铜砭循经温刮术治疗风寒瘀阻型颞下颌关节紊乱征的疗效观察  

作　　者：翁仙明 王舒洁 黄双英[1] 汪永坚[1] 

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院),310006

出　　处：《浙江临床医学》2024年第10期1524-1525,1530,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划项目(2022ZA066)。

摘　　要：目的探讨铜砭循经温刮术治疗风寒瘀阻型颞下颌关节紊乱征的疗效。方法选取2022年2月至2023年6月期间在本院确诊为颞下颌关节紊乱征且辨证为风寒瘀阻型患者78例,根据随机数字表法分成观察组40例和对照组38例。对照组采用常规护理及热敷。观察组在对照组基础上采用铜砭循经温刮技术。比较两组患者治疗前后Fricton颞下颌关节指数(CMI)量表评分、视觉模拟评分法(VSA)评分及疗效。结果治疗后,两组CMI评分、VAS评分均较前改善,观察组比对照组改善明显(P<0.05);观察组总有效率为90.00%,对照组总有效率为84.21%,两组比较差异有统计学意义(P<0.05)。结论铜砭循经温刮技术能明显改善风寒瘀阻型颞下颌关节紊乱征疼痛、弹响、下颌运动功能障碍等症状。Objective To explore the clinical efficacy of copper needle meridian warm scraping in the intervention of wind cold stasis type temporomandibular joint disorder.Methods 78 patients diagnosed with temporomandibular joint disorder syndrome and diagnosed with wind cold blood stasis type in our hospital from February 2022 to June 2023 were randomly divided into a treatment group of 40 cases and a control group of 38 cases according to the random number table method.The control group received routine care and hot compress.The treatment group used copper needle meridian warm scraping technique on the basis of the control group,and observed the Fricton temporomandibular joint index(CMI)scale and visual analog scale(VSA)before and after treatment in the two groups of patients,and compared the therapeutic effects.Results After treatment,both groups showed improvement in CMI scores and VAS scores compared to before,with significant improvement observed in the treatment group and control group(P<0.05).The total effective rate of the treatment group was 90.00%,while the total effective rate of the control group was 84.21%.The difference between the two groups was statistically significant(P<0.05).Conclusion The copper needle meridian warm scraping technique can significantly improve symptoms such as wind cold stasis type temporomandibular joint disorder,pain,clicking,and mandibular movement dysfunction.

关 键 词：铜砭 循经温刮 风寒瘀阻型 颞下颌关节紊乱征 

分 类 号：R276.8[医药卫生—中医五官科学]