针刺内关穴对髁状突骨折术后疼痛及下颌功能的影响  

Effect of Acupuncture at Neiguan(PC6)on Postoperative Pain and Mandibular Function of Condylar Fracture

作　　者：关红丹 GUAN Hongdan(Department of maxillofacial surgery,Stomatological Hospital Affiliated to China Medical University,Liaoning Province,Shenyang 110000,China)

机构地区：[1]中国医科大学附属口腔医院颌面外科,辽宁沈阳110000

出　　处：《中国中医药现代远程教育》2022年第10期114-116,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨针刺内关穴对髁状突骨折术后疼痛及下颌功能的影响。方法选取中国医科大学附属口腔医院颌面外科收治的髁状突骨折52例,随机分为2组,各26例。对照组患者术后予以颌间牵引治疗,试验组联用针刺内关穴,连续治疗2周。比较患者治疗优良率、开口度、疼痛程度。结果试验组优良率88.46%(23/26)高于对照组优良率61.54%(16/26),差异有统计学意义(P<0.05)。与对照组相比,试验组治疗后开口度较高,VAS评分较低,差异有统计学意义(P<0.05)。结论髁状突骨折术后针刺内关穴能够改善下颌功能,发挥镇痛作用,提升张闭口功能及纠正张口受限状态。Objective To investigate the effect of acupuncture at Neiguan(PC6)on postoperative pain and mandibular function of condylar fracture.Methods 52 cases of condylar fracture in maxillofacial surgery of Stomatological Hospital Affiliated to China Medical University were collected and randomly divided into two groups,with 26 cases in each group.Patients in the control group were treated with intermaxillary traction,and the experimental group were treated more with acupuncture at Neiguan(PC6).Two groups were treated for 4 weeks.The excellent rate,opening degree and pain degree were compared.Results The excellent and good rate of the experimental group(88.46%,23/26)was higher than the control group(61.54%,16/26),and the difference was statistically significant(P<0.05).Compared with the control group,the opening degree of the experimental group was higher and the VAS score was lower,and the difference was statistically significant(P<0.05).Conclusion Acupuncture at Neiguan(PC6)after condylar fracture surgery can improve the mandibular function,exert analgesic effect,improve the opening and closing function and correct the limited state of opening and closing.

关 键 词：针刺疗法 内关 髁状突骨折手术 下颌功能 疼痛 

分 类 号：R246.9[医药卫生—针灸推拿学]