体外冲击波辅助药物治疗对颞下颌关节紊乱病患者的影响  

Effects of extracorporeal shock wave assisted drug therapy on patients with temporomandibular joint disorder

作　　者：王鹏程 陈春晖 童熹 傅新海 WANG Pengcheng;CHEN Chunhui;TONG Xi;FU Xinhai(Department of Stomatology,Affiliated Jinhua Hospital,Zhejiang University School of Medicine,Jinhua 321000,China)

机构地区：[1]浙江大学医学院附属金华医院口腔科,浙江金华321000

出　　处：《口腔医学》2024年第11期856-859,共4页Stomatology

基　　金：金华市科技计划(2023⁃4⁃080)。

摘　　要：目的分析体外冲击波辅助药物治疗对颞下颌关节紊乱病(temporomandibular disorders,TMD)患者临床疗效的影响。方法纳入2018年9月到2019年9月在我院口腔科就诊的TMD患者86例,采用随机数字表法将其分为A组(n=43)和B组(n=43)。A组在常规治疗的基础上口服盐酸氨基葡萄糖片,B组在A组的基础上加用体外冲击波治疗。比较两组患者的疼痛程度、最大张口度、颞下颌关节功能、颞下颌关节弹响次数、生活质量及不良反应发生情况。结果与治疗前相比,治疗后两组疼痛视觉模拟(visual analogue scale,VAS)评分、最大张口度、颞下颌关节功能障碍指数(temporomandibular joint dysfunction index,DI)、肌肉触压痛指数(palpation index,PI)、颞下颌关节紊乱指数(Fricton craniomandibular index,CMI)水平、关节弹响次数及口腔健康影响程度量表(oral health impact scale,OHIP⁃14)评分明显改善(P<0.05),且B组各项指标明显优于A组(P<0.05);两组不良反应发生率比较差异无统计学意义(P>0.05)。结论体外冲击波辅助药物治疗可有效减轻TMD患者关节弹响和疼痛、提高患者生活质量、改善颞下颌关节功能且具有良好的安全性。Objective To analyze the effect of extracorporeal shock wave assisted drug therapy on clinical outcomes of patients with temporomandibular disorders(TMD).Methods A total of 86 TMD patients in our hospital from September 2018 to September 2019 were included and divided into group A(n=43)and group B(n=43)by random number table method.Group A(n=43)received oral glucosamine hydrochloride tablets on the basis of conventional treatment;group B(n=43)received extracorporeal shock wave therapy on the basis of group A.The pain degree,maximum mouth opening,temporomandibular joint function,temporomandibular joint bounce times,life quality and occurrence of adverse reactions were compared between the two groups.Results Compared with that before treatment,the visual analogue scale(VAS)scores,maximum mouth opening,temporomandibular joint dysfunction index(DI),palpation index(PI),Fricton craniomandibular index(CMI)level,joint bounce times and oral health impact scale(OHIP⁃14)score of two groups were significantly improved(P<0.05),and all indexes in group B were significantly better than those in group A(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Extracorporeal shock wave assisted drug therapy can effectively reduce joint bounce in TMD patients,relieve patientspain,improve patientslife quality and temporomandibular joint function,and has good safety.

关 键 词：体外冲击波 盐酸氨基葡萄糖片 颞下颌关节紊乱病 生活质量 关节弹响 

分 类 号：R782.6[医药卫生—口腔医学]