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首页> 外文会议>SPIE Conference on Mechanisms of Photobiomodulation Therapy >Intra-articular Laser Treatment Plus Platelet Rich Plasma (PRP) Significantly Reduces Pain in Many Patients Who Had Failed Prior PRP Treatment
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Intra-articular Laser Treatment Plus Platelet Rich Plasma (PRP) Significantly Reduces Pain in Many Patients Who Had Failed Prior PRP Treatment

机译：关节内激光治疗加血小板富血浆（PRP）显着降低了在先前PRP治疗失败的许多患者中的疼痛

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INTRODUCTION: In our practice Platelet Rich Plasma (PRP) injections effectively reduce pain in most but not all arthritic patients. However, for patients who fail PRP treatment, no good alternative currently exists except total joint replacement surgery. Low level laser therapy (LLLT) on the surface of the skin has not been helpful for arthritis patients in our experience. However, we hypothesized that intra-articular laser treatment would be an effective augmentation to PRP injection and would increase its efficacy in patients who had failed prior PRP injection alone. METHODS: We offered Intra-articular Low Level Laser Therapy (IAL) treatment in conjunction with repeat PRP injection to patients who had received no benefit from PRP injection alone at our center. They were the treatment group. They were not charged for PRP or IAL. They also served as a historical control group since they had all had failed PRP treatment alone. 28 patients (30 joints) accepted treatment after informed consent. 22 knees, 4 hips, 2 shoulder glenohumeral joints and 1 first carpo-metacarpal (1~(st) CMC) joint were treated RESULTS: All patients were followed up at 1 month and no adverse events were seen from the treatment. At 6 months post treatment 46% of patients had good outcomes, and at 1 year 17% still showed improvement after treatment. 11 patients failed treatment and went on to joint replacement. DISCUSSION: A single treatment of IAL with PRP salvaged 46% of patients who had failed PRP treatment alone, allowing avoidance of surgery and good pain control.
机译：简介：在我们的实践中，血小板富血浆（PRP）注射有效降低疼痛，但并非所有关节炎患者。然而，对于PRP治疗的患者，除了总关节置换手术外，目前没有良好的替代方案。皮肤表面的低水平激光治疗（LLLT）对我们的经验没有有助于关节炎患者。然而，我们假设关节内激光治疗是对PRP注射的有效增强，并且会增加其仅在先前PRP注射的患者中的疗效。方法：我们提供了关节内的低水平激光治疗（IAL）治疗，重复PRP注射给在我们的中心仅收到PRP注射没有受益的患者。他们是治疗组。他们没有收取prp或ial。他们还担任历史对照组，因为他们所有人都独自失败了。 28名患者（30个关节）在知情同意后接受治疗。 22个膝盖，4个臀部，2个肩膀胶质织物关节和1个第一个Carpo-metacarpal（1〜（ST）CMC）接头得到治疗结果：所有患者均在1个月内随访，治疗中没有看到不良事件。治疗后6个月，46％的患者的结果良好，17％的治疗后仍显示出改善。 11名患者治疗失败并继续替代。讨论：用PRP拯救的IAL治疗46％的患者单独失效，允许避免手术和良好的疼痛控制。

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