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小儿外科手术后疼痛管理的替代方法。

Alternative approach to the management of postoperative pain after pediatric surgical procedures.

作者信息

Paschoal Marco, Souza Juliana, Santos-Pinto Lourdes, Pansani Cyneu

机构信息

PhD Student, Department of Pediatric Dentistry, Araraquara Dental School Univ Estadual Paulista-UNESP, São Paulo, Brazil.

Professor, Department of Pediatric Dentistry, Araraquara Dental School Univ Estadual Paulista-UNESP, São Paulo, Brazil.

出版信息

Int J Clin Pediatr Dent. 2014 May;7(2):125-9. doi: 10.5005/jp-journals-10005-1249. Epub 2014 Aug 29.

DOI:10.5005/jp-journals-10005-1249
PMID:25356012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4212169/
Abstract

AIM

This paper reports two clinical cases in which the application of low-level laser therapy (LLLT) enhanced the postoperative symptoms after pediatric surgical procedures.

BACKGROUND

The uses of novel technologies allow more comfort to the patients and ensure a rapid procedure, and LLLT application has shown a positive effect in the prevention of discomfort after invasive procedures.

CASE DESCRIPTION

Low-level laser therapy protocol was applied after surgical removal of supernumerary tooth and frenectomy resulting in less swallow and pain with no need of medication intake.

CONCLUSION

The laser application was well accepted by both children and parents and showed a clinical efficiency in the follow-up examinations beyond the satisfactory quality of wound healing.

CLINICAL SIGNIFICANCE

The LLLT approach is an excellent adjuvant therapy resource for delivery an optimal postoperative after surgical procedures in children. How to cite this article: Paschoal M, Souza J, Santos-Pinto L, Pansani C. Alternative Approach to the Management of Postoperative Pain after Pediatric Surgical Procedures. Int J Clin Pediatr Dent 2014;7(2):125-129.

摘要

目的

本文报告两例临床病例，其中低强度激光疗法（LLLT）在小儿外科手术后加剧了术后症状。

背景

新技术的应用使患者更舒适，并确保手术过程快速，并且低强度激光疗法在预防侵入性手术后的不适方面已显示出积极效果。

病例描述

在手术拔除多生牙和进行系带切除术之后应用低强度激光疗法方案，结果吞咽和疼痛减轻，无需摄入药物。

结论

激光应用受到儿童和家长的广泛接受，并且在随访检查中显示出临床疗效，伤口愈合质量令人满意。

临床意义

低强度激光疗法是一种出色的辅助治疗手段，可为儿童手术后提供最佳术后护理。如何引用本文：帕绍阿尔·M、索萨·J、桑托斯 - 平托·L、潘萨尼·C。小儿外科手术后疼痛管理的替代方法。《国际临床儿科牙科学杂志》2014年；7（2）：125 - 129。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/74a6efb86250/ijcpd-07-125-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/056a5ba36ce3/ijcpd-07-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/2b801d28ebd5/ijcpd-07-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/274694397499/ijcpd-07-125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/a3ccc78da9c8/ijcpd-07-125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/aae5f860427d/ijcpd-07-125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/c69f92c76d8b/ijcpd-07-125-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/57841353030b/ijcpd-07-125-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/74a6efb86250/ijcpd-07-125-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/056a5ba36ce3/ijcpd-07-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/2b801d28ebd5/ijcpd-07-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/274694397499/ijcpd-07-125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/a3ccc78da9c8/ijcpd-07-125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/aae5f860427d/ijcpd-07-125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/c69f92c76d8b/ijcpd-07-125-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/57841353030b/ijcpd-07-125-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad53/4212169/74a6efb86250/ijcpd-07-125-g008.jpg

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本文引用的文献

1
Laser-assisted gingivectomy in pediatric patients: a novel alternative treatment.儿童患者的激光辅助牙龈切除术：一种新型替代治疗方法。
J Indian Soc Pedod Prev Dent. 2011 Jul-Sep;29(3):264-9. doi: 10.4103/0970-4388.85839.
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Lasers in dental traumatology.激光在牙外伤学中的应用。
Eur J Paediatr Dent. 2010 Jun;11(2):71-6.
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Low-level laser therapy effects in traumatized permanent teeth with extrusive luxation in an orthodontic patient.正畸患者外伤性脱位恒磨牙低水平激光治疗效果。
Angle Orthod. 2010 Sep;80(5):968-74. doi: 10.2319/110109-612.1.
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Low-level laser therapy in the prevention and treatment of chemotherapy-induced oral mucositis in young patients.低强度激光疗法在预防和治疗年轻患者化疗引起的口腔黏膜炎中的应用
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Effect of equal daily doses achieved by different power densities of low-level laser therapy at 635 nm on open skin wound healing in normal and corticosteroid-treated rats.635纳米不同功率密度的低强度激光疗法每日等量剂量对正常及皮质类固醇处理大鼠开放性皮肤伤口愈合的影响
Lasers Med Sci. 2009 Jul;24(4):539-47. doi: 10.1007/s10103-008-0604-9. Epub 2008 Aug 21.
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Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study.牙龈切除术后低强度激光照射促进伤口愈合：一项对照临床初步研究。
J Clin Periodontol. 2008 Mar;35(3):250-4. doi: 10.1111/j.1600-051X.2007.01194.x.
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The effect of low-level laser therapy during orthodontic movement: a preliminary study.低强度激光治疗在正畸移动过程中的作用：一项初步研究。
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Low-level laser use in dentistry.牙科中的低强度激光应用。
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Histological assessment of the effect of laser irradiation on skin wound healing in rats.激光照射对大鼠皮肤伤口愈合影响的组织学评估。
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Dental beliefs: evaluation of the Swedish version of the revised Dental Beliefs Survey in different patient groups and in a non-clinical student sample.牙科信念：在不同患者群体和非临床学生样本中对瑞典语版修订后的牙科信念调查的评估。
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