整脊治疗颞下颌关节功能紊乱症临床研究  

Chiropractic Treatment of Clinical Study of Temporo Mandibular Joint Disorder（TMD） Clinical Research

作　　者：陈浩雄 刘兴利 李佳 赵亮 温清波 

机构地区：[1]深圳市福田区中医院,广东深圳518000

出　　处：《中国伤残医学》2015年第11期10-12,共3页Chinese Journal of Trauma and Disability Medicine

基　　金：广东省深圳市科技创新委员会资助项目,项目编号：JCYJ20140414145007225

摘　　要：目的：探讨整脊治疗颞下颌关节功能紊乱症（TMD）疗效的临床研究。方法：选择TMD患者60例，分为治疗组与对照组各30例。治疗组采用整脊疗法配合一些颈部附近的放松手法（以推拿的点、按、揉手法）。对照组采用传统的中医对颞下颌关节附近的放松手法。应用Fricton指数定量评定表分别评定治疗前和治疗后的颞下颌关节功能状况。结果：2组Friction指数评分均较治疗前有好转，差异有统计学意义（P〈0．05）。治疗组能更有效的降低疼痛程度及改善关节活动功能，治疗后颞下颌关节功能障碍指数评分较治疗前有明显下降（P〈0．01），肌肉压痛指数和Friction指数评分较治疗前明显降低（P〈O．01）。2组间差异具有统计学意义（P〈0．01），治疗组疗效优于对照组。结论：应用整脊治疗颞下颌关节功能紊乱症（TMD）能有效地缓解疼痛，改善颞下颌关节功能状况，值得临床推广应用。Objective： To investigate the chiropractic treatment of temporo mandibular joint disorder （TMD） clinical research. Meth- ods： Choose 60 patients of temporn umndibular disorders,randomly divided the eases into a treatment group and a control group. Treat- ment group with the use of chiropractic therapy combined with some neck near the relaxation techniques （to massage point, press, knea- ding manipulation）, while the control group used traditional Chinese medicine in the vicinity of the temporo mandibular joint relaxation technique. Application of Fricton index were used to assess the quantitative assessment of temporo mandibular joint function before and af- ter treatment. Results： The Friction index of two groups were significantly improved, the difference has statistical significance （ P 〈 0. 05 ）. Muscle tenderness index and the Friction index was significantly lower than that before treatment（ P 〈 0.01 ）, There were significant differences between the two groups （P 〈 O. O1 ）, the treatment group was better than control group. Conclusion： Application of chiro- practic treatment of temporo mandibular joint disorder （TMD） can effectively relieve pain, improve the temporo mandibular joint function, worthy of clinical application.

关 键 词：整脊治疗 颞下颌关节功能紊乱 疗效 临床研究 

分 类 号：R782.6[医药卫生—口腔医学]