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低强度激光对手足口病患者疼痛性口腔炎的控制作用

Usefulness of low-level laser for control of painful stomatitis in patients with hand-foot-and-mouth disease.

作者信息

Toida Makoto, Watanabe Fumio, Goto Kazumi, Shibata Toshiyuki

机构信息

Department of Oral and Maxillofacial Sciences, Gifu University School of Medicine, Gifu, Japan.

出版信息

J Clin Laser Med Surg. 2003 Dec;21(6):363-7. doi: 10.1089/104454703322650176.

DOI:10.1089/104454703322650176
PMID:14709221
Abstract

OBJECTIVE

The aim of this study was to evaluate the usefulness of low-level laser therapy (LLLT) for the control of painful stomatitis in patients with hand-foot-and-mouth disease (HFMD).

BACKGROUND DATA

LLLT has been successfully applied to various painful oral mucosal diseases, although there have been few reports on LLLT for HFMD patients.

MATERIALS AND METHODS

Through a randomized double-blind placebo controlled trial, the painful period of HFMD stomatitis was compared between the LLLT group (n=11) and the placebo LLLT one (n=9), which had similar clinical backgrounds. The LLLT parameters supplied were as follows: wavelength of 830 nm, power of 30 mW, frequency of 30 Hz, and energy output of 1.1 J/cm2. Acceptability and safety of the treatment were also evaluated.

RESULTS

The painful period was shorter in the LLLT group (4.0 +/- 1.3 days) than in the placebo LLLT one (6.7 +/- 1.6 days) with a statistically significant difference (p<0.005). The treatment was judged acceptable for 90.0% (18 of 20) of patients. No adverse events were observed in any cases.

CONCLUSION

LLLT is a useful method to control HFMD stomatitis by shortening the painful period, with its high acceptability and lack of adverse events.

摘要

目的

本研究旨在评估低强度激光疗法(LLLT)对手足口病(HFMD)患者疼痛性口腔炎的控制效果。

背景资料

LLLT已成功应用于各种疼痛性口腔黏膜疾病,尽管关于HFMD患者的LLLT报道较少。

材料与方法

通过随机双盲安慰剂对照试验,比较了临床背景相似的LLLT组(n = 11)和安慰剂LLLT组(n = 9)HFMD口腔炎的疼痛期。提供的LLLT参数如下:波长830 nm,功率30 mW,频率30 Hz,能量输出1.1 J/cm²。还评估了治疗的可接受性和安全性。

结果

LLLT组的疼痛期(4.0±1.3天)比安慰剂LLLT组(6.7±1.6天)短,差异有统计学意义(p<0.005)。90.0%(20例中的18例)的患者认为该治疗可接受。未观察到任何不良事件。

结论

LLLT是一种通过缩短疼痛期来控制HFMD口腔炎的有效方法,具有高可接受性且无不良事件。

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