首页|巨刺结合热敏灸治疗颞下颌关节紊乱病的临床研究

巨刺结合热敏灸治疗颞下颌关节紊乱病的临床研究

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目的:观察巨刺结合热敏灸治疗颞下颌关节紊乱病(temporomandibular disorder,TMD)的临床效果.方法:选取江西省中西医结合医院收治的80例TMD患者为研究对象,病例选取时间为2013年6 月—2020 年 9 月,按随机数字表法分为治疗组(n=40)和对照组(n=40),其中治疗组治疗方案为巨刺加热敏灸治疗,对照组治疗方案为单纯巨刺治疗.比较两组疼痛视觉模拟评分法(VAS)评分、最大张口度(MMO)、颞下颌关节功能障碍指数(DI)、肌肉触压痛指数(PI)、Fricton颞下颌关节紊乱指数(CMI)及疗效.结果:治疗后治疗组VAS评分、DI、PI、CMI均明显低于对照组,MMO评分明显高于对照组(P<0.05);治疗组总有效率(85.00%)明显高于对照组(52.50%)(P<0.05).结论:巨刺结合热敏灸疗法在TMD的治疗上能有效提高临床效果,减轻疼痛,改善张口受限,恢复下颌关节功能.
Clinical Study on the Treatment of Temporomandibular Disorder with Opposing Needling Combined with Heat-sensitive Moxibustion
Objective:To observe the clinical effect of opposing needling combined with heat-sensitive moxibustion in the treatment of temporomandibular disorder(TMD).Method:A total of 80 TMD patients treated in Jiangxi Hospital of Integrated Traditional Chinese and Western Medicine were selected as the study objects,and the cases were selected from June 2013 to September 2020.They were divided into treatment group(n=40)and control group(n=40)according to random number table method.The treatment group was treated with opposing needling and heat-sensitive moxibustion,and the control group was treated with opposing needling alone.The visual analogue scale(VAS)score,maximum mouth opening(MMO),temporomandibular disability index(DI),palpation index(PI),and Fricton craniomandibular index(CMI),and therapeutic effects were compared between the two groups.Result:After treatment,VAS score,DI,PI,and CMI in the treatment group were significantly lower than those in the control group,MMO score was higher than that in the control group(P<0.05).The total effective rate of the treatment group(85.00%)was significantly higher than that of the control group(52.50%)(P<0.05).Conclusion:Opposing needling combined with heat-sensitive moxibustion can effectively improve the clinical effects in the treatment of TMD,the combined treatment can relieve pain,improve restriction of mouth opening,restore mandibular function.

Opposing needlingHeat-sensitive moxibustionTemporomandibular disorder

殷霞、李芳、饶子龙、徐涵斌

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江西省中西医结合医院康复二科 江西 南昌 330003

江西中医药大学附属医院医务部 江西 南昌 330006

巨刺 热敏灸 颞下颌关节紊乱病

江西省卫生厅中医药科研项目

2013A119

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(11)
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