| 韩佩洁,郭凯锋,张武,谢景夏.稳定型咬合板联合电针治疗对肌源性颞下颌关节紊乱病患者咬肌温度及肌电的影响[J].中国康复,2025,40(5):284-288 |
| 稳定型咬合板联合电针治疗对肌源性颞下颌关节紊乱病患者咬肌温度及肌电的影响 |
| Effects of a stable splint combined with electroacupuncture on the masseter muscle temperature and electromyography in patients with myogenic temporomandibular joint disorder |
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| DOI：10.3870/zgkf.2025.05.005 |
| 中文关键词: 稳定型咬合板 电针 颞下颌关节紊乱病 温度 |
| 英文关键词: stable splint electroacupuncture temporomandibular joint disorder temperature |
| 基金项目:广州市番禺区科技计划一般医疗卫生项目 (2022-Z04-060)；广州市中医药和中西医结合科技项目（20232A011027） |
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| 中文摘要: |
| 目的：观察稳定型咬合板联合电针治疗对肌源性颞下颌关节紊乱病（TMD）患者咬肌温度及肌电的影响。方法：选取肌源性TMD患者65例按随机数字表法分为观察组33例和对照组32例，因治疗期间观察组脱落3例、对照组脱落2例，2组最终均为30例。2组患者均接受健康宣教和常规治疗，在此基础上，对照组予以稳定型咬合板治疗，观察组予以稳定型咬合板联合电针治疗，2组均治疗12周。2组均于治疗前、治疗12周后采用红外热像仪、表面肌电分析系统检测患者双侧咬肌温差绝对值（ΔT）、颞肌均方根值（RMS）、咬肌RMS，对2组患者采用疼痛视觉模拟评分法（VAS）评分，评估开口度，治疗后评估临床疗效。结果：干预12周后，2组ΔT较治疗前缩小（P＜0.05），颞肌RMS、咬肌RMS较治疗前升高（P＜0.05），VAS评分较治疗前降低（P＜0.05），开口度较治疗前增加（P＜0.05）；且观察组咬肌ΔT低于对照组（P＜0.05），颞肌RMS、咬肌RMS均高于对照组（均P＜0.05），VAS评分低于对照组（P＜0.05），开口度大于对照组（P＜0.05）。观察组的总有效率高于对照组（P＜0.05）。结论：稳定型咬合板联合电针治疗肌源性TMD能有效缩小双侧咬肌温差，增强咬肌、颞肌肌力，缓解患者疼痛，改善张口度，具有临床应用前景。 |
| 英文摘要: |
| Objective：To observe the effects of a stable splint combined with electroacupuncture on the masseter muscle temperature and electromyography in patients with myogenic temporomandibular joint disorder (TMD). Methods：Totally, 65 patients with myogenic TMD were randomly divided into a treatment group of 33 patients and a control group of 32 patients using a random number table method. Due to 5 dropouts during the treatment period, each group finally consisted of 30 patients. Both groups received health education and routine treatment, with the control group receiving treatment with a stable occlusal splint and the treatment group receiving treatment with a stable occlusal splint combined with electroacupuncture. Before and after 12 weeks of treatment, the absolute value of temperature difference of bilateral masseter muscles (ΔT), root mean square value of temporal muscles (RMS), and root mean square value of masseter muscles (RMS) were measured using an infrared thermal imager and surface electromyography analysis system. The improvement in pain visual analog scale (VAS) scores and mouth opening range in both groups was evaluated, and the efficacy of the two groups was assessed; Results：After 12 weeks of intervention, the ΔT of both groups decreased significantly and the RMS values of temporal and masseter muscles increased significantly compared to that before treatment. The masseter muscle ΔT in the treatment group was significantly lower than that in the control group (P<0.05). The temporal muscle RMS and masseter muscle RMS in the treatment group were significantly higher than those in the control group (temporal muscle RMS, masseter muscle RMS) (P<0.05). The VAS scores and mouth opening range in the treatment group after treatment were significantly better than those before treatment and after treatment in the control group (P<0.05). The total effective rate in the treatment group was 96.6%, significantly higher than that in the control group (83.3%) (P<0.05). Conclusion：The treatment of myogenic TMD patients with a stable occlusal splint combined with electroacupuncture is effective, can effectively reduce the temperature difference of bilateral masseter muscles, enhance the muscle strength of masseter and temporal muscles, alleviate patient pain, and improve mouth opening range. |
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