中医康复2024，Vol.1Issue(4)：30-34,5.DOI:10.19787/j.issn.2097-3128.2024.04.007
电针联合稳定型咬合板对咀嚼肌功能紊乱患者疼痛及咀嚼肌肌电的影响
The Effect of Electroacupuncture combined with Stable Occlusal Splint on Pain and Electromyography of the Masticatory Muscles in Patients with Masticatory Muscle Dysfunction
摘要
Abstract
Objective:To observe the effect of electroacupuncture combined with stable occlusal splint on pain and electromyography of masticatory muscles in patients with masticatory muscle dysfunction(MMD).Methods:The 62 patients with MMD were divided into the observation group and the control group with 31 patients in each group by using the random number table method.Both groups of patients were given health education,while the control group was treated with stable occlusal splint,while the observation group was treated with stable occlusal splint combined with elec-troacupuncture.Before and after treatment,measure the changes in root mean square(RMS)values of the surface electromyography of the patient's masseter and temporal muscles;Simultaneously compare pain(VAS score),maximum mouth opening,Fricton index,TNF-α and IL-1 contents in two groups.Results:After treatment,the VAS score and maximum mouth opening degree of patients in both groups improved compared with that before treatment(P<0.05),and the VAS score of the observation group group was significantly lower than that of the control group after treatment(P<0.05),and the maximum mouth opening degree was significantly greater than that of the control group(P<0.05).After treatment,the temporal muscle RMS and biting muscle RMS of patients in both groups were higher than before treatment(P<0.05),and the temporal muscle RMS and biting muscle RMS of the observation group group were significantly higher than those of the control group after treatment(P<0.05).After treatment,the CMI,PI and DI scores of patients in both groups were lower than before treatment(P<0.05),and the CMI,PI and DI scores of the observation group were signifi-cantly lower than those of the control group after treatment(P<0.05).After treatment,the levels of TNF-α and IL-1 in the joint fluid of both groups were lower than before treatment(P<0.05),and the levels of TNF-α and IL-1 in the joint fluid of the observation group were significantly lower than those of the control group after treatment(P<0.05).The total effective rate of 94.5%in the observation group was significantly higher than that of 81.1%in the control group(P<0.05).Conclusion:The combination of electroacupuncture and stable occlusal splint has a definite therapeutic effect on MMD patients,which can effectively inhibit inflammatory reactions,alleviate pain,enhance the bite force of the masseter and temporal muscles,and improve temporomandibular joint function.关键词
电针/稳定型咬合板/颞下颌关节紊乱/咀嚼肌功能紊乱Key words
Electroacupuncture/Stable bite plate/Temporomandibular joint disorder/Masticatory muscle dysfunction分类
医药卫生引用本文复制引用
韩佩洁,郭凯锋,谢景夏,卢钜勇..电针联合稳定型咬合板对咀嚼肌功能紊乱患者疼痛及咀嚼肌肌电的影响[J].中医康复,2024,1(4):30-34,5.基金项目
广州市中医药和中西医结合科技项目(20232A011027) （20232A011027）
广东省中医药管理局项目(20221299) （20221299）
番禺区科技计划一般医疗卫生项目(2022-Z04-060) （2022-Z04-060）
