关节腔冲洗配合被动开口训练对老年患者急性颞下颌关节不可复性盘前移位的临床疗效观察  

The clinical efficacy of intra-articular irrigation combining with passive mouth-opening training in the treatment of acute temporomandibular anterior disc displacement without reduction in elderly patients

作　　者：韩冰雪 李澍 张金源 胡宁[1] 程文 张卫红[1] HAN Bingxue;LI Shu;ZHANG Jinyuan;HU Ning;CHENG Wen;ZHANG Weihong(Department of Stomatology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine Chinese Academy of Medical Science,Beijing 100730)

机构地区：[1]北京医院,国家老年医学中心,中国医学科学院老年医学研究院口腔科,北京100730

出　　处：《中西医结合护理》2022年第12期30-34,共5页Chinese Journal of Integrative Nursing

摘　　要：目的探讨关节上腔冲洗术配合被动开口训练对治疗老年患者急性颞下颌关节不可复性盘前移位伴开口受限的临床疗效。方法选取2019年1月—2022年1月就诊于本院门诊的所有诊断为急性不可复性盘前移位伴开口受限,并接受关节上腔冲洗及被动开口训练的老年患者16例为研究对象。搜集患者一般资料、既往史、现病史、临床检查及影像学检查资料。记录治疗前、治疗后即刻及1周最大开口度及疼痛程度。结果16例患者治疗前平均开口度为(25.13±1.93)mm,治疗后即刻及1周平均开口度分别为(37.31±1.82)mm,(43.56±2.61)mm,差异有统计学意义(P<0.01)。16例患者治疗前VAS评分均值为(6.50±1.10)分,治疗后1周VAS评分均值为(2.75±0.78)分,差异有统计学意义(P<0.01)。结论关节上腔冲洗术配合被动开口练习能有效改善急性不可复性盘前移位患者开口度和疼痛症状,是一种值得推广的微创、有效治疗方法。Objective To investigate the clinical efficacy of intra-articular irrigation combin⁃ing with passive mouth-opening training in the treatment of acute temporomandibular anterior disc displacement without reduction concomitant with limited mouth opening in elderly patients.Meth⁃ods From January 2019 to January 2022,16 elderly patients diagnosed as acute temporomandib⁃ular anterior disc displacement concomitant with limited mouth opening and underwent intra-artic⁃ular irrigation and passive muscle stretching were retrospectively reviewed.General information,past history,history of present disease,clinical and radiologic examinations were collected.Max⁃imum mouth opening and pain degree(VAS score)were recorded before,immediately after and 1 week after treatment.Results The mean maximum mouth opening of 16 patients was(25.13±1.93)mm before treatment,(37.31±1.82)mm immediately after treatment and(43.56±2.61)mm at 1 week,respectively,with significant difference(P<0.01).The mean VAS score of the 16 patients was(6.50±1.10)before treatment and(2.75±0.78)1 week after treatment,with sig⁃nificant difference(P<0.01).Conclusion Intra-articular irrigation combining with passive mus⁃cle stretching can effectively improve the maximum mouth opening and pain symptoms of patients with acute temporomandibular anterior disc displacement concomitant with limited mouth open⁃ing,and it is a minimally invasive and effective treatment method worth popularizing.

关 键 词：急性颞下颌关节不可复性盘前移位 张口受限 关节上腔冲洗 老年患者 疼 

分 类 号：R473.6[医药卫生—护理学]