本文選題：弱激光 + 疼痛�。� 參考：《激光雜志》2017年02期

【摘要】：目的:觀(guān)察弱激光照射治療對(duì)于急慢性疼痛患者的療效。方法:選取我院2015年2月至2016年3月門(mén)急診215例急慢性疼痛患者,應(yīng)用波長(zhǎng)660nm、能量密度4J/cm2的氦氖弱激光對(duì)患者痛點(diǎn)、相應(yīng)神經(jīng)節(jié)進(jìn)行照射治療,2次/天,每次20min,10天為一個(gè)療程,治療前和治療后1、2、4、8周分別采用目測(cè)類(lèi)比評(píng)分法評(píng)價(jià)患者疼痛變化,并以治療前和治療后8周的疼痛程度差值評(píng)價(jià)療效(顯效:VAS差值6;有效:VAS差值3,"f6;無(wú)效:VAS差值"f3)。結(jié)果:所有的研究病例中,治療前和治療后目測(cè)類(lèi)比評(píng)分顯示,弱激光照射治療能有效治療臨床常見(jiàn)急慢性疼痛,其中膝骨關(guān)節(jié)炎、肩周炎、肱骨外上髁炎、急性腰扭傷等急慢性軟組織損傷對(duì)于弱激光照射效果較好,而對(duì)神經(jīng)源性疼痛效果相對(duì)較差;所有患者在經(jīng)過(guò)弱激光照射治療后,總顯效達(dá)87例,占40.47%,有效者99例,占46.04%,無(wú)效例數(shù)為29例,占13.49%,其總有效率為86.51%。結(jié)論:弱激光照射治療能有效緩解急慢性疼痛患者疼痛癥狀,對(duì)于軟組織損傷性尤為顯著,對(duì)于神經(jīng)性疼痛效果較差。
[Abstract]:Objective: to observe the effect of weak laser irradiation on acute and chronic pain patients.Methods: 215 patients with acute and chronic pain were selected from February 2015 to March 2016 in our hospital. He-Ne weak laser with wavelength of 660 nm and energy density of 4J/cm2 was used to treat the pain points of the patients. The corresponding ganglion was irradiated twice a day for 20 minutes and 10 days as a course of treatment.Results: the visual analogue scores before and after treatment showed that low laser irradiation was effective in the treatment of common acute and chronic pain, including knee osteoarthritis, periarthritis of shoulder, lateral epicondylitis of humerus, etc.Acute and chronic soft tissue injury, such as acute lumbar sprain, had a better effect on weak laser irradiation, but a relatively poor effect on neurogenic pain. After treatment with weak laser irradiation, 87 cases (40.47%) were significantly effective, 99 cases were effective.The total effective rate was 86.51.Conclusion: the treatment of weak laser irradiation can effectively relieve the pain symptoms of patients with acute and chronic pain, especially for soft tissue injury.
【作者單位】： 重慶市人民醫(yī)院;
【分類(lèi)號(hào)】：R402;TN249

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