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梅花针叩刺联合3M物理疗法治疗颞下颌关节紊乱的临床观察OA

Clinical observation on the treatment of temporomandibular joint disorder by tapping plum blossom needle combined with 3M physiotherapy

中文摘要英文摘要

目的 探讨梅花针叩刺联合 3M物理疗法治疗颞下颌关节紊乱病(temporomandibular joint disorders,TMD)的疗效.方法 选取 2022 年 1 月至 2022 年 12 月笔者医院收治的TMD患者 60 例,采用随机数字表法分为观察组和对照组,每组 30 例.对照组予以 3M物理疗法治疗,观察组行梅花针叩刺联合 3M物理疗法治疗.比较两组颞下颌功能限制量表(jaw functional,limitation scale,JFLS)、疼痛视觉模拟评分(visual analogue scale,VAS)、最大主动开口度(maximum active mouth opening,MMO)、咬肌在下颌姿势位和紧咬棉棒测试下表面肌电图均方根值(root mean square,RMS)变化.结果 治疗 4 周后,观察组JFLS、VAS均低于对照组,MMO高于对照组,差异有统计学意义(P<0.05).治疗 4 周后,观察组咬肌在下颌姿势的RMS值降低,在紧咬棉棒测试中的RMS值提高,肌肉募集能力显著改善,且改善程度明显优于对照组,差异均有统计学意义(P<0.05).结论 梅花针叩刺联合 3M物理疗法可明显改善TMD患者的疼痛、最大张口度及下颌功能,效果确切.

Objective To explore the therapeutic effect of plum blossom needle tapping combined with 3M physical therapy on temporomandibular joint disorders(TMD).Methods sixty TMD patients admitted to our hospital from January 2022 to December 2022 were selected and divided into an observation group and a control group,with 30 cases in each group.The control group received 3M physical therapy treatment,while the observation group received plum blossom needle tapping combined with 3M physical therapy treatment.Compared the changes in the Jaw functional limitation scale(JFLS),visual analogue scale(VAS),maximum active mouth opening(MMO),root mean square(RMS)surface electromyography(EMG)of the masseter muscle in mandibular position and under tight cotton swab testing between two groups of patients.Results After 4 weeks of treatment,the JFLS and VAS scores in the observation group were significantly reduced compared to those in the control group,while the MMO significantly exceeded that of the control group,indicating a statistically significant difference(P<0.05).After 4 weeks of treatment,the RMS value of the masseter muscle in the mandibular position decreased in the observation group,but increased in the tight bite cotton swab test.The muscle recruitment ability was significantly improved,and the degree of improvement was notably superior to that of the control group,with the difference being statistically significant(P<0.05).Conclusion The combination of plum blossom needle acupuncture and 3M physical therapy can notably alleviate pain,enhance maximum mouth opening,and improve mandibular function in TMD patients,accurate effect.

蒋旭坚;章国伟;陈双钱;程志清

浙江中医药大学附属温州市中医院康复治疗部,浙江温州 325000浙江中医药大学附属温州市中医院康复科,浙江温州 3250001

临床医学

梅花针叩刺颞下颌关节紊乱物理疗法表面肌电图

Plum blosssom needle tappingTemporomandibular joint disorderPhysical therapySurface electromyography

《中国现代医生》 2024 (023)

12-15 / 4

浙江省中医药科技计划项目(2024ZL992)

10.3969/j.issn.1673-9701.2024.23.003

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