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阿是穴温针灸治疗颞下颌关节紊乱综合征临床观察 被引量:23

Clinical Observations on Warm Needling Moxibustion at Ashi Points for Temporomandibular Joint Disturbance Syndrome
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摘要 目的客观评价阿是穴温针灸法治疗颞下颌关节紊乱综合征的临床有效性。方法将符合纳入标准的70例颞下颌关节紊乱综合征患者随机分为温针灸组和西药组,每组35例。温针灸组予温针灸治疗,西药组给予常规西药治疗。观察两组治疗前后及随访期VAS评分及颞下颌关节功能情况。结果温针灸组总有效率为84.8%,西药组总有效率为87.5%,两组比较差异无统计学意义(P>0.05)。温针灸组随访期3个月总有效率为81.0%、随访期6个月总有效率为78.8%;西药组随访期3个月总有效率为68.8%、随访期6个月总有效率为46.9%,两组比较差异有统计学意义(P<0.05)。两组治疗后颞下颌关节DI值比较差异无统计学意义(P>0.05),随访期温针灸组DI值与西药组比较差异具有统计学意义(P<0.05)。结论阿是穴温针灸可有效改善颞下颌关节紊乱综合征疼痛及功能障碍两大主要症状,并且疗效稳定。 Objective To objectively assess the clinical efficacy and safety of warm needling moxibustion at ashi points in treating temporomandibular joint disturbance syndrome.Method Seventy patients with temporomandibular joint disturbance syndrome were randomized to warm needling moxibustion and Western medicine groups,35 cases each.The warm needling moxibustion received treatment with warm needling moxibustion and the Western medicine group,treatment with conventional Western medicine.The VAS score was recorded and temporomandibular joint function was observed in the two groups before and after treatment.Result The total efficacy rate was 84.8%in the warm needling moxibustion group and 87.5%in the Western medicine group without a statistically significant difference(P>0.05).In the warm needling moxibustion group,the total efficacy rate was 81.0% at the 3-month follow-up and 78.8% at the 6-month follow-up;in the Western medicine group,the total efficacy rate was 68.8% at the 3-month follow-up and 46.9% at the 6-month follow-up,with statistically significant differences between the two groups(P<0.05).There was no statistically significant difference in the DI value of the temporomandibular joint between the two groups at the end of treatment(P>0.05).There was a statistically significant difference in the DI value between the warm needling moxibustion and Western medicine groups during the follow-up(P<0.05).Conclusion Warm needling moxibustion at ashi points can effectively relieve two main symptoms of pain and dysfunction in temporomandibular joint disturbance syndrome.
作者 刘婧 韩德雄 陈利芳 王超 方剑乔 LIU Jing;HAN De-xiong;CHEN Li-fang;WANG Chao;FANG Jian-qiao(Zhejiang University of Traditional Chinese Medicine Third Hospital,Hangzhou 310000,China;Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,China)
出处 《上海针灸杂志》 2019年第12期1385-1389,共5页 Shanghai Journal of Acupuncture and Moxibustion
基金 浙江省中医药科技计划项目(2016ZGJ07) 方剑乔名老中医专家传承工作室(浙江省)(GZS2012014) 方剑乔全国名老中医专家传承工作室[国中医药人教发(2013)47号
关键词 颞下颌关节综合征 温针疗法 Friction指数 视觉模拟评分 Temporomandibular joint dysfunction syndrome Warm needling therapy Friction Index Visual Analogue Scale
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