Лазерная терапия при мужском бесплодии. Ч. 2. Систематический обзор клинических исследований


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Аннотация

Мужское бесплодие представляет собой многофакторный синдром, включающий широкий спектр нарушений, симптом множества различных патологических состояний, затрагивающих как половую, так и другие системы организма: эндокринную, нервную, кровеносную, иммунную. Лазерная терапия - метод современной физиотерапии, при котором воздействие осуществляется низкоинтенсивным лазерным излучением (НИЛИ), достаточно активно используется во всех областях современной медицины благодаря высокой эффективности, простоте применения, отсутствию противопоказаний и побочных эффектов. Проанализированы результаты 171 исследования по теме статьи, из которых 93 экспериментальные (20 на русском языке и 73 иностранные публикации), 4 клинико-экспериментальные (все на русском языке), 74 клинические (73 на русском и 1 на английском языке). Кроме российских также изучены публикации на русском языке коллег из Белоруссии, Грузии, Киргизии, Узбекистана и Украины. Сделан вывод, согласно которому лазерную терапию необходимо максимально активно задействовать в комплексном лечении мужчин с бесплодием, поскольку эффективность метода не просто высокая, а зачастую не имеет альтернатив. Для лазерного освечивания лучше всего при местном воздействии использовать импульсное НИЛИ красного (635нм) и инфракрасного (904 нм) спектров, для внутривенного лазерного освечивания крови (ВЛОК) чередовать непрерывное НИЛИ с длиной волн 635 (красный спектр) и 365 нм (ультрафиолетовый спектр).

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Об авторах

О. И Аполихин

НИИ урологии и интервенционной радиологии им. Н. А. Лопаткина

член-корр. РАН, д.м.н., профессор, директор

С. В Москвин

ФГБУ «Государственный научный центр лазерной медицины» ФМБА России

Email: 7652612@mail.ru
д.б.н., к.т.н., ведущий научный сотрудник

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