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评价一种新的低水平激光疗法家庭方案治疗颞下颌关节紊乱相关疼痛的疗效:一项随机、双盲、安慰剂对照的临床试验。

Evaluation of the efficacy of a new low-level laser therapy home protocol in the treatment of temporomandibular joint disorder-related pain: A randomized, double-blind, placebo-controlled clinical trial.

机构信息

COU Oral Pathology and Medicine, Department of Oral and Maxillo Facial Sciences Sapienza, University of Rome, Rome, Italy.

Department of TMJ Dysfunction, Department of Oral and Maxillo Facial Sciences Sapienza, University of Rome, Rome, Italy.

出版信息

Cranio. 2021 Mar;39(2):141-150. doi: 10.1080/08869634.2019.1599174. Epub 2019 Apr 19.

DOI:10.1080/08869634.2019.1599174
PMID:30999823
Abstract

: This study analyzed a home, low-level laser therapy (LLLT) protocol to manage temporomandibular joint disorders (TMJDs)-related pain.: Ninety TMJD patients (12M, 78F) between 18 and 73 years were randomly subdivided into three groups. Study group (SG) received 1-week home protocol LLLT by B-cure Dental Pro: 808 nm, 5 J/min, 250 mW, 15 KHz for 8', 40 J each, over pain area, twice daily. Placebo group (PG) followed the same protocol using sham devices. Drugs group (DG) received conventional drugs. Pain was evaluated by visual analog scale (VAS) before and after therapy.: Statistical analysis showed that treatment was effective (F(2,83) = 4.882; = .010). Bonferroni post-hoc analysis indicated a lower pain decrease in PG. SG registered a 34-point decrease per patient, while in PG and DG, the reduction was 25.6 and 35.3, respectively.: The study supports the efficacy of home LLLT management of TMJD related pain.

摘要

: 本研究分析了一种家庭低水平激光疗法(LLLT)方案,以管理颞下颌关节紊乱(TMJD)相关疼痛。: 90 名 TMJD 患者(12M,78F)年龄在 18 至 73 岁之间,随机分为三组。研究组(SG)接受为期 1 周的家庭 LLLT 方案,使用 B-cure Dental Pro:808nm,5J/min,250mW,15Hz,8',40J,每次治疗疼痛区域,每天两次。安慰剂组(PG)使用假设备遵循相同的方案。药物组(DG)接受常规药物治疗。治疗前后采用视觉模拟评分(VAS)评估疼痛。: 统计分析显示治疗有效(F(2,83)=4.882;p=0.010)。Bonferroni 事后分析表明 PG 的疼痛减轻程度较低。SG 每位患者的疼痛减轻了 34 分,而 PG 和 DG 的疼痛减轻分别为 25.6 和 35.3。: 本研究支持家庭 LLLT 治疗 TMJD 相关疼痛的疗效。

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