口内、口外手法复位在颞下颌关节急性前脱位中的临床疗效观察  

The study of extraoral manual reposition approach in the treatment of acute anterior dislocation of temporomandibular joint

作　　者：董正谋[1] 周霞[2] 刘鲁川[2] 蒋和田[2] 

机构地区：[1]湖北省红安县人民医院口腔科,黄冈438400 [2]第三军医大学大坪医院野战外科研究所口腔科

出　　处：《实用口腔医学杂志》2016年第6期848-851,共4页Journal of Practical Stomatology

基　　金：国家自然科学基金面上项目(编号:81271097)

摘　　要：目的:观察口内、口外手法复位在颞下颌关节急性前脱位中的临床疗效。方法:随机数字表法将98例颞下颌关节急性前脱位患者分为口外和口内手法复位组,每组49例,评价组间复位成功率、复位成功时间、疼痛程度、收缩压(SBP)、舒张压(DBP)、心率(HR)变化和患者满意度。结果:口外手法组复位成功率(95.92%)及患者总满意度(76%)均高于口内手法组(81.63%)、(66%);口外手法组复位成功时间(3.91±0.55)s、疼痛程度(3.51±0.25)均低于口内手法组(5.57±0.51)s、(6.6±0.21),且口外手法组SBP、DBP、HR,变化程度小于口内手法组SBP、DBP、HR,差异均有统计学意义(P<0.05)。结论:颞下颌关节急性前脱位时采用口外手法复位比口内手法效果更好。Objective： To obseive the clinical effects of extraoral manual reposition approach in the treatment of acute anterior disloca- tion of temporomandibular joint. Methods： 98 patients with acute anterior dislocation of temporomandibular joint were divided into 2 groups（n =49） by random digit table and treated by manual reposition through intraoral and extcaoral approach respectively. The suc- cess rate, success time, patient pain during treatment, SBP, DBP, HR and patient satisfaction were evaluated respectively. Results： The success rate（95.92% ） and the patient satisfaction rate （76%） of extraoral method group were higher than those of the intraoral method group （81.63% and 66% ） ; success time（3.91 ± 0.55） s and patient pain during treatment（3.51 ± 0.25） in extraoral method group were less than those in the intraoral method group[ （5.57 ±0.51 ） s and （6.6 ±0.21 ） ]. The degree of changes of SBP, DBP and HR in extraoral method group were less than those in the intraoral method group （ P 〈 0.05 ）. Conclusion ： Extraoral manual reposi- tion approach is more effective than intraoral approach in the treatment of acute anterior dislocation of temporomandibular joint.

关 键 词：颞下颌关节脱位 手法复位 口外手法复位 

分 类 号：R276.8[医药卫生—中医五官科学]