针灸联合手法推拿治疗颞下颌关节紊乱病60例临床观察  

Clinical Observation on 60 Cases of Acupuncture Combined with Tuina in the Treatment of Temporomandibular Joint Disorders

作　　者：丁小刚[1] 覃勇[1] 樊继波[1] 王建钢[1] 张睿[1] 杨磊[1] 

机构地区：[1]湖北宜昌市中心人民医院,宜昌443000

出　　处：《世界中医药》2016年第5期884-887,共4页World Chinese Medicine

基　　金：国家自然科学基金项目(编号:81371167)

摘　　要：目的:观察针灸联合手法推拿治疗颞下颌关节紊乱病的临床疗效。方法:采用随机、单盲、对照的临床诊疗方法将符合纳入标准的120例患者随机分成治疗组、对照组各60例,治疗组用针灸联合手法推拿进行治疗,对照组单纯针灸给予治疗,2组治疗2个疗程后运用视觉模拟评分法(VAS)、颞下颌关节活动度等评价指标对其临床疗效进行评估。结果:治疗组治愈率66%,总有效率98%;对照组治愈率46%,总有效率73%,2组比较差异有统计学意义(P<0.05);2组患者颞下颌功能活动、关节疼痛治疗后均得到明显好转(P<0.01),治疗组好转程度显著优于对照组(P<0.05);治疗组复发率(4%)低于对照组,差异有统计学意义(P<0.05)。结论:针灸联合手法推拿治疗颞下颌关节紊乱病有较好临床疗效,较单纯运用针灸治疗具有优势,值得临床推广应用。Abstract Objective：To observe the clinical effect of acupuncture combined with tuina therapy in treating temporomandibular joint disorders. Methods：A hundred and twenty subjects were included and randomly divided into treatment group and the control group （n = 60） by single blind, randomized and controlled clinical trial. Patients in the treatment group received acupuncture combined with tuina treatment, while patients in the control group had acupuncture and moxibustion treatment. Visual analogue scale （VAS） , such as TMJ articular mobility evaluation was compared between the two groups to evaluate the clinical curative effect after 2-course treatment. Results ：The curative rate of the treatment group was 66% and total effective rate 98%. The cura- tive rate of the control group was 46% and total effective rate 46%. There was a statistically significant difference between the two groups （ P 〈 0. 05）. Functional activities of all the patients improved significantly after treatment （ P 〈 O. 01 ）, while functional activities of the treatment group improved more significantly than that of the control group （ P 〈 0. 05 ）. The recurrence rate of the treatment group （4%） is lower than that of the control group, with statistically significant difference （P 〈 O. 05）. Conclusion： Acupuncture combined with tuina in the treatment of temporomandibular joint disorders has good clinical curative effect, taking the advantage of acupuncture, worthy of clinical popularization and application.

关 键 词：针灸 手法推拿 治疗 颞下颌关节紊乱病 

分 类 号：R782.6[医药卫生—口腔医学]