低强度Nd:YAG激光与传统药物治疗肌筋膜痛的疗效评价  

Evaluation of low intensity Nd:YAG laser and traditional drugs in the treatment of myofascial pain

作　　者：李旭 赵宁 刘宗霖 张善勇[4] 蔡圳[3] 朱超[3] LI Xu;ZHAO Ning;LIU Zong-lin;ZHANG Shan-yong;CAI Zhen;ZHU Chao(Department of Stomatology,Jinzhou Medical University,Jinzhou 121000,Liaoning Province;Department of Stomatology,Weifang Medical University,Weifang 261000,Shandong Province;Department of Stomatology,Linyi People's Hospital,Linyi 276000,Shandong Province;Department of Oral Surgery,Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]锦州医科大学口腔医学院,辽宁锦州121000 [2]潍坊医学院口腔医学院,山东潍坊261000 [3]临沂市人民医院口腔科,山东临沂276000 [4]上海交通大学医学院附属第九人民医院口腔外科,上海200011

出　　处：《上海口腔医学》2023年第3期261-265,共5页Shanghai Journal of Stomatology

基　　金：山东省自然科学基金面上项目(ZR2021MH362)。

摘　　要：目的:评估低强度Nd:YAG激光与传统药物治疗肌筋膜痛(myofascial pain,MP)的效果。方法:将80例接受治疗的MP患者按照随机、双盲原则分为激光组(n=40)和传统药物组(n=40)。激光组采用低强度Nd∶YAG激光(1064 nm,8 J/cm~2,250 mW),2次治疗间隔48 h,整个疗程共10次。传统药物组采用赛来昔布胶囊,每次1粒(0.2 g),每天2次,连续口服2周。肌筋膜痛患者每次接受治疗前后,测量开口度、前伸动度、患侧侧方动度和对侧侧方动度,并进行疼痛视觉模拟(VAS)评分,记录相应分值,采用SPSS 22.0软件包对数据进行统计学分析。结果:激光组患者下颌功能运动状态(P<0.05)、疼痛症状(P<0.05)显著改善;传统药物组患者下颌功能运动状态(P<0.05)、疼痛症状(P<0.05)同样显著改善,两者总有效率无统计学差异(P>0.05)。激光组患者VAS评分低于传统药物组,但差异无统计学意义(P>0.05)。结论:低强度Nd:YAG激光与传统药物治疗均可有效缓解肌筋膜痛症状,改善其下颌功能运动状态。激光治疗具有疗程短、效率高、无痛苦和副作用少等优点,值得临床推广应用。PURPOSE:To evaluate the efficacy of low intensity Nd:YAG laser and traditional drugs in the treatment of myofascial pain(MP).METHODS:Eighty patients with MP were divided into laser group(n=40)and traditional medicine group(n=40)according to the principle of randomization and double-blindness.The patients in the laser group were treated with low intensity Nd:YAG laser(1064 nm,8 J/cm2,250 mW),with an interval of 48 h between the two laser treatments.The whole course of treatment was 10 times.Patients in the traditional medicine group uesd celecoxib capsules,1 capsulet each time(0.2 g),twice a day for 2 weeks.Before and after each treatment,mouth opening,protrusion excursion,lateral movement of the affected side and lateral movement of the contralateral side were measured,and pain visual analogue scores(VAS)were measured and recorded.The data were statistically analyzed with SPSS 22.0 software package.RESULTS:Patients in laser group had significantly improved mandibular function and movement status(P<0.05)and pain symptoms(P<0.05);patients in traditional medicine group had the same significant improvement on mandibular functional movement status(P<0.05)and pain symptoms(P<0.05).The total effective rate of the two groups had no significant difference(P>0.05).The VAS score of patients in laser group was lower than that of traditional medicine group,but the difference was not significant(P>0.05).CONCLUSIONS:Low intensity Nd:YAG laser and traditional medicine can effectively relieve the symptoms of myofascial pain and improve mandibular function and movement.Laser treatment has the advantages of short course of treatment,high efficiency,no pain and fewer side effects,which is worthy of clinical application.

关 键 词：低强度Nd:YAG激光 赛来昔布胶囊 肌筋膜痛 颞下颌关节紊乱病 

分 类 号：R782[医药卫生—口腔医学]