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对关节障碍的激光治疗:一种随机对照临床试验

Letícia da Costa Siqueira¹, Camila Freire Brant¹, Guilherme Ferreira Bento¹

¹School of Dentistry, Alfenas Federal University (Unifal-MG), Gabriel Monteiro da Silva, 700 - Centro, Alfenas, Minas Gerais, 37131-001, Brazil.

Lasers in medical science

|July 11, 2025

概括

低水平激光疗法 (L) 和与激光疗法 (OSL) 结合的闭合 (OS) 显著减少了关节障碍 (TMD) 疼痛,改善了下的移动性. 与OS单独相比,OSL方法提供了优越的短期疼痛缓解.

科学领域:

生物医学工程生物医学工程
牙科科学牙科科学
疼痛管理疼痛管理

背景情况:

肌肉部疾病 (TMD) 显著影响生活质量.
目前用于肌肉TMD的治疗方法具有可变的疗效.
对肌肉TMD症状需要有效的治疗干预措施.

研究的目的:

评估光生物调节疗法 (PBMT) 使用低水平激光疗法 (L),闭合 (OS) 和它们的组合 (OSL) 对肌肉TMD.
为了比较L,OS和OSL在管理TMD症状中的有效性.
评估对疼痛,下部移动性和生活质量的影响.

主要方法:

随机临床试验,99名参与者被诊断患有肌肉性TMD.
三组:OS (夜间使用),L (每周5次PBMT会话),OSL (夜间的OS + PBMT).
PBMT涉及红外光 (808nm) 每点3J/cm2;通过VAS,最大口腔开口和OHIP-14.4测量结果.

主要成果:

在L和OSL组显著减少疼痛 (p<0.05).
在前两周,OSL显示出比OS更大的有效性 (p<0.05).
L和OSL改善了下部流动性 (p<0.05),而所有组都改善了生活质量,L在重新评估时得分更高 (p<0.05).

结论:

低水平的激光疗法对肌肉TMD是有效的,单独或与闭塞结合.
联合OSL疗法提供了立即的疼痛缓解和持续的症状控制.
PBMT为改善TMD患者的功能和生活质量提供了一种可行的治疗选择.

关键词:

保守治疗是一种保守的治疗.低水平的激光疗法.闭合的 splint 是一个关闭的 splint.生活质量生活的质量.短关节疾病短关节疾病

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