摘要
目的比较放散状与聚焦状冲击波治疗颞下颌关节紊乱病的临床效果。方法选取颞下颌关节紊乱病(temporomandibular joint disorders,TMD)Ⅰ类患者60例,年龄18～60周岁,采用区组随机法分为对照组、聚焦组和放散组。对照组给予常规物理疗法(超短波+手法治疗),聚焦组给予聚焦状冲击波治疗及常规物理疗法,放散组给予放散状冲击波治疗及常规物理疗法。记录所有患者治疗前、治疗结束时及治疗后3个月时的Fricton颞下颌关节紊乱指数(Fricton′s craniomandibular index,CMI)及视觉模拟评分法(Visual Analogue Scale,VAS)评分,记录治疗过程中患者的不良反应发生情况。结果放散组功能障碍指数(dysfunction index,DI)、CMI和VAS评分从治疗前至治疗后3个月有较大幅度降低,其组间、时点间及组间·时点间交互作用差异均有统计学意义(P<0.05);放散组PI从治疗前至治疗后3个月降低明显,其时点间差异有统计学意义(P<0.05),而组间及组间·时点间交互作用差异均无统计学意义(P>0.05)。3组不良反应率差异无统计学意义(P>0.05)。结论在治疗TMDⅠ类方面,相对于聚焦状冲击波,放散状冲击波能够早期改善关节功能和缓解疼痛,并具有良好的安全性。
Objective To compare the effect of radial and focused extracorporeal shock waves in the treatment of temporomandibular disorders. Methods Sixty patients, aged from 18 to 60 years, who were diagnosed with temporomandibular joint disorders(TMD)Ⅰ were selected. By random block method, the patients were divided into control group, radial extracorporeal shock wave treatment(REWST) group and focused extracorporeal shock wave treatment(FEWST) group. Control group accepted physiotherapy(ultra short-wave and soft tissue massage), RESWT group accepted physiotherapy and radial extracorporeal shock wave treatment, FEWST group accepted physiotherapy and focus extracorporeal shock wave treatment. Fricton′s craniomandibular index(CMI) was used to evaluate temporomandibular joint function. All subjects′ pain levels with Visual Analogue Scale(VAS) scores were evaluated. During the treatment, the occurrence of adverse reactions was recorded. Results Dysfunction index(DI), CMI and VAS scores in the FEWST group decreased significantly from pre-treatment to 3 months after treatment. There were significant differences in DI, CMI and VAS scores among three groups among groups, time points and interactions between groups(P<0.05). PI in the FEWST group decreased significantly from pre-treatment to 3 months after treatment. There was significant difference between the three groups at different time points(P<0.05), but there was no significant difference in the interaction between groups and between groups and time points(P>0.05). There were no significant difference in adverse reaction rates among the three groups(P>0.05). Conclusion In the treatment of TMDⅠ, RESWT can improve joint function and relieve pain in the early stage and has good safety.
作者
王璞
倪广晓
韩晓勇
周宏斌
孙伟力
廉云敏
WANG Pu;NI Guang-xiao;HAN Xiao-yong;ZHOU Hong-bin;SUN Wei-li;LIAN Yun-min(Department of Prosthodontics,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;The First Department of Rehabilitation Medicine,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)
出处
《河北医科大学学报》
CAS
2019年第6期683-687,共5页
Journal of Hebei Medical University
关键词
颞下颌关节紊乱病
疼痛
体外冲击波
temporomandibular joint disorders
pain
extracorporeal shock wave
