3种方法治疗颞下颌关节滑膜炎的疗效评价  

Curative Effect of Three Different Therapy Methods for Temporomandibular Joint Synovitis

作　　者：吕曜光 宋志强 贾梦莹 邵博 曾雪敏 龚忠诚 LV Yaoguang;SONG Zhiqiang;JIA Mengying;SHAO Bo;ZENG Xuemin;GONG Zhongcheng(Stomatology Hospital,School of Stomatology,Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学口腔医院新疆医科大学口腔医学院

出　　处：《口腔医学研究》2019年第12期1149-1152,共4页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:81760191)

摘　　要：目的:比较3种方法治疗颞下颌关节滑膜炎的疗效差异。方法:收集诊断为单侧颞下颌关节滑膜炎患者56例,随机分3组,单纯关节上腔注射玻璃质酸钠组、注射联合局部涂抹扶他林乳膏组、注射联合稳定性[牙合]垫组。比较3种方法两周治疗后,VAS评分、颞下颌关节紊乱功能评价(Fricton指数)间的差异。结果:注射联合[牙合]垫以及联合涂抹扶他林较单纯关节腔注射VAS评分显著下降(P<0.05),注射联合[牙合]垫治疗比联合涂抹扶他林效果更佳(P<0.05)。Fricton指数中DI值与CMI值3组之间均有差异(P<0.05),但联合[牙合]垫组PI减小明显(P<0.05)。结论:3种方式均对滑膜炎有治疗作用,注射联合[牙合]垫治疗对颞下颌关节滑膜炎的效果更佳,且对肌肉压痛有更好缓解作用。Objective:To compare the efficacy difference of three methods in the treatment of temporomandibular joint synovitis.Methods:56 cases of the patients who were diagnosed as TMJ synovitis were collected and divided into 3 groups They were treated as:the injection of sodium hyaluronate on articular upper cavity,injection combining with local smearing of diclofenac diethylamine emulgel,and the injection combining with stabilization splint.Two weeks later,the differences of VAS score and temporomandibular joint dysfunction index(Fricton index)between three methods were compared.Results:Compared with the only injection group,the VAS grade of the groups combined with diclofenac diethylamine emulgel smearing and combined with stabilization splint decreased significantly(P<0.05),and the group combined with splint was more effective(P<0.05).As to the Fricton index,there was also a difference for the DI value and CMI value among three group(P<0.05).However,the PI in the group combined with stabilization splint decreased significantly(P<0.05).Conclusion:All three methods have therapeutical effect on the temporomandibular joint synovitis,while the injection combined with stabilization splint is more effective on the temporomandibular joint synovitis,and has better relaxation effect on muscular tenderness.

关 键 词：滑膜炎 颞下颌关节 玻璃质酸钠 扶他林乳膏 稳定性[牙合]垫 

分 类 号：R68[医药卫生—骨科学]