低强度激光治疗颞下颌关节疼痛的临床专科护理  

Effect of specialty care on the low-level laser therapy for the patients with temporomandibular joint pain

作　　者：叶莺[1,2] 张燕平[3] 刘然[4] 张静露[4] 

机构地区：[1]南京医科大学口腔疾病研究江苏省重点实验室 [2]南京医科大学附属口腔医院综合科,江苏南京210029 [3]南京医科大学附属口腔医院第一门诊部 [4]南京医科大学口腔医学院口颌面疼痛与颞下颌关节病研究中心

出　　处：《广东牙病防治》2015年第9期486-489,共4页Journal of Dental Prevention and Treatment

基　　金：江苏省卫生厅科技项目(H201338)

摘　　要：目的探讨颞下颌关节专科护理用于低强度激光治疗颞下颌关节疼痛治疗的效果。方法将144例颞下颌关节疼痛患者随机分为激光治疗专科护理组、单纯激光治疗组、单纯专科护理组和对照组。激光治疗专科护理组在治疗过程中采用低强度镓铝砷半导体激光治疗辅以颞下颌关节专科护理,单纯激光治疗组仅使用低强度镓铝砷半导体激光进行治疗,单纯专科护理组采用模拟激光照射并进行个性化专科护理,对照组仅采用模拟激光进行安慰照射。治疗周期为10 d。结果激光治疗专科护理组治疗前后开口度(t=8.770,P<0.001)和前伸运动度(t=6.306,P<0.001)明显增大,开口偏斜减小(t=4.233,P<0.001),疼痛减轻(t=12.084,P<0.001);单纯激光治疗组颞下颌关节疼痛减轻,差异有统计学意义(t=4.702,P<0.001),但下颌前伸运动改善不明显(t=1.784,P=0.083);单纯护理组颞下颌关节疼痛减轻(t=6.136,P<0.001)。结论颞下颌关节专科护理能够提高镓铝砷半导体激光对颞下颌关节病治疗的效果。Objective To evaluate the clinical effect of temporomandibular joint （ TMJ） specialty care on the low-level Ga-Al-As laser therapy for the patients with TMJ pain in a random and double-blind research design. Methods A total of 144 patients were randomly divided into four groups. Patients in Group 1 received laser therapy combined with specialty care. Group 2 accepted simple laser therapy only. Group 3 had specialty care and sham laser as placebo and controlled group received sham laser as without specialty care. All the patients treated for 10 days. Results Compared with the other three groups, Laser treatment combined with specialty care group showed significant better improvement on mandib-ular function （ P〈0. 001） and pain intensity （ P〈0. 001） after treatment. Simple laser treatment can also relief pain in-tensity （ P〈0. 001） and increase the vertical movement （ P〈0. 001） , but no significant differences （ P=0. 083） on hori-zon mandibular movement. Simple specialty care can improve the mandibular movement and relief pain intensity （ P〈0. 001） . Conclusion Specialty care on TMJ is worthy for promoting in clinical application as itshows a significant im-provement in clinical signs and symptoms of TMJ pain.

关 键 词：颞下颌关节专科护理 低强度激光 颞下颌关节 疼痛 

分 类 号：R782[医药卫生—口腔医学]