超声引导下手法复位与传统手法复位治疗颞下颌关节紊乱的临床疗效对比  

Comparison of clinical efficacy between ultrasound-guided manual reduction and traditional manual reduction in treating temporomandibular disorders

作　　者：晏正梅 盛翔 张薇 Yan Zhengmei;Sheng Xiang;Zhang Wei(Department of Rehabilitation Medicine,Jinhua Traditional Chinese Medicine Hospital,Zhejiang Jinhua 321100,China;不详)

机构地区：[1]金华市中医医院康复医学科,浙江金华321100 [2]金华市中医医院脊柱外科,浙江金华321100

出　　处：《中国康复》2024年第11期678-681,共4页Chinese Journal of Rehabilitation

基　　金：金华市科学计划项目(2021-4-051)。

摘　　要：目的:探究超声引导下手法复位与传统手法复位治疗颞下颌关节紊乱(TMD)的临床疗效。方法:选择本院收治的TMD患者80例,随机分为对照组和观察组,每组患者40例。对照组患者采用传统手法复位治疗,观察组采用超声引导下手法复位治疗。比较2组最大张口度、疼痛程度、影像学指标、关节弹响改善情况和临床疗效。结果:治疗后,2组患者最大张口度较治疗前均提高(P<0.01),且观察组最大张口度、总改善率、临床疗效率高于对照组(P<0.05,0.01);2组患者疼痛视觉模拟量表(VAS)评分、张口位和闭口位盘-突夹角较治疗前均降低(P<0.01),且观察组VAS评分、张口位、闭口位盘-突夹角低于对照组(P<0.05,0.01)。结论:超声引导下手法复位较传统手法复位能更有效地提高TMD患者的最大张口度,降低患者的疼痛程度,改善关节弹响、影像学指标,增强临床疗效。Objective:To explore the clinical efficacy of ultrasound-guided manual reduction and traditional manual reduction in treating temporomandibular disorders(TMD).Methods:A total of 80TMD patients admitted to our hospital were selected and randomly divided into control group and observation group,with 40patients in each group.The patients in the control group were treated with traditional manipulative repositioning,and the observation group was treated with ultrasound-guided manipulative repositioning.The maximal opening degree,pain degree,imaging indexes,improvement of joint popping and clinical efficacy were compared between the 2groups.Results:After treatment,the maximum mouth opening degree of patients in both groups increased as compared with that before treatment(P<0.01),and the maximum mouth opening degree,total improvement rate,and clinical efficacy rate in the observation group were higher than those in the control group(P<0.05,0.01).The visual analogue score(VAS)of pain,the disc-surface pinch angle of the open-mouth and closed-mouth positions of the patients in the two groups were lower than before treatment(P<0.01),and the VAS score,the open-mouth position,and the closed-mouth position disc-surface pinch angle in the observation group were lower than those in the control group(P<0.05,0.01).Conclusion:Ultrasound-guided manual reduction can effectively improve the maximum opening degree of TMD patients,reduce pain,improve joint elasticity and imaging indicators,and enhance clinical efficacy compared to traditional manual reduction.

关 键 词：超声检查 手法复位 颞下颌关节紊乱 临床疗效 

分 类 号：R49[医药卫生—康复医学] R782.6[医药卫生—临床医学]