Acupuncture combined with medicated cupping for temporomandibular disorders  

针刺结合药罐治疗颞颌关节紊乱症临床观察（英文）

作　　者：韩燕[1] 郭立华[1] 肖京[2] 

机构地区：[1]中国中医科学院西苑医院口腔科 [2]中国中医科学院西苑医院中医科

出　　处：《World Journal of Acupuncture-Moxibustion》2015年第3期31-34,共4页世界针灸杂志（英文版）

摘　　要：Objective To observe the application of acupuncture at distal points combined with medicated cupping on the affected parts in the treatment of temporomandibular disorders（TMD） and to evaluate its effectiveness. Methods A total of 120 patients with TMD were randomly divided into two groups according to the random number table and random number remainder method. Sixty-two patients in acupuncture combined with cupping group（group A） were treated with acupuncture at Hég（合谷 LI 4） and Tàichōng（太冲 LR 3） combined with medicated cupping on the affected parts with Sānqī（三七 Radix et Rhizoma Notoginseng） and Báizh（白芷 Radix Angelicae Dahuricae）. Fifty-eight patients in cupping group（group B） were just treated with medicated cupping. Patients were treated for 30 min each time, once daily, and 10 times were considered as one course of treatment. After one course of treatment, the therapeutic effect was evaluated. Before and after treatment, craniomandihular index（CMI）, dysfunction index（DI）, palpation index（Pl） and changes in pain degree（VAS score） were compared. Results Before and after treatment, CMI in group A were 0.27±0.02 and 0.04±0.01, respectively, and in group B were 0.29±0.02 and 0.06±0.01, respectively; PI in group A were 0.19±0.01 and 0.05±0.03, respectively, and in group B were 0.18±0.02 and 0.11±0.02, respectively; DI in group A were 0.33±0.04 and 0.06±0.02, respectively, and in group B were 0.34±0.05 and 0.11±0.04, respectively; VAS in group A were 5.39±0.24 and 2.13±0.47, respectively, and in group B were 5.70±0.31 and 3.97±0.26, respectively. After treatment, CMI, DI, PI and VAS in both groups significantly decreased when compared with those before treatment（all P0.01）, and the indices in group A were significantly lower than that in group B after treatment（all P0.05）, indicating that the difference was significant. Conclusion The therapeutic effect of acupuncture at distal points combined with cupping at adjacent points i目的:观察针刺远端取穴配合患部药罐疗法治疗颞颌关节紊乱症中的疗效,并对其效果进行评价。方法:120例患者通过随机数字表法以及随机数字余数法随机分为2组。针罐组62例,给予针刺合谷、太冲配合患部三七、白芷制剂药罐疗法;药罐组58例,单纯给予药罐治疗。每日治疗1次,每次30 min,10次为一疗程,治疗1个疗程后对比分析治疗前后患者颞颌关节紊乱指数(CMI)、颞颌关节功能障碍指数(DI)和肌肉压痛指数(PI)以及疼痛程度(VAS分值)的变化。结果:治疗前后针罐组CMI分别为0.27±0.02和0.04±0.01,药罐组为0.29±0.02和0.06±0.01;治疗前后针罐组PI分别为0.19±0.01和0.05±0.03,药罐组为0.18±0.02和0.11±0.02;治疗前后针罐组DI分别为0.33±0.04和0.06±0.02,药罐组为0.34±0.05和0.11±0.04;治疗前后针罐组VAS分别为5.39±0.24和2.13±0.47,药罐组为5.70±0.31和3.97±0.26。治疗后两组患者的CMI、DI、PI以及VAS均较前显下降(均P<0.01),且治疗后针罐组各观察指标明显低于药罐组(均P<0.05)。结论:远针近罐法治疗颞颌关节紊乱症疗效明显优于单纯药罐治疗。

关 键 词：temporomandibular disorders acupuncture therapy medicated cupping 

分 类 号：R246.83[医药卫生—针灸推拿学]