3种方法治疗颞下颌关节滑膜炎的疗效评价

doi:10.13701/j.cnki.kqyxyj.2019.12.012

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (12): 1149-1152.DOI: 10.13701/j.cnki.kqyxyj.2019.12.012

3种方法治疗颞下颌关节滑膜炎的疗效评价

吕曜光, 宋志强, 贾梦莹, 邵博, 曾雪敏, 龚忠诚^*

新疆医科大学口腔医院,新疆医科大学口腔医学院新疆乌鲁木齐 830054

收稿日期:2019-04-01 出版日期:2019-12-28 发布日期:2019-12-23
通讯作者: 龚忠诚,E-mail:565249755@qq.com
作者简介:吕曜光(1994~ ),男,陕西人,硕士在读,研究方向:颞下颌关节的临床与基础研究。
基金资助:
国家自然科学基金(编号:81760191)

Curative Effect of Three Different Therapy Methods for Temporomandibular Joint Synovitis

LV Yaoguang, SONG Zhiqiang, JIA Mengying, SHAO Bo, ZENG Xuemin, GONG Zhongcheng^*

Stomatology Hospital, School of Stomatology, Xinjiang Medical University, Urumqi 830054, China.

Received:2019-04-01 Online:2019-12-28 Published:2019-12-23

摘要/Abstract

摘要： 目的:比较3种方法治疗颞下颌关节滑膜炎的疗效差异。方法:收集诊断为单侧颞下颌关节滑膜炎患者56例,随机分3组,单纯关节上腔注射玻璃质酸钠组、注射联合局部涂抹扶他林乳膏组、注射联合稳定性牙合垫组。比较3种方法两周治疗后,VAS评分、颞下颌关节紊乱功能评价(Fricton指数)间的差异。结果:注射联合牙合垫以及联合涂抹扶他林较单纯关节腔注射VAS评分显著下降(P<0.05),注射联合牙合垫治疗比联合涂抹扶他林效果更佳(P<0.05)。Fricton指数中DI值与CMI值3组之间均有差异(P<0.05),但联合牙合垫组PI减小明显(P<0.05)。结论:3种方式均对滑膜炎有治疗作用,注射联合牙合垫治疗对颞下颌关节滑膜炎的效果更佳,且对肌肉压痛有更好缓解作用。

关键词: 滑膜炎, 颞下颌关节, 玻璃质酸钠, 扶他林乳膏, 稳定性牙合垫

Abstract: Objective: To compare the efficacy difference of three methods in the treatment of temporomandibular joint synovitis. Methods: 56 cases of the patients who were diagnosed as TMJ synovitis were collected and divided into 3 groups They were treated as: the injection of sodium hyaluronate on articular upper cavity, injection combining with local smearing of diclofenac diethylamine emulgel, and the injection combining with stabilization splint. Two weeks later, the differences of VAS score and temporomandibular joint dysfunction index (Fricton index) between three methods were compared. Results: Compared with the only injection group, the VAS grade of the groups combined with diclofenac diethylamine emulgel smearing and combined with stabilization splint decreased significantly (P<0.05), and the group combined with splint was more effective (P<0.05). As to the Fricton index, there was also a difference for the DI value and CMI value among three group (P<0.05). However, the PI in the group combined with stabilization splint decreased significantly (P<0.05). Conclusion: All three methods have therapeutical effect on the temporomandibular joint synovitis, while the injection combined with stabilization splint is more effective on the temporomandibular joint synovitis, and has better relaxation effect on muscular tenderness.

Key words: synovitis, temporomandibular joint, sodium hyaluronate, diclofenac diethylamine emulgel, stabilization splint

吕曜光, 宋志强, 贾梦莹, 邵博, 曾雪敏, 龚忠诚. 3种方法治疗颞下颌关节滑膜炎的疗效评价[J]. 口腔医学研究, 2019, 35(12): 1149-1152.

LV Yaoguang, SONG Zhiqiang, JIA Mengying, SHAO Bo, ZENG Xuemin, GONG Zhongcheng. Curative Effect of Three Different Therapy Methods for Temporomandibular Joint Synovitis[J]. Journal of Oral Science Research, 2019, 35(12): 1149-1152.

