咬合板结合家庭疗法在咀嚼肌肌筋膜疼痛的疗效评价  

Evaluation of the efficacy of splint combined with routine home treatment in masticatory myofascial pain

作　　者：钟晓霞[1] 林海运 ZHONG Xiaoxia;LIN Haiyun(Guangxi Medical University College of Stomatology,Department of Prosthodontics,Guangxi Medical University Affiliated Stomatological Hospital,Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction,Nanning 530021,Guangxi,China;Guangxi Medical University College of Stomatology,Department of Oral and Maxillofacial Surgery,Guangxi Medical University Affiliated Stomatological Hospital,Guangxi Clinical Research Center for Craniofacial Deformity,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学口腔医学院广西医科大学附属口腔医院口腔修复科广西口腔颌面修复与重建研究重点实验室,广西南宁530021 [2]广西医科大学口腔医学院广西医科大学附属口腔医院口腔颌面外科广西颅颌面畸形临床医学研究中心,广西南宁530021

出　　处：《中国现代医生》2024年第18期18-21,37,共5页China Modern Doctor

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210074)。

摘　　要：目的评价咬合板结合家庭疗法在咀嚼肌肌筋膜疼痛的疗效。方法选取2019年6月至2021年6月于广西医科大学附属口腔医院口腔修复科进行稳定型咬合板结合家庭疗法治疗的咀嚼肌肌筋膜疼痛患者32例,分析治疗3个月后的临床有效率。于治疗前和治疗后3个月行疼痛视觉模拟评分(visual analogue scale,VAS)和T-ScanⅢ数字化咬合评估系统检查,分别评估患者的疼痛程度及咬合功能,咬合功能包括:(牙合)力不对称指数(asymmetry index of occlusal force,AOF)、(牙合)力中心点位置(center of force,COF)、(牙合)接触点数(number of occlusal contacts,NOC)、闭(牙合)时间(occlusal time,OT)。结果(1)治疗后,临床有效率为93.75%;(2)VAS、AOF、COF、OT均较治疗前降低(P<0.05);NOC在治疗前后差异无统计学意义(P>0.05)。结论稳定型咬合板结合家庭疗法治疗咀嚼肌肌筋膜疼痛可有效缓解疼痛和改善咬合功能。Objective To evaluate the effectiveness of stabilization splint combined with routine home treatment in the treatment of masticatory myofascial pain.Methods A total of 32 patients with masticatory myofascial pain were selected from the Department of Prosthodontics,Guangxi Medical University Affiliated Stomatoiogical Hospital from June 2019 to June 2021,who received stabilization splint combined with routine home treatment.The clinical effective rate was analyzed after 3 months treatment.Visual analogue scale(VAS)and T-ScanⅢdigital occlusal evaluation system were performed before and after 3 months treatment to evaluate pain degree and occlusal function of patients respectively.The indexes of occlusal function were asymmetry index of occlusal force(AOF),center of force(COF),number of occlusal contacts(NOC),and occlusal time(OT).Results①The clinical effective rate was 93.75%after treatment;②VAS,AOF,COF,and OT were significantly lower compared with prior treatment(P<0.05).There was no significant difference in the NOC before and after treatment(P>0.05).Conclusion Stabilization splint combined with routine home treatment for masticatory myofascial pain are effective in relieving pain and improving occlusal function.

关 键 词：稳定型咬合板 家庭疗法 咀嚼肌肌筋膜疼痛 咬合 

分 类 号：R782.6[医药卫生—口腔医学]