Han Min, Fang Hui, Li Quan-Li, Cao Ying, Xia Rong, Zhang Zhi-Hong
College & Hospital of Stomatology, Key Lab of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei 230032, China.
The 2nd Hospital Affiliated to Anhui Medical University, Hefei 230601, China.
Scientifica (Cairo). 2016;2016:9062430. doi: 10.1155/2016/9062430. Epub 2016 Dec 18.
. Laser therapy is a promising new treatment for patients with recurrent aphthous stomatitis (RAS). However, the clinical effect and security issue of laser therapy remain controversial. This systematic review was conducted to evaluate the clinical effectiveness and security of laser treatment in RAS patients. . Five electronic databases were searched (MEDLINE (PubMed), EMBASE, ScienceDirect, the Cochrane Library, and Web of Science) to identify all studies that were about randomized controlled clinical trials, involving the effect of laser therapy in RAS patients. . Twenty-three studies were retained for full-text analysis after screening the titles and abstracts of potential articles, but only 10 studies satisfied the inclusion criteria after the full texts were reviewed. The included studies reported a comparison of the effectiveness between the laser treatment and placebo laser therapy (or conventional drug therapy) when managing the RAS patients. It can be concluded that laser therapy has the superiority in relieving ulcer pain and shortening healing time when compared with placebo group or medical treatment group. Although laser therapy is a promising effective treatment for RAS, high-quality clinical studies with large sample size must be further performed to confirm the effectiveness of this therapy.
激光疗法是复发性阿弗他口炎(RAS)患者一种有前景的新治疗方法。然而,激光疗法的临床效果和安全性问题仍存在争议。本系统评价旨在评估激光治疗RAS患者的临床有效性和安全性。检索了五个电子数据库(MEDLINE(PubMed)、EMBASE、ScienceDirect、Cochrane图书馆和Web of Science),以识别所有关于随机对照临床试验的研究,这些研究涉及激光疗法对RAS患者的疗效。在筛选潜在文章的标题和摘要后,保留了23项研究进行全文分析,但在审阅全文后,只有10项研究符合纳入标准。纳入的研究报告了在治疗RAS患者时激光治疗与安慰剂激光疗法(或传统药物疗法)之间有效性的比较。可以得出结论,与安慰剂组或药物治疗组相比,激光疗法在缓解溃疡疼痛和缩短愈合时间方面具有优势。尽管激光疗法是一种有前景的RAS有效治疗方法,但必须进一步开展大样本量的高质量临床研究,以证实该疗法的有效性。