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局部暴露于不均匀静磁场对牙科疼痛感知的影响:一项双盲、随机、安慰剂对照研究。

Effect of local exposure to inhomogeneous static magnetic field on stomatological pain sensation - a double-blind, randomized, placebo-controlled study.

机构信息

Department of Applied Mathematics and Probability Theory, Faculty of Informatics, University of Debrecen, Debrecen, Hungary.

出版信息

Int J Radiat Biol. 2012 May;88(5):430-8. doi: 10.3109/09553002.2012.661916. Epub 2012 Feb 28.


DOI:10.3109/09553002.2012.661916
PMID:22288770
Abstract

PURPOSE: Static magnetic field (SMF) exposure was shown experimentally to beneficially affect the healing process. The aim of this randomized, controlled trial was to evaluate the pain-inhibitory effect of local exposure to SMF on temporomandibular disorders, on alveolitis and on aphta in the oral mucosa. MATERIALS AND METHODS: Pain perception was evaluated on the basis of ordinary visual analogue scale (VAS) testing before and after exposure. SMF (0-192 mT peak-to-peak magnetic induction and 19 T/m lateral gradient at 3 mm from the magnets) and sham exposure was executed in a double-blind manner. A single intervention took 5 min. Altogether 79 adult patients (22 males and 57 females) with a mean (± standard error of the mean) age of 37.4 ± 1.8 years (70.9% between 20 and 50 years) participated in the study. RESULTS: SMF exposure significantly reduced pain perception (reduction from baseline to post-treatment VAS score) in the group with temporomandibular disorders from 2.0 ± 0.3 to 0.5 ± 0.1 (n = 29, p = 0.0003), but not in case of the alveolitis, or the aphta group. CONCLUSIONS: SMF exposure as a drug-free, fast and easy to use method could potentially help stomatologists, who seek for alternative methods of local anesthesia, especially when systemic anesthesia is contraindicated.

摘要

目的:实验证明静磁场(SMF)暴露有益于愈合过程。本随机对照试验的目的是评估局部 SMF 暴露对颞下颌关节紊乱、牙槽炎和口腔黏膜口疮的镇痛效果。

材料和方法:根据暴露前后的普通视觉模拟量表(VAS)测试评估疼痛感知。SMF(0-192 mT 峰峰值磁感应强度和 19 T/m 从磁铁 3 毫米处的横向梯度)和假暴露以双盲方式进行。单次干预持续 5 分钟。共有 79 名成年患者(22 名男性和 57 名女性)参与了研究,平均年龄(±均数的标准误差)为 37.4±1.8 岁(70.9%在 20 到 50 岁之间)。

结果:SMF 暴露显著降低了颞下颌关节紊乱组的疼痛感知(从基线到治疗后 VAS 评分的降低),从 2.0±0.3 降至 0.5±0.1(n=29,p=0.0003),但在牙槽炎或口疮组中没有。

结论:SMF 暴露作为一种无药物、快速且易于使用的方法,可能有助于寻求局部麻醉替代方法的口腔医生,尤其是在全身麻醉禁忌的情况下。

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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