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低水平激光疗法缓解儿童局部麻醉注射的疼痛:一个随机对照试验
Bisma Saher Khan1, Jyothsna V Setty1, Ila Srinivasan1
1Department of Pedodontics and Preventive Dentistry, M R Ambedkar Dental College & Hospital, Bengaluru, Karnataka, India.
光生物调制 (PBM) 显著减少了儿童局部麻醉注射期间的疼痛和焦虑,优于局部麻醉,冷却和振动. 这种无药方法为儿童患者的注射疼痛管理提供了优质的替代方案.
科学领域:
- 儿科牙科 儿科牙科
- 疼痛管理 疼痛管理
- 生物光子学 生物光子学
背景情况:
- 局部麻醉注射通常是儿科患者显著疼痛和焦虑的来源.
- 目前用于减轻疼痛的方法,如局部麻醉,冷却和振动,具有不同程度的疗效.
- 探索新的非药理学方法对于改善患者在牙科手术中的体验至关重要.
研究的目的:
- 评估和比较光生物调制 (PBM) 对局部麻醉,前冷却和振动在儿童局部麻醉期间减少疼痛感知的有效性.
- 在注射过程中评估患者报告的疼痛,行为反应和焦虑的生理指标.
主要方法:
- 这是一项分口随机对照试验,涉及120名6至13岁的儿科患者.
- 使用视觉模拟量表 (VAS) 和Wong-Baker面部疼痛评分量表来测量疼痛.
- 行为评估使用了面部,腿部,活动,哭泣,安慰 (FLACC) 规模;脉率被监测.
主要成果:
- 与局部麻醉,预冷和振动相比,光生物调制 (PBM) 对疼痛,焦虑和脉率的平均得分明显较低.
- 儿童报告说,在使用PBM时,焦虑程度最低,并且表现出良好的服从性.
- 在不同方法中观察到的疼痛评分差异具有统计学意义 (p < 0.05).
结论:
- 光生物调制 (PBM) 是一种高效的方法,用于缓解儿科患者局部麻醉注射的疼痛.
- 与传统疼痛管理技术 (如局部麻醉,预冷和振动) 相比,PBM具有更高的疗效.
- 这种无毒方法提供了一种安全有效的策略,用于管理儿童的手术疼痛,提高患者的遵从性和舒适性.
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