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发光二极管(LED)光疗治疗银屑病的系统评价:一种新兴的治疗方式

A Systematic Review of Light Emitting Diode (LED) Phototherapy for Treatment of Psoriasis: An Emerging Therapeutic Modality.

作者信息

Ho Derek, Koo Eugene, Mamalis Andrew, Jagdeo Jared

出版信息

J Drugs Dermatol. 2017 May 1;16(5):482-488.

Abstract

Background: Psoriasis is a chronic, inflammatory skin condition. The economic burden of psoriasis is approximately $35.2 billion in the United States per year, and treatment costs are increasing at a higher rate than general inflation. Light emitting diode (LED) phototherapy may represent a cost-effective, efficacious, safe, and portable treatment modality for psoriasis.

Objective: The goal of our manuscript is to review the published literature and provide evidence-based recommendations on LED phototherapy for the treatment of psoriasis.

Methods & Materials: A search of the databases Pubmed, EMBASE, Web of Science, and CINAHL was performed on April 5, 2016. Key search terms were related to psoriasis and LED-based therapies.

Results: A total of 7,793 articles were generated from the initial search and 5 original articles met inclusion criteria for our review. Grade of recommendation: B for LED-blue light. Grade of recommendation: C for LED-ultraviolet B, LED-red light, and combination LED-near-infrared and LED-red light.

Conclusion: We envision further characterizing the effects of LED phototherapy to treat psoriasis in patients may increase adoption of LED-based modalities and provide clinicians and patients with new therapeutic options that balance safety, efficacy, and cost.

J Drugs Dermatol. 2017;16(5):482-488.

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摘要

背景

银屑病是一种慢性炎症性皮肤病。在美国,银屑病的经济负担每年约为352亿美元,且治疗费用的增长速度高于一般通货膨胀率。发光二极管(LED)光疗可能是一种治疗银屑病的经济有效、安全且便携的治疗方式。

目的

我们撰写本文的目的是回顾已发表的文献,并为LED光疗治疗银屑病提供循证建议。

方法与材料

于2016年4月5日对PubMed、EMBASE、科学网和护理学与健康领域数据库进行检索。关键检索词与银屑病和基于LED的治疗方法相关。

结果

初始检索共得到7793篇文章,5篇原创文章符合我们综述的纳入标准。推荐等级:LED蓝光为B级。推荐等级:LED紫外线B、LED红光以及LED近红外与LED红光联合治疗为C级。

结论

我们设想进一步明确LED光疗对银屑病患者的治疗效果,这可能会增加基于LED治疗方式的采用率,并为临床医生和患者提供兼顾安全性、有效性和成本的新治疗选择。

《皮肤药物学杂志》2017年;16(5):482 - 488。

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