中国康复2025，Vol.40Issue(5)：284-288,5.DOI:10.3870/zgkf.2025.05.005
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
摘要
Abstract
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 in-tervention,the ΔT of both groups decreased significantly and the RMS values of temporal and masseter muscles in-creased significantly compared to that before treatment.The masseter muscle ΔT in the treatment group was signifi-cantly 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 signifi-cantly 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 electroacu-puncture is effective,can effectively reduce the temper-ature difference of bilateral masseter muscles,enhance the muscle strength of masseter and temporal muscles,alleviate patient pain,and improve mouth opening range.关键词
稳定型咬合板/电针/颞下颌关节紊乱病/温度Key words
stable splint/electroacupuncture/temporomandibular joint disorder/temperature分类
医药卫生引用本文复制引用
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):284-288,5.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) （2022-Z04-060）
广州市中医药和中西医结合科技项目(20232A011027) （20232A011027）
