Department of Oral Medicine, Dental School, Urmia University of Medical Sciences, Urmia, Iran.
Urmia University of Medical Sciences, Urmia, Iran.
Photodiagnosis Photodyn Ther. 2024 Oct;49:104282. doi: 10.1016/j.pdpdt.2024.104282. Epub 2024 Jul 14.
This study aimed to determine the effect of Photobiomodulation therapy (PBMT) in the treatment of recurrent herpes labialis (RHL), one of the most common herpes simplex virus type 1 infections.
In this randomized double blind controlled trial, Twenty-two symptomatic patients with RHL were enrolled. The patients were randomly allocated into one group (5 % acyclovir cream with 940±10 nm wavelength and 4 J/cm energy density and 100 mW output power) and another group (5 % Acyclovir 5 times/5 days and sham laser). Lesion size, and pain intensity were considered as the outcome at baseline, 1st 2nd and 3rd days postoperatively.
Pain intensity in PBM + Acyclovir group was significantly lower than Acyclovir without PBM group in both two and three days after intervention (p < 0.001). The lesion size in case group was significantly lower on 7 and 10 days (p < 0.05). Patients in the treatment group were significantly more satisfied with their treatment process (p = 0.008).
PBMT can be used as an adjuvant tool to acyclovir cream, due to higher potential in reducing postoperative pain, lesion size and also patients satisfaction.
本研究旨在探讨光生物调节疗法(PBMT)治疗复发性唇疱疹(RHL)的效果,RHL 是单纯疱疹病毒 1 型感染中最常见的疾病之一。
在这项随机、双盲对照试验中,纳入了 22 例有症状的 RHL 患者。患者被随机分配到以下两组:一组为 5%阿昔洛韦乳膏联合 940±10nm 波长和 4J/cm 能量密度和 100mW 输出功率的 PBMT 组,另一组为 5%阿昔洛韦乳膏 5 次/5 天联合假激光组。在基线、术后第 1、2 和 3 天,评估病变大小和疼痛强度作为结局指标。
在干预后第 2 和第 3 天,PBMT+阿昔洛韦组的疼痛强度明显低于阿昔洛韦无 PBMT 组(p<0.001)。在第 7 和第 10 天,病例组的病变大小明显较小(p<0.05)。治疗组的患者对治疗过程的满意度明显更高(p=0.008)。
PBMT 可作为阿昔洛韦乳膏的辅助治疗工具,因为它在减轻术后疼痛、病变大小和提高患者满意度方面具有更高的潜力。