摘要
目的观察黄氏浅针联合中药熏蒸对寒湿痹阻型颞下颌关节紊乱综合征(TMD)的临床疗效。方法对2019年8月至2021年3月就诊于福州市中医院且符合纳入标准的99例寒湿痹阻型TMD患者展开研究,采用随机数字表法将患者平均分为针药结合组、浅针组和中药熏蒸组,每组各33例。其中针药结合组给予黄氏浅针联合中药熏蒸治疗,浅针组给予单纯黄氏浅针治疗,中药熏蒸组给予单纯中药熏蒸治疗。比较各组患者的临床疗效、Helkimo功能障碍指数和视觉模拟评分(VAS)疼痛指数。结果经治疗后,针药结合组总有效率(96.97%)均高于浅针组(81.25%)与中药熏蒸组(75.76%),差异有统计学意义(χ^(2)=6.162,P<0.05);针药结合组Helkimo功能障碍指数、VAS疼痛指数均优于浅针组和中药熏蒸组,差异有统计学意义(F=8.259、6.071,P<0.05)。结论黄氏浅针联合中药熏蒸治疗可显著改善寒湿痹阻型TMD患者临床症状,且优于单纯黄氏浅针及中药熏蒸治疗。
Objective To observe the clinical efficacy of Huang’s superficial acupuncture combined with traditional Chinese medicine fumigation on temporomandibular disorder(TMD)with cold-damp Bi-syndromes.Methods A total of 99 patients with TMD with cold-damp Bi-syndromes who were admitted to the Fuzhou Traditional Chinese Medicine Hospital from August 2019 to March 2021 and met the inclusion criteria were studied.The patients were equally divided into the acupuncture-medicine combination group,the superficial acupuncture group and the traditional Chinese medicine fumigation group by random number table method,with 33 cases in each group.The acupuncture-medicine combination group was treated with Huang’s superficial acupuncture combined with traditional Chinese medicine fumigation,the superficial acupuncture group was treated with Huang’s superficial acupuncture alone,and the traditional Chinese medicine fumigation group was treated with traditional Chinese medicine fumigation alone.The clinical efficacy,Helkimo clinical dysfunction index(HCDI)and visual analog scale(VAS)pain index were compared among the three groups.Results After treatment,the total effective rate of the acupuncture-medicine combination group(96.97%)was higher than that of the superficial acupuncture group(81.25%)and the traditional Chinese medicine fumigation group(75.76%),with statistically significant differences(χ^(2)=6.162,P<0.05).The scores of HCDI and VAS pain index in acupuncture-medicine combination group were better than those in superficial acupuncture group and the traditional Chinese medicine fumigation group,with statistically significant differences(F=8.259,6.071,P<0.05).Conclusion Huang’s superficial acupuncture combined with traditional Chinese medicine fumigation can significantly improve the clinical symptoms of TMD patients with cold-damp Bi-syndromes,and is better than simple superficial acupuncture and traditional Chinese medicine fumigation.
作者
陈丽云
郑欣
陈娇凤
王小娟
陈梅芳
CHEN Liyun;ZHENG