 h after septoplasty (λ = 0.630 μm, P = 8 W, 2 min). In patients of both groups, heart rate variability and pain were assessed using a visual analog scale within 48 hours after septoplasty. In patients of the second group, after the use of PBMT, the indicators of heart rate variability had a significantly lower total power, compared with patients of the first group. So, after PBMT, the ultra-low-frequency component of the spectral analysis of heart rate variability in the first group was 18580 ± 2067 ms2, which is significantly higher than in the second group (8086 ± 3003 ms2) (p <0.001). The low-frequency component of heart rate variability was also significantly higher in the first group (1871 ± 405 ms2) compared to the second (1095 ± 190 ms2) (p <0.005), which indicates an increase in the tension of the sympathetic part of the autonomic nervous system in the group without the use of PBMT. In the first 3 hours after surgery, the severity of pain between the groups did not differ significantly (p = 0.07). In the period from 6 to 24 hours after surgery, patients who did not undergo PBMT experienced significantly higher pain than patients with PBMT (p <0.001). Thus, in our study, the group of patients with PBMT showed better results in pain and heart rate variability compared to the classical rehabilitation of patients after septoplasty.https://www.pdt-journal.com/jour/article/view/489септопластикабольфотобиомодуляциявариабельность сердечного ритма
spellingShingle I. V. Kastyro
Yu. S. Romanko
G. M. Muradov
V. I. Popadyuk
I. K. Kalmykov
M. G. Kostyaeva
Yu. Sh. Gushchina
S. G. Dragunova
Photobiomodulation of acute pain syndrome after septoplasty
Biomedical Photonics
септопластика
боль
фотобиомодуляция
вариабельность сердечного ритма
title Photobiomodulation of acute pain syndrome after septoplasty
title_full Photobiomodulation of acute pain syndrome after septoplasty
title_fullStr Photobiomodulation of acute pain syndrome after septoplasty
title_full_unstemmed Photobiomodulation of acute pain syndrome after septoplasty
title_short Photobiomodulation of acute pain syndrome after septoplasty
title_sort photobiomodulation of acute pain syndrome after septoplasty
topic септопластика
боль
фотобиомодуляция
вариабельность сердечного ритма
url https://www.pdt-journal.com/jour/article/view/489
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AT vipopadyuk photobiomodulationofacutepainsyndromeafterseptoplasty
AT ikkalmykov photobiomodulationofacutepainsyndromeafterseptoplasty
AT mgkostyaeva photobiomodulationofacutepainsyndromeafterseptoplasty
AT yushgushchina photobiomodulationofacutepainsyndromeafterseptoplasty
AT sgdragunova photobiomodulationofacutepainsyndromeafterseptoplasty