Abstract

To study 1.06&mu;m laser causing pain in human skin. The skin of human dorsum hand was irradiated by a Nd: YAG laser. The energy of each pulse and whether the subjects felt a painful sensation after each stimulus were recorded. The pain threshold was defined as the laser dose at which the subjects reported a painful sensation to 50% of stimulus deliveries. The pain thresholds were determined under 3 different beam diameter and pulse duration conditions. The influence of skin temperature on the pain caused by laser stimulus was also explored. As the temperature of skin was about 30&deg;C, the pain thresholds were 394mJ/mm<sup>2</sup>, 36.4mJ/mm<sup>2</sup> and 8.92mJ/mm<sup>2</sup> respectively under the stimulating condition of 1.20mm beam diameter and 85&mu;s pulse duration, 1.20mm beam diameter and 20ns pulse duration and 2.56mm beam diameter and 20ns pulse duration. Under the first condition, when skin temperature was 25&deg;C and radiant exposure was 383mJ/mm<sup>2</sup>, the probability of laser stimulus causing pain was 16.7%; when skin temperature was 39&deg;C and radiant exposure was 361mJ/mm<sup>2</sup>, the probability was 56.7%. The threshold of 1.06&mu;m laser stimulus causing pain decreases with decreasing pulse duration, increasing beam diameter and skin temperature.

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