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关节松动术配合针刺治疗颞下颌关节紊乱综合征

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目的 探讨关节松动术配合针刺治疗颞下颌关节紊乱综合征(TMJDS)临床疗效.方法 选择颞下颌关节紊乱综合征患者144例,按照随机数表法分成观察组与对照组.对照组给予单纯针刺治疗,观察组在针刺治疗基础上配合关节松动术治疗4周.比较2组口腔健康影响程度量表(OHIP-14)评分、国际常用视觉模拟评分量表(VAS)评分、最大张口度、中文版颞下颌功能受损评分(MFIQ)及Fricton颞下颌关节紊乱指数,比较2组临床疗效和安全性.结果 2组治疗后OHIP-14评分,VAS评分,MFIQ评分,功能障碍指数(DI)、肌肉触压痛指数(PI)、颞下颌关节指数(CMI)评分均降低(P<0.05),且观察组低于对照组(P<0.05);2组治疗后最大张口度均升高(P<0.05),且观察组高于对照组(P<0.05);观察组总有效率高于对照组(P<0.05);2组均未发生与治疗相关的不良事件.结论 关节松动术配合针刺能够改善颞下颌关节紊乱综合征患者疼痛和颞下颌功能活动,提高最大张口度,疗效明显.
Clinical efficacy of joint mobilization combined with acupuncture in the treatment of temporomandibular joint disturbance syndrome
Objective To explore the clinical efficacy of joint mobilization combined with acupuncture in the treatment of temporomandibular joint disturbance syndrome(TMJDS).Methods 144 patients with TMJDS were selected and divided into the observation group and the control group according to random number table method.The control group received simple acupuncture treatment,while the observation group received joint mobilization for 4 weeks on the basis of the treatment of acupuncture treatment.Oral Health Impact Profile(OHIP-14)scores,international commonly used Visual Analogue Scale(VAS)scores,maximum mouth opening degree,Chinese version of Mandibular Function Impairment Questionnaire(MFIQ)scores,and Fricton temporomandibular disorder index in two groups were compared.The clinical efficacy and safety of two groups were compared.Results After treatment,OHIP-14 score,VAS score,MFIQ score,dysfunction index(DI),palpation index(PI),and Craniomandibular Index(CMI)of both groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).After treatment,the maximum mouth opening degree of both groups increased(P<0.05),and the observation group was higher than the control group(P<0.05);The total effective rate of the observation group was higher than that of the control group(P<0.05);Both groups did not experience any treatment-related adverse events.Conclusion Joint mobilization combined with acupuncture can improve pain and temporomandibular functional activity in patients with TMJDS,and increase maximum mouth opening degree.This therapy has significant therapeutic effects.

joint mobilizationacupuncturetemporomandibular joint disturbance syndromemaximum mouth opening degreetemporomandibular functional activity

林桂君、李钰、吴芳鹏、韩晟宇、陈琳非、洪伟、苏钢

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四川省成都市温江区人民医院康复科,成都 611130

四川省成都市温江区人民医院放射科,成都 611130

四川省成都市温江区人民医院急诊医学科,成都 611130

四川省成都市温江区人民医院口腔科,成都 611130

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关节松动术 针刺 颞下颌关节紊乱综合征 最大张口度 颞下颌功能活动

四川省卫生健康委员会科研课题

19PJ184

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(8)
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