参考文献

[1] 龙星. 颞下颌关节疾病的诊断与治疗[M].武汉:湖北科学技术出版社,2002: 92-93.
[2] 马绪臣. 颞下颌关节病的基础与临床[M].北京:人民卫生出版社, 2000: 113-114.
[3] 中华口腔医学会颞下颌关节病学组. 推荐使用的颞下颌关节紊乱病门诊病历[J].中华口腔医学杂志, 2002, 37(4):304-305.
[4] 傅开元, 马绪臣. 颞下颌关节紊乱指数临床应用评价[J]. 中华口腔医学杂志, 2002, 37(5): 330-332.
[5] Holmlund A, Hellsing G. Arthroscopy of the temporomandibular joint: occurrence and location of osteoarthrosis and synovitis in a patient material [J]. Int J Oral Maxillofac Surg, 1988, 17(1): 36-40.
[6] 吕曜光, 邵博, 贾梦莹, 等. 单侧颞下颌关节滑膜炎关节间隙变化的影像学研究[J]. 口腔医学研究, 2018, 34(3): 245-248.
[7] Guven O, Tekin U, Salmanoglu B, et al. Tumor necrosis factor-alpha levels in the synovial fluid of patients with temporomandibular joint internal derangement [J]. J Craniomaxillofac Surg, 2015, 43(1): 102-105.
[8] Ghosh P. The role of hyaluronic acid (hyaluronan) in health and disease: interactions with cells, cartilage and components of synovial fluid [J]. Clin Exp Rheumatol, 1994, 12(1): 75-82.
[9] Yang W, Liu W, Miao C, et al. Oral glucosamine hydrochloride combined with hyaluronate sodium Intra-articular injection for temporomandibular joint osteoarthritis: a double-blind randomized controlled trial [J]. J Oral Maxillofac Surg, 2018, 76(10): 2066-2073.
[10] Sequeira J, Rao BHS, Kedia PR. Efficacy of sodium hyaluronate for temporomandibular joint disorder by single-puncture arthrocentesis [J]. J Maxillofac Oral Surg, 2019, 18(1): 88-92.
[11] Zacher J, Altman R, Bellamy N, et al. Topical diclofenac and its role in pain and inflammation: an evidence-based review [J]. Curr Med Res Opin, 2008, 24(4): 925-950.
[12] 徐建国.疼痛药物治疗学[M]. 北京: 人民卫生出版社, 2007.
[13] 康宏,王建卫.咬合板治疗口颌系统疾病[J].中国实用口腔科杂志, 2011, 4(4):212-216.
[14] Manfredini D, Bucci MB, Montagna F, et al. Temporomandibular disorders assessment: medicolegal considerations in the evidence-based era [J]. J Oral Rehabil, 2011, 38(2):101-119.

[1]	何峰, 于世宾. 程序性坏死在颞下颌关节骨关节炎软骨退变中的研究进展[J]. 口腔医学研究, 2021, 37(1): 15-18.
[2]	涂文星, 冯云霞. 下颌支矢状骨劈开术对颞下颌关节影响的研究进展[J]. 口腔医学研究, 2020, 36(6): 516-518.
[3]	张颖, 冯梓峻. 基于CBCT下颞下颌关节造影的关节盘穿孔与髁突骨质改变相关性研究[J]. 口腔医学研究, 2020, 36(4): 333-336.
[4]	邹道星, 王增全, 卢钰. 咬合干扰与颞下颌关节紊乱病的相关性研究[J]. 口腔医学研究, 2020, 36(4): 337-340.
[5]	胡智慧, 房维. 高迁移率族蛋白1在颞下颌关节骨关节炎中的研究进展[J]. 口腔医学研究, 2020, 36(12): 1099-1102.
[6]	刘更, 李乐, 邢路, 范向飞. 肾上腺素受体信号在磨牙异常咬合致大鼠髁突软骨下骨丢失中的作用[J]. 口腔医学研究, 2020, 36(1): 28-32.
[7]	许颖捷,邵博,贾梦莹,辜文妍,龚忠诚. 后牙锁牙合与颞下颌关节紊乱病的相关性研究[J]. 口腔医学研究, 2019, 35(6): 578-582.
[8]	李菁,龙星,林妍华,刘海鹏,周建平. 颞下颌关节骨关节病3种保守治疗的锥形束CT评价[J]. 口腔医学研究, 2019, 35(6): 583-586.
[9]	程慧娜, 周青. 下颌骨特发性髁突吸收的研究进展[J]. 口腔医学研究, 2019, 35(5): 427-429.
[10]	阮国宪, 高丽卿, 邓立. 周期性压应力诱导髁突软骨细胞分泌促破骨因子的研究[J]. 口腔医学研究, 2019, 35(4): 372-376.
[11]	蔡恒星, 柯金, 孟庆功, 龙星. 透明质酸注射联合咀嚼肌功能训练治疗老年性颞下颌关节骨关节炎患者的临床研究[J]. 口腔医学研究, 2019, 35(3): 262-265.
[12]	蔡恒星, 李颖杰, 龙星. 透明质酸对颞下颌关节滑膜细胞氧化应激的保护作用[J]. 口腔医学研究, 2019, 35(12): 1141-1144.
[13]	辜文妍, 周昱川, 陈青立, 贾梦莹, 龚忠诚. 反牙合伴单侧颞下颌关节结构紊乱病患者颞下颌关节CBCT影像学研究[J]. 口腔医学研究, 2019, 35(12): 1145-1148.
[14]	肖艳菊, 吴国民, 张瑶瑶, 陈楷, 王祥伸. 兔关节盘穿孔后髁突骨质改建及Sox9、MMP-13、VEGF表达变化的实验研究[J]. 口腔医学研究, 2019, 35(10): 994-1000.
[15]	郑德鑫, 罗丹, 满城, 江海涛, 程娇, 高思继. 下颌升支后缘上移重建下颌髁突对下颌骨生长发育影响的实验研究[J]. 口腔医学研究, 2019, 35(1): 60-63.

3种方法治疗颞下颌关节滑膜炎的疗效评价

Curative Effect of Three Different Therapy Methods for Temporomandibular Joint Synovitis

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics