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低强度激光疗法治疗疼痛性糖尿病周围神经病变患者——一项系统评价

Low level laser therapy for the patients with painful diabetic peripheral neuropathy - A systematic review.

作者信息

M Anju, Ummer V Saleena, Maiya Arun G, Hande Manjunath

机构信息

Department of Medical Laboratory Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.

Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.

出版信息

Diabetes Metab Syndr. 2019 Jul-Aug;13(4):2667-2670. doi: 10.1016/j.dsx.2019.07.035. Epub 2019 Jul 13.

Abstract

BACKGROUND

Low Level Laser Therapy (LLLT) is an emerging treatment modality for management of neuropathic pain. It works by triggering biochemical changes with in cells.

OBJECTIVE

This systematic review focused on finding evidence on the effectiveness of LLLT on treatment of painful diabetic neuropathy.

METHODS

We conducted a systematic review (PubMed, Web of Science, CINAHL and Cochrane) to find the evidence on effectiveness of LLLT on treatment of painful diabetic neuropathy. Randomized and non-randomized studies were included in the review.

RESULTS

A total of 627 studies were screened. After the exclusion criteria (duplicate, animal studies, LLLT for treating other neuralgias) 6 studies were included in the study. The outcome measure that were considered were the difference in pain score and nerve conduction velocity test and quality of life questionnaire.

CONCLUSION

The evidence obtained shows LLLT has a positive effect in controlling diabetic neuropathic pain.

摘要

背景

低强度激光疗法(LLLT)是一种用于治疗神经性疼痛的新兴治疗方式。它通过引发细胞内的生化变化起作用。

目的

本系统评价聚焦于寻找低强度激光疗法治疗疼痛性糖尿病神经病变有效性的证据。

方法

我们进行了一项系统评价(通过PubMed、科学网、护理学与健康领域数据库以及考克兰图书馆)以寻找低强度激光疗法治疗疼痛性糖尿病神经病变有效性的证据。纳入评价的有随机和非随机研究。

结果

共筛选出627项研究。经过排除标准(重复研究、动物研究、用于治疗其他神经痛的低强度激光疗法)后,6项研究被纳入本研究。所考虑的结局指标为疼痛评分差异、神经传导速度测试以及生活质量问卷。

结论

所获得的证据表明低强度激光疗法在控制糖尿病神经病变性疼痛方面具有积极作用。

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