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激光针刺对骨关节炎犬慢性疼痛、炎症反应及生化和氧化应激标志物的影响:一项随机对照试验

Laser Acupuncture Effects on Chronic Pain, Inflammatory Response, and Biochemical and Oxidative Stress Markers in Osteoarthritic Dogs: A Randomized Controlled Trial.

作者信息

Gatta Claudia, Calzaretta Giovanna, Musco Nadia, Aragosa Federica, Cavalli Stefano, Damiano Sara, Lombardi Pietro, Ferrentino Annunziata, Lotito Daria, Della Valle Giovanni, Pero Maria Elena

机构信息

Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy.

Olivella Veterinary Clinic, 80137 Naples, Italy.

出版信息

Animals (Basel). 2025 Aug 31;15(17):2568. doi: 10.3390/ani15172568.

Abstract

Osteoarthritis in dogs is commonly managed with non-steroidal anti-inflammatory drugs (NSAIDs), nutraceuticals, and other medications aimed at alleviating pain and inflammation. Although NSAIDs are generally considered the most effective option, their use is contraindicated in certain conditions due to adverse side effects. Consequently, there has been growing interest in alternative or complementary therapies, such as acupuncture, laser therapy, and their combination. Laser acupuncture involves stimulating traditional acupuncture points with low-intensity laser light, producing anti-inflammatory, analgesic, anti-edematous, and bio-stimulatory effects. In this study, 19 dogs with osteoarthritis were assigned to two groups: 10 received laser acupuncture treatment (Group T) using a dual-wavelength system delivering continuous and pulsed, synchronized emissions, while 9 served as controls (Group C). After 30 days, only Group T showed significant improvement ( < 0.01), with reduced pain and improved joint mobility. Significant reductions in LDH and CPK were observed in Group T, along with changes in inflammatory markers (IL-6 and IL-10, though not TNF-α) and a significant increase in biological antioxidant potential. These preliminary findings indicate that laser acupuncture, applied according to a standardized protocol and adapted to the site of disease, may represent a viable non-invasive therapeutic option for canine osteoarthritis, particularly in cases where pharmacological treatment is contraindicated or ineffective. Further large-scale, randomized controlled trials are warranted to confirm these results and establish long-term efficacy.

摘要

犬类骨关节炎通常采用非甾体抗炎药(NSAIDs)、营养保健品及其他旨在减轻疼痛和炎症的药物进行治疗。尽管NSAIDs通常被认为是最有效的选择,但由于其副作用,在某些情况下禁止使用。因此,人们对替代疗法或补充疗法,如针灸、激光疗法及其联合应用的兴趣与日俱增。激光针灸是用低强度激光刺激传统穴位,产生抗炎、镇痛、抗水肿和生物刺激作用。在本研究中,19只患有骨关节炎的犬被分为两组:10只接受激光针灸治疗(T组),使用双波长系统进行连续和脉冲同步发射,9只作为对照组(C组)。30天后,只有T组有显著改善(<0.01),疼痛减轻,关节活动度改善。T组的乳酸脱氢酶(LDH)和肌酸磷酸激酶(CPK)显著降低,炎症标志物(白细胞介素-6和白细胞介素-10,但不包括肿瘤坏死因子-α)也有变化,生物抗氧化能力显著增强。这些初步研究结果表明,按照标准化方案并根据疾病部位进行调整的激光针灸,可能是犬类骨关节炎一种可行的非侵入性治疗选择,特别是在药物治疗禁忌或无效的情况下。有必要进行进一步的大规模随机对照试验来证实这些结果并确定长期疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5201/12427395/d2f345008380/animals-15-02568-g001.jpg

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