从颈针刺治疗颞下颌关节紊乱病的临床疗效观察  

Clinical efficacy observation of cervical acupuncture on temporomandibular disorders

作　　者：彭慧[1] 杜琳[1] PENG Hui;DU Lin(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《中华中医药杂志》2025年第2期976-979,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:评价从颈针刺治疗颞下颌关节紊乱病的临床有效性。方法:将64例患者随机分为对照组和治疗组,每组32例。治疗组按治疗方案从颈针刺治疗,对照组给予常规针刺治疗。观察两组治疗前后Fonseca记忆指数、下颌最大开口度、关节杂音、关节压诊分以及肌肉压痛分。结果:两组治疗后Fonseca记忆指数、下颌最大开口度、关节杂音、关节压诊分、肌肉压痛分均较治疗前显著下降(P<0.01,P<0.05);治疗组治疗后关节压诊分、肌肉压痛分均显著低于对照组(P<0.01)。结论:从颈针刺可有效改善颞下颌关节紊乱整体症状,尤其是疼痛症状,疗效优于对照组。Objective:To evaluate the clinical effectiveness of cervical acupuncture in the treatment of temporomandibular disorders.Methods:A total of 64 patients were randomly divided into control group and treatment group,32 cases in each group.The treatment group was treated with cervical acupuncture according to the treatment plan,and the control group was treated with conventional acupuncture.Fonseca memory index,maximal mouth opening(MMO),joint noise(JN),joint palpation(JP)and muscle palpation(MP)were observed before and after treatment.Results:After treatment,Fonseca memory index,MMO,JN,JP and MP were significantly decreased in both groups compared with before treatment(P<0.01,P<0.05).JP and MP in the treatment group after treatment were significantly lower than those in the control group(P<0.01).Conclusion:Cervical acupuncture can effectively improve the overall symptoms of temporomandibular disorders,especially the pain symptoms,and the curative effect is better than that of the control group.

关 键 词：颞下颌关节紊乱病 从颈针刺 临床疗效 Fonseca记忆指数 下颌最大开口度 

分 类 号：R246.83[医药卫生—针灸推拿学]