透明质酸钠与曲安奈得治疗颞下颌关节滑膜炎的对比观察  

Effects of intraarticular injection of sodium hyaluronate and triamcinolone acetonide on secondary temporomandibular synovitis

作　　者：罗伟民[1] 杨玉茹 张志红[1] 龙星[3] 

机构地区：[1]湖北省襄樊市中心医院口腔科,441021 [2]襄樊市卫生局 [3]武汉大学口腔医学院

出　　处：《实用口腔医学杂志》2007年第3期426-429,共4页Journal of Practical Stomatology

摘　　要：目的:探索治疗颞下颌关节继发性滑膜炎的方法。方法:选择颞下颌关节滑膜炎患者67例,随机分成2组,分别采用透明质酸钠和曲安奈得行关节腔注射治疗,对比2种药物的治疗效果,并计算各组总有效率并进行χ2检验。结果:治疗后1周、1、3月复诊,1周时2组有显著差异,曲安奈得好于透明质酸钠(P<0.05);1月时2组无明显差异(P>0.05);3月时2组又有显著差异,透明质酸钠好于曲安奈得(P<0.01)。结论:短期效果曲安奈得比透明质酸钠好,长期疗效透明质酸钠比曲安奈得好。Objective：To evaluate the therapeutical effects of sodium hyaluronate and triamcinolone acetonide on secondary temporomandibular synovitis. Methods： 67 patients with secondary temporomandibular synovitis were divided into two groups ： A group received the intraarticular injection of sodium hyaluronate and B group received triamcinolone acetonide injection. The effects of two groups were observed. Results： Patients were followed up at 1 week, 2 months and 3 months after being treated respectively. Although 1 week after treatment, A group showed better curative effect（ P 〈 0. 05 ）, there was no significant difference between the two medicines after 2 months （P 〉 0. 05 ）. After 3 months, B group showed better effects than A group（ P 〈0.01 ）. Conclusion： In a short time, the effect of triamcinolone acetonide intraarticular injection is better than that of sodium hyaluronate. But in a long term, the effect of sodium hyaluronate injection is more effective.

关 键 词：颞下颌关节继发性滑膜炎 透明质酸钠 曲安奈得 

分 类 号：R782.6[医药卫生—口腔医学]