口腔医学研究

口腔医学研究 ›› 2015, Vol. 31 ›› Issue (3): 287-289.

• 临床研究论著 • 上一篇    下一篇

药物注射结合咬合板治疗颞下颌关节紊乱病的临床研究

文世生1*, 郭雯瑾, 1, 梅妍2   

  1. 1. 甘肃嘉峪关市第一人民医院口腔科 甘肃 嘉峪关 735100;
    2. 武汉大学口腔医学院
  • 收稿日期:2014-12-01 出版日期:2015-03-28 发布日期:2016-04-29
  • 通讯作者: 文世生,电话:13830798583
  • 作者简介:文世生(1970~ ),男,甘肃省人,学士,副主任医师,主要从事口腔颌面外科的临床治疗工作。

Application of Drug Combined with Stable Biteplate on TMD.

WEN Shi-sheng, GUO Wen-jing, MEI Yan.   

  1. Jiayuguan 735100
  • Received:2014-12-01 Online:2015-03-28 Published:2016-04-29

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摘要： 目的:研究透明质酸钠(sodium hyaluronate, SH)关节腔药物注射法结合佩戴稳定咬合板(stable bite plate, SBP)两种方法在治疗颞下颌关节紊乱病(temporomandibular disorders,TMD)中的应用,并对其效果进行评价。方法:观察组 18例颞下颌关节紊乱病患者给予两种治疗方法联合使用;对照组 18例颞下颌关节紊乱病患者单纯给予SBP治疗。对比分析治疗前后患者颞下颌关节开口指数(Temporomandibular opening index TOI)、疼痛指数(Visual analog scale VAS)及肌肉压痛指数(PI)和关节压诊分值(JP)的变化。结果:治疗后两组患者的OTI、VAS、PI及JP指数比较,观察组明显低于对照组,有显著性差异(P＜0.05)。结论:SH关节腔内注射联合SBP治疗TMD的疗效优于单纯采用SBP治疗。

关键词: 颞下颌关节紊乱病, 稳定咬合板, 透明质酸钠

Abstract: Objective: To investigate the hyaluronic acid sodium(SH) intra-articular injection combined with stable biteplate(SBP) in temporomandibular joint disorder(TMD) therapy, to evaluate the effect of treatment. Methods: Observation group included 18 cases of TMD patients who were given SH intra-articular injection therapy combined with SBP treatment;the control group included 18 patients with TMD who were treated only with SBP treatment. Comparative analysis was performed before and after treatment in patients with opening index (OTI), pain index (VAS) and muscle tenderness index (PI) and joint pressure diagnosis value (JP) changes. Results: After treatment, OTI, VAS, PI and JP of the patients in the two groups were significantly decreased, and the observation group index decreased significantly lower than the control group (P<0.05). Conclusion: Intraarticular injection of SH combined with SBP in the treatment of the effect of TMD is better than the simple use of SBP fixed.

Key words: Temporomandibular disorders, Stable bite plate, Sodium hyaluronate

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