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绿光照射可改善纤维肌痛症患者的疼痛和生活质量:一项初步的单盲交叉临床试验。

Green Light Exposure Improves Pain and Quality of Life in Fibromyalgia Patients: A Preliminary One-Way Crossover Clinical Trial.

机构信息

Departments of Pharmacology, University of Arizona, Tucson, Arizona, USA.

Anesthesiology, University of Arizona, Tucson, Arizona, USA.

出版信息

Pain Med. 2021 Feb 4;22(1):118-130. doi: 10.1093/pm/pnaa329.

Abstract

OBJECTIVE

Fibromyalgia is a functional pain disorder in which patients suffer from widespread pain and poor quality of life. Fibromyalgia pain and its impact on quality of life are not effectively managed with current therapeutics. Previously, in a preclinical rat study, we demonstrated that exposure to green light-emitting diodes (GLED) for 8 hours/day for 5 days resulted in antinociception and reversal of thermal and mechanical hypersensitivity associated with models of injury-related pain. Given the safety of GLED and the ease of its use, our objective is to administer GLED as a potential therapy to patients with fibromyalgia.

DESIGN

One-way crossover clinical trial.

SETTING

United States.

METHOD

We enrolled 21 adult patients with fibromyalgia recruited from the University of Arizona chronic pain clinic who were initially exposed to white light-emitting diodes and then were crossed over to GLED for 1 to 2 hours daily for 10 weeks. Data were collected by using paper surveys.

RESULTS

When patients were exposed to GLED, but not white light-emitting diodes, they reported a significant reduction in average pain intensity on the 10-point numeric pain scale. Secondary outcomes were assessed by using the EQ-5D-5L survey, Short-Form McGill Pain Questionnaire, and Fibromyalgia Impact Questionnaire and were also significantly improved in patients exposed to GLED. GLED therapy was not associated with any measured side effects in these patients.

CONCLUSION

Although the mechanism by which GLED elicits pain reduction is currently being studied, these results supporting its efficacy and safety merit a larger clinical trial.

摘要

目的

纤维肌痛是一种功能性疼痛障碍,患者会遭受广泛的疼痛和生活质量下降。目前的治疗方法无法有效治疗纤维肌痛疼痛及其对生活质量的影响。此前,在一项临床前大鼠研究中,我们证明每天暴露于绿光发光二极管(GLED) 8 小时,持续 5 天,可产生镇痛作用,并逆转与损伤相关疼痛模型相关的热和机械性敏感性。鉴于 GLED 的安全性和易用性,我们的目标是将 GLED 作为一种潜在的治疗方法用于纤维肌痛患者。

设计

单组交叉临床试验。

地点

美国。

方法

我们招募了 21 名来自亚利桑那大学慢性疼痛诊所的成年纤维肌痛患者,他们最初暴露于白光发光二极管,然后交叉到每天 1 到 2 小时的 GLED 暴露,持续 10 周。通过纸质问卷调查收集数据。

结果

当患者暴露于 GLED 而不是白光发光二极管时,他们报告 10 分制数字疼痛量表上的平均疼痛强度显著降低。通过 EQ-5D-5L 调查、简短麦吉尔疼痛问卷和纤维肌痛影响问卷评估的次要结果也在接受 GLED 照射的患者中得到显著改善。在这些患者中,GLED 治疗与任何测量到的副作用均无关。

结论

尽管 GLED 引发疼痛减轻的机制目前正在研究中,但这些支持其疗效和安全性的结果值得进行更大规模的临床试验。

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