中成药2018，Vol.40Issue(1)：51-55,5.DOI:10.3969/j.issn.1001-1528.2018.01.009
活血化瘀方结合翼外肌封闭法对风寒瘀阻型颞下颌关节功能紊乱综合征患者的影响
Effects of Huoxue Huayu Decoction combined with musculus pterygoideus lateralis closure on patients with temporomandibular joint dysfunction syndrome due to wind-cold stasis
摘要
Abstract
AIM To investigate the clinical effects of Huoxue Huayu Decoction (Angelicae sinensis Radix,Saposhnikoviae Radix,Schizonepetae Herba,etc.) combined with musculus pterygoideus lateralis closure in managing patients with temporomandibular joint dysfunction syndrome (TMJ) due to wind-cold stasis.METHODS From January 2015 to December 2015,68 cases of patients with TMJ due to wind-cold stasis identified and recruited by the department of stomatology of Hebei Provincial Hospital of Traditional Chinese Medicine were randomly assigned to treatment group and control group,each with 34 cases and given the musculus pterygoideus lateralis closure.But the treatment group was administered with an extra two-week adjuvant therapy of Huoxue Huayu Decoction,and generally one week such medication was taken as a therapeutic course.RESULTS After the intervention,the treatment group presented an overall better performance than the control group in terms of the open limit,NRS score,and the differences were statistically significant (P ＜ 0.05);and the values of CMI,PI,DI (P ＜0.05),in contrast to the not significantly varied values between the groups before the intervention (P ＞ 0.05).The treatment group also displayed its advantage if evaluated by TCM criteria,extent of the mandibular movementabnormalities,facial pain,temporomandibular joint sound or noise,irritability,sleeping difficulty,dark purple lips,tongue scores and wind-cold stasis scores (P ＜ 0.05).And generally a remarkably higher total effective rate was observed in the treatment group,and its difference to the control group was statistically significant (P ＜0.05).CONCLUSION Huoxue Huayu Decoction combined with conventional western medicinal approach in the management of TMJ due to wind-cold stasis can achieve a better therapeutic efficacy.关键词
活血化瘀方/翼外肌封闭法/风寒瘀阻型/颞下颌关节功能紊乱综合征Key words
Huoxue Huayu Decoction/musculus pterygoideus lateralis closure/wind-cold stasis/temporomandibular joint dysfunction syndrome分类
医药卫生引用本文复制引用
冯艳红,王朝君,刘凡,李艳红,高毅,张国忠..活血化瘀方结合翼外肌封闭法对风寒瘀阻型颞下颌关节功能紊乱综合征患者的影响[J].中成药,2018,40(1):51-55,5.基金项目
河北省科技计划项目(15277756D) （15277756D）
