红外偏振光治疗各类颞下颌关节紊乱病的疗效分析  

Polarized ultrared light treatment of temporomandibular disorders

作　　者：杨晓江[1] 李媛[1] 华美珍[1] 刘月华[1] 王雁[1] 常攀辉[1] 田岚[1] 

机构地区：[1]首都医科大学北京口腔医院外二科,100050

出　　处：《实用口腔医学杂志》2006年第3期308-311,共4页Journal of Practical Stomatology

基　　金：首都医学发展基金2003-3060;北京市优秀人才培养专项经费;北京市留学回国人员科研基金;首都医科大学基础临床合作研究基金(03JL41)

摘　　要：目的:探讨红外偏振光对不同类型颞下颌关节紊乱病的临床疗效,为临床正确选择这种理疗技术的适应证提供依据。方法:对426例颞下颌关节紊乱病患者(657侧关节)进行了红外偏振光理疗。结果:发现红外偏振光理疗对各类型颞下颌关节紊乱病引起的关节或肌肉区的疼痛症状有明显的疗效;对咀嚼肌紊乱疾病类引起的肌肉区疼痛的疗效(94%)高于对有关节结构紊乱疾病类引起的关节疼痛症状为主的疗效(72%);对非绞锁关节张口度的改善具有良好的疗效;经治疗后,在疼痛明显减轻的同时,关节弹响的发生率反而提高;对关节结构紊乱疾病类引起的下颌绞锁运动没有显著疗效,绞锁关节张口度在治疗前后没有显著性差异;近期观察关节内骨关节病类改变没有明显差异。结论:红外偏振光理疗对各类型颞下颌关节紊乱病引起的关节或肌肉区的疼痛症状有良好的疗效,并可以改善张口度。对可能由关节结构紊乱引起的弹响及下颌绞锁运动没有明显疗效,在有下颌绞锁运动的情况下,对张口度的改善亦不明显,对关节内骨关节病类改变没有明显近期疗效。Objective：To evaluate the effects of polarized ultrared light treatment of temporomandibular disorders （TMD）. Methods：657 joints ill 426 patients with TMD were treated by a polarized ultrared light device,BMP-Ⅲ at output energy of 2.5-5 W,wavelength of 0.7 - 1.3 UM,3 s irradiation and 3 s intermitence for 15 min once a day for 10 -30 days. Pain,joint clicking and mouth opening were examined before and after treatment. Results：The polarized ultrared light treatment reduced the pain in 94% of tenlporoulandibular joints （TMJs） （ P〈0.01 ） and in 72% masticatory muscles related to TMD（ P〈0.01 ）. After the treatment, mouth opening was improved significantly in non-locking TMJs（ P〈0. 01 ） but not in locking TMJs（ P〉0.05）. Joint clicking was significantly more frequent after treatment（ P〈0.01 ）. No evidence of improvements ment. Concluslon：Polarized utlrared light treatment may in non-loeking TMJs in TMD patients. of osteoarthritie changes of TMJs was observed after treatreduce the TMJ and muscle pain, increase mouth opening

关 键 词：红外偏振光 颞下颌关节紊乱病 理疗 

分 类 号：R782.6[医药卫生—口腔医学]