短刺法配合偏振光照射治疗慢性颞颌关节病12周疗效分析  

作　　者：康杰[1] 

机构地区：[1]四川资中县人民医院康复科,641200

出　　处：《中国社区医师（医学专业）》2009年第16期152-153,共2页

摘　　要：目的:评估短刺法配合偏振光照射治疗慢性颞颌关节病12周后的优缺点。方法:60例慢性TMD的患者随机分为3个治疗组,A组采用短刺法配合偏振光照射,B组采用常规电针,C组采用关节腔内神经阻滞治疗。结果:12周后,在疼痛VAS评分中,A组和B组的症状改善明显,与C组相比有显著性差异(P=0.011)。A组与Bc两组比较,关节杂音改善明显(P=O.026),关节压痛方面,A组比BC两组更优越(P=0.029)。结论:A组治疗慢性颞领关节病,能有效缓解疼痛,改善关节弹响和杂音,减轻局部压痛,疗效比BC两组更优、更持久。Objective： To evaluate the 12 - week efficacy in using close needling and polarized light to treat temporomandibular joint disorder. Methods ：60 people with chronic TMD were randomly assigned into three groups according to the treatment： group A was treated by close needling and polarized light, group B by electro acupuncture, group C by nerve block in cavity of joint. The groups were observed for 12 weeks and used analysis of a visual analog scale （VAS） , palpation of the TMJ and masticator muscles, mandibular movements and joint sounds. They used repeated variance analysis of and X^2 test to test the data. Results： after 12 weeks,group A and B is more significant in VAS than group C,p value is 0. 011. In pal- pation and sounds of joint, group A is more effective compared with group B and C, which the p values were 0. 026 and 0. 029. Conclusion： Compared with the other groups, group A was shown more effective and more lasting in pain, palpation and sounds of the joint.

关 键 词：颞颌关节病 短刺法 偏振光 

分 类 号：R782.6[医药卫生—口腔医学] R752.12[医药卫生—临床医学]