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皮肤科中的发光二极管:随机对照试验的系统评价

Light-emitting diodes in dermatology: A systematic review of randomized controlled trials.

作者信息

Jagdeo Jared, Austin Evan, Mamalis Andrew, Wong Christopher, Ho Derek, Siegel Daniel M

机构信息

Department of Dermatology, University of California at Davis, Sacramento, California.

Dermatology Service, Sacramento VA Medical Center, Mather, California.

出版信息

Lasers Surg Med. 2018 Jan 22;50(6):613-28. doi: 10.1002/lsm.22791.

Abstract

OBJECTIVE

In dermatology, patient and physician adoption of light-emitting diode (LED) medical technology continues to grow as research indicates that LEDs may be used to treat skin conditions. The goal of this systematic review is to critically analyze published randomized controlled trials (RCTs) and provide evidence-based recommendations on the therapeutic uses of LEDs in dermatology based on published efficacy and safety data.

METHODS

A systematic review of the published literature on the use of LED treatments for skin conditions was performed on September 13th 2017.

RESULTS

Thirty-one original RCTs were suitable for review.

CONCLUSIONS

LEDs represent an emerging modality to alter skin biology and change the paradigm of managing skin conditions. Acne vulgaris, herpes simplex and zoster, and acute wound healing received grade of recommendation B. Other skin conditions received grade of recommendation C or D. Limitations of some studies include small patient sample sizes (n < 20), absent blinding, no sham placebo, and varied treatment parameters. Due to few incidences of adverse events, affordability, and encouraging clinical results, we recommend that physicians use LEDs in clinical practice and researchers continue to explore the use of LEDs to treat skin conditions. Lasers Surg. Med. 9999:1-16, 2018. © 2018 The Authors. Lasers in Surgery and Medicine Published by Wiley Periodicals, Inc.

摘要

目的

在皮肤科领域,随着研究表明发光二极管(LED)可用于治疗皮肤疾病,患者和医生对LED医疗技术的采用率持续上升。本系统评价的目的是严格分析已发表的随机对照试验(RCT),并根据已公布的疗效和安全性数据,为LED在皮肤科的治疗应用提供循证建议。

方法

于2017年9月13日对已发表的关于使用LED治疗皮肤疾病的文献进行系统评价。

结果

31项原始RCT适合纳入评价。

结论

LED代表了一种新兴的改变皮肤生物学和改变皮肤病管理模式的方法。寻常痤疮、单纯疱疹和带状疱疹以及急性伤口愈合获得了B级推荐。其他皮肤疾病获得了C级或D级推荐。一些研究的局限性包括患者样本量小(n < 20)、缺乏盲法、无假安慰剂以及治疗参数各异。由于不良事件发生率低、价格可承受且临床结果令人鼓舞,我们建议医生在临床实践中使用LED,研究人员继续探索使用LED治疗皮肤疾病。《激光外科与医学》9999:1 - 16, 2018。© 2018作者。《激光外科与医学》由威利期刊公司出版

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9dd/6099480/375e5eda851a/LSM-50-613-g001.jpg

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