经皮穴位电刺激防治正畸牙痛与口腔功能障碍临床研究  

TEAS for prevention and treatment of orthodontic toothache and oral dysfunction:a randomized controlled trial

作　　者：贾莹[1] 陈波[2] 蔡绍祥 胡铁汉 

机构地区：[1]贵州医科大学口腔医学院,贵阳550004 [2]贵阳中医学院针灸推拿学院 [3]遵义贝齿蓝天口腔疾病预防与控制研究所

出　　处：《中国针灸》2016年第5期485-490,共6页Chinese Acupuncture & Moxibustion

基　　金：贵州省科学技术基金项目:黔科合J字[2012]2052号;贵州省科技厅贵州医科大学联合基金项目:黔科合LG字[2012]048号;贵州省中医药管理局中医药;民族医药科学技术研究项目:QZYY2010-56

摘　　要：目的:观察经皮穴位电刺激(transcutanclus electrical acupoint stimulation,TEAS)防治正畸牙齿疼痛和口腔功能障碍的临床疗效。方法:将85例错畸形初诊正畸患者随机分为对照组(20例)、心理干预组(22例)、药物治疗组(20例)、TEAS组(23例)4组,均给予正畸治疗。对照组不进行其他干预;心理干预组给予综合心理治疗,包括认知教育和音乐治疗;药物治疗组口服布洛芬治疗;TEAS组予TEAS治疗,穴取巨髎、夹承浆和耳穴"牙",每日治疗2次,早晚各1次,均治疗7d。观察各组患者正畸牙齿疼痛评分和口腔功能障碍变化情况。结果:1 TEAS组从第12h到第4d5个评测点正畸自发痛评分均较对照组降低(均P<0.01),同时段评分均低于心理干预组(P<0.05,P<0.01);TEAS组自发痛评分与药物治疗组相当,差异均无统计学意义(均P>0.05)。2在自发痛高峰期,TEAS组激惹痛评分均低于对照组,无论分时统计还是总体统计差异均有统计学意义(均P<0.01);激惹痛评分也低于心理干预组(均P<0.01);与药物治疗组比较差异均无统计学意义(均P>0.05)。3与对照组比较,余组说话障碍分级无明显变化,差异均无统计学意义(P>0.05)。4 TEAS组较对照组能有效降低正畸患者中重度进食的障碍分级,差异有统计学意义(P<0.05),与药物治疗组分级情况比较差异无统计学意义(P>0.05);心理干预组患者中重度进食的障碍分级情况与对照组比较差异亦无统计学意义(P>0.05)。5药物治疗组出现3例胃肠不良反应,余组未见不良反应。结论:TEAS能有效防治正畸牙齿疼痛和口腔功能障碍,疗效优于心理干预,并与药物治疗相当,且能避免药物治疗的不良反应。Objective To observe the clinical efficacy of transcutanclus electrical acupoint stimulation（TEAS）on prevention and treatment of orthodontic toothache and oral dysfunction.Methods A total of 85 patients of malocclusions in the preliminary diagnosis were randomly divided into a control group（20 cases）,apsychological intervention group（22 cases）,a medication group（20 cases）and a TEAS group（23 cases）.Orthodontics treatment was given in all the groups.Patients in the control group received no further treatment;patients in the psychological intervention group received comprehensive psychological intervention,including cognitive education and music therapy;patients in the medication group received oral administration of ibuprofen;patients in the TEAS group received TEAS at Juliao（ST 3）,Jiachengjiang（Extra）and auricular point Ya（LO_1）.The treatment was given twice a day,one in morning and one at night,for 7 days.The pain scores of orthodontic toothache and changes of oral dysfunction were observed in all groups.Results（1）At 5time points from the 12th hour to the 4th day,the scores of spontaneous pain in TEAS group were lower than those in the control group（all P〈0.01）;during the time points,the scores in TEAS group were lower than those in the psychological intervention group（P〈0.05,P〈0.01）,which were similar to those in the medication group（all P〈0.05）.（2）During the peak cycle of spontaneous toothache,the scores of irritation pain in TEAS group were significantly lower than those in the control group（all P〈0.01）,regardless of time-point statistics or general statistics;the scores of irritation pain in the TEAS group were also significantly lower than those in the psychological intervention group（all P〈0.01）,which were similar to those in the medication group（all P〈0.05）.（3）Compared with control group,the grading of talking disorder in the remaining groups did not change significantly（P〈0.05）.（4）Compared with control group,the gr

关 键 词：正畸 TEAS 牙痛 功能障碍 随机对照试验 

分 类 号：R246.8[医药卫生—针灸推拿学]