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低强度激光疗法对肌肉骨骼疼痛的影响:一项荟萃分析。

The effect of low-level laser therapy on musculoskeletal pain: a meta-analysis.

作者信息

Gam Arne Nyholm, Thorsen Hanne, Lønnberg Frank

机构信息

Department of Rheumatology, Bispebjerg Hospital, CopenhagenDenmark Institute of General Practice, University of Copenhagen, CopenhagenDenmark Danish Institute of Clinical Epidemiology, CopenhagenDenmark.

出版信息

Pain. 1993 Jan;52(1):63-66. doi: 10.1016/0304-3959(93)90114-5.

Abstract

A meta-analysis was undertaken of low-level laser therapy (LLLT) on musculoskeletal pain. A literature search revealed 23 LLLT trials and of these 17 were controlled trials. Ten were double blind and 7 were insufficiently blinded. Within the studies identified pain was assessed by visual analogue scale or by "some other indices of pain". Nine double-blind trials and 4 controlled trials presented results in a form which allowed pooling of data. In the double-blind trials, the mean difference in pain between LLLT and placebo was 0.3% (S.E.(d) 4.6%, confidence limits -10.3-10.9%). In the insufficiently blinded trials the mean difference in pain was 9.5% (S.E.(d) 4.5%, confidence limits -2.9-21.8%). We conclude that LLLT has no effect on pain in musculoskeletal syndromes.

摘要

对低强度激光疗法(LLLT)治疗肌肉骨骼疼痛进行了一项荟萃分析。文献检索发现了23项LLLT试验,其中17项为对照试验。10项为双盲试验,7项的盲法不充分。在已确定的研究中,疼痛通过视觉模拟量表或“其他一些疼痛指标”进行评估。9项双盲试验和4项对照试验以允许数据合并的形式呈现结果。在双盲试验中,LLLT与安慰剂之间的疼痛平均差异为0.3%(标准误(d)4.6%,置信区间-10.3-10.9%)。在盲法不充分的试验中,疼痛平均差异为9.5%(标准误(d)4.5%,置信区间-2.9-21.8%)。我们得出结论,LLLT对肌肉骨骼综合征的疼痛没有影响。

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