LED光动力疗法与关节腔注射疗法在颞下颌关节紊乱综合征患者中的应用效果
Efficacy of LED photodynamic therapy versus articular cavity injection in the treatment of temporomandibular joint disorder syndrome
秦剑 1杨杰 2张威3
作者信息
- 1. 湖北省直属机关医院耳鼻喉科 湖北 武汉 430071
- 2. 华中科技大学同济医学院附属协和医院整形外科 湖北 武汉 430022
- 3. 湖北省直属机关医院口腔科 湖北 武汉 430071
- 折叠
摘要
目的:对比LED光动力疗法与关节腔注射疗法在颞下颌关节紊乱综合征(TMD)患者中的应用效果.方法:选取2019年6月-2022年1月湖北省直属机关医院收治的85例TMD患者,按照治疗方法将其分为对照组(n=27,关节腔注射疗法)和观察组(n=58,LED光动力疗法);对比两组患者治疗前、治疗后1周、治疗后4周的疼痛情况,分析临床治疗效果,对比两组治疗前后最大张口限度、咬肌疼痛阈值、Fricton指数、口腔健康相关生活质量.结果:不同时间视觉模拟评分法(VAS)有差异(P＜0.05),观察组与对照组相比VAS评分较低(P＜0.05),两组间VAS评分变化趋势有差异(P＜0.05).观察组治疗总有效率高于对照组(P＜0.05).治疗后,观察组最大张口限度、咬肌疼痛阈值均高于对照组和治疗前(P＜0.05);治疗后,观察组颞下颌关节紊乱指数(CMI)、功能障碍指数(DI)、关节杂音(JN)、关节压诊分(JP)、下颌运动(MM)、肌肉压诊(MP)、肌肉压痛指数(PI)及口腔健康影响程度量表(OHIP)评分均低于对照组(P＜0.05),简明健康量表(SF-36)评分均高于对照组(P＜0.05).结论:对TMD患者采取LED光动力疗法效果优于关节腔注射治疗,可减轻患者疼痛,提高最大张口限度、咬肌疼痛阈值,降低Fricton指数,改善口腔健康相关生活质量.
Abstract
Objective:To compare the effect of LED photodynamic therapy and joint cavity injection thera-py in patients with temporomandibular joint disorder syndrome(TMD).Methods:A total of 85 pa-tients with TMD admitted to Hubei Provincial Hospital from June 2019 to January 2022 were divided into the control group(n=27,joint cavity injection therapy)and the observation group(n=58,LED photodynamic therapy)according to the treatment method.The efficacy was evaluated through the ob-servation of maximum mouth opening limit,masseter pain threshold,Fricton index,and oral-related quality of life before treatment,one week,and four weeks after treatment.Results:There were differ-ences in visual analogue scale(VAS)at different time points(P＜0.05),the VAS score of the obser-vation group was lower than that of the control group(P＜0.05),and the changing trend of VAS scores between the two groups was different(P＜0.05).The total effective rate of treatment in the ob-servation group was higher than that in the control group(P＜0.05).After treatment,the maximum mouth opening limit and masseter pain threshold in the observation group were higher than those in the control group and before treatment(P＜0.05);after treatment,the scores of temporomandibular joint disorder index(CMI),dysfunction index(DI),joint murmur(JN),joint compression score(JP),mandibular movement(MM),muscle compression score(MP),muscle tenderness index(PI),and oral health impact scale(OHIP)in the observation group were lower than those in the control group(P＜0.05).The scores of the Simple Health Scale(SF-36)were higher than those in the control group(P＜0.05).Conclusion:LED photodynamic therapy is more effective than joint cavity injection thera-py in patients with TMD,and it can reduce patients'pain,increase maximum mouth opening limit and occlusal pain threshold,reduce Fricton index,and improve oralrelated quality of life.
关键词
LED光动力疗法/关节腔注射疗法/颞下颌关节紊乱综合征/Fricton指数/口腔健康相关生活质量Key words
LED Photodynamic Therapy/Joint Cavity Injection Therapy/Temporomandibu-lar Joint Disorder Syndrome/Fricton Index/Oral-Related Quality of Life引用本文复制引用
基金项目
湖北省自然科学基金资助项目(2021CFB412)
出版年
2024
NETL
NSTL
万方数据