推拿手法缓解颞下颌关节紊乱张口受限疗效评估  

Effect of tuina manipulation on limited mouth opening of patients with temporomandibular disorders

作　　者：苏兴宇[1] 卫琳[1] 高豫[1] 李世君[1] 薛京伟[1] 

机构地区：[1]中国中医科学院望京医院口腔科,北京100102

出　　处：《中外医疗》2014年第23期42-44,共3页China & Foreign Medical Treatment

基　　金：中国中医科学院望京医院资助科研项目(WJ201112)

摘　　要：目的观察推拿手法对风寒湿痹型颞下颌关节紊乱患者张口受限的疗效。方法自门诊选取60例颞下颌关节紊乱患者,随机分为两组。A组31例采用推拿手法治疗,方法为施推法和拇指点按法于阿是穴、耳禾髎、颊车、上关和下关穴,以拿法施于外关合谷穴。B组29例以超短波理疗。3次/周,2周为1个疗程。疗程结束后对患者张口受限情况进行评定。结果AB两组张口受限程度均减轻,治疗前后差异有统计学意义(P<0.05)。A组最大开口度由治疗前(28.6±6.7)mm增加到(29.9±7.6)mm。B组最大开口度由治疗前(28.8±5.6)mm,增加到(30.6±6.5)mm。治疗后AB两组间开口度差异无统计学意义(P>0.05)。结论两种治疗手段疗效相似,均可减轻患者张口受限症状,促进患者功能康复。Objective To investigate the mouth opening improvement and safety of tuina manipulation on patients with temporo- mandibular disorders （TMD） Methods A total of 60 eases with early stage TMD were selected. All patients were randomized into two groups. Group A （31 cases） employed pushing technique on Ashi point, Erheliao SJ-22, Xiaguan ST-7, Shanggnan GB-3, Jiache ST-6 for 5 minutes. Pinching technique was applied on Hegu LI-4 for 1 minute. Group B （29 cases） employed ultrashort wave therapy on local site for 10 minutes. For both groups, the treatment was conducted Three times per week for 2 weeks. The maximum mouth opening were measured prior treatment and after one session treatment. Result In both groups, mouth opening was improved significantly （P〈0.05）. In group A the maximum mouth opening was increased from 28.6±6.7mm to 29.9±7.6. Group B maximum mouth opening increased from 28.8±5.6 to 30.6±6.5. There was no significant difference between group A and B （P〈 0.05）. Conclusion Tuina and ultrashort wave therapy are both effective intervention method for limitation of mouth opening for TMD.

关 键 词：颞下颌关节紊乱综合征 推拿手法 超短波理疗 张口受限 

分 类 号：R782.63[医药卫生—口腔医学]