半导体激光理疗对颞下颌关节疼痛治疗效果的影响因素

The influence factors of the efficiency of semiconductor laser therapy for the treatment of temporomandibular disorders pain

目的:探讨激光理疗对颞下颌关节紊乱病(TMD)疼痛治疗效果的影响因素。方法:纳入TMD患者120例。用MDC-500型半导体激光理疗机对患者进行相同标准的激光理疗,每次理疗后,采用VAS评分对患者疼痛改善情况进行评分。采用重复测量资料的两因素方差分析对治疗前后VAS值与年龄、性别的关系进行统计分析。结果:增加激光理疗处理次数明显降低了VAS(P<0.05),对女性患者的疗效优于男性患者(P<0.05);不同年龄组患者TMD疼痛改善无显著性差异(P=0.208)。结论:激光理疗具有改善TMD疼痛的疗效且对女性患者的疗效更加显著。

Objective：To study the influence factors of laser therapy in the treatment of temporomandibular disorders（TMD） pain.Methods：120 cases of TMD were treated by MDC-500 semiconductor laser therapy.VAS was valued after each treatment.The correlation of the VAS varians following treatment with gender and age was analysed by two way AHOVA of the repeated measurement data.Results：114 cases completed the treatment and follow-up.After each treatment the VAS decreased（P〈0.001）,in females decreased more than in males（P〈0.05）.There was no significant difference between age groups（P = 0.208）.Conclusion：Laser therapy can ease TMD pain,and is more effective for female patients.