| 杨可钦,冯宇晴,李保龙,赵彬.针刺激痛点结合运动疗法治疗颞下颌关节紊乱病的临床观察[J].中国康复,2021,36(3):166-169 |
| 针刺激痛点结合运动疗法治疗颞下颌关节紊乱病的临床观察 |
| Clinical Observation of acupuncture stimulation in pain points combined with exercise therapy in the treatment of temporomandibular joint disorders |
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| DOI： |
| 中文关键词: 颞下颌关节紊乱病 针刺激痛点 运动疗法 |
| 英文关键词: temporomandibular joint disorder acupuncture stimulation in pain point exercise therapy |
| 基金项目:国家体育总局武术研究院青年基金(WSH2019C011) |
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| 中文摘要: |
| 目的：观察针刺激痛点结合运动疗法对颞下颌关节紊乱病的疗效。方法：选取颞下颌关节紊乱病患者63例随机分为对照组31例和观察组32例，因治疗期间脱落3人，对照组和观察组各30例。2组均给予运动疗法包括筋膜手法、颞颌关节松动术配合宣传教育训练。观察组在对照组的基础上结合针刺激痛点的方法。在治疗前和治疗4周后，用疼痛视觉模拟评分(VAS)、Helkimo临床功能障碍指数和临床疗效标准对2组患者进行评估。结果：治疗4周后，2组VAS、Helkimo评分较治疗前均明显降低（均P<0.01），且观察组以上评分均更低于对照组（均P<0.05），观察组显效率明显高于对照组（P<0.01）。结论：针刺激痛点结合运动疗法治疗颞下颌关节紊乱病,可以缓解疼痛,降低颞下颌关节的功能障碍，比单纯的运动疗法效果更佳。 |
| 英文摘要: |
| Objective：To observe the effectiveness of acupuncture stimulation in pain points combined with exercise therapy for temporomandibular joint disorders.Methods: Totally 63 patients with temporomandibular joint disorders were divided into control group (n=31) and treatment group (n=32) according to the method of random number table, with 3 cases falling off during treatment, and there were 30 cases in control group and treatment group respectively. Both groups were treated with exercise therapy, including fascial manipulation, temporomandibular joint mobilization in combination with publicity and education. The treatment group was given the acupuncture stimulation in pain points additionally. Before and after treatment for 4 weeks, the pain visual analogue scale (VAS), Helkimo clinical dysfunction index and clinical efficacy standard were used to evaluate the two groups of patients. Results: After 4 weeks of treatment, VAS and Helkimo scores in both groups were significantly lower than those before treatment (all P<0.01), and the above scores in the treatment group were significantly lower than those in the control group (both P<0.05). The effective rate in the treatment group was significantly higher than that in the control group (P<0.01).Conclusion: Acupuncture stimulation in pain points combined with exercise therapy to treat temporomandibular joint disorders can relieve pain and reduce the dysfunction of the temporomandibular joint, which is more effective than exercise therapy alone. |
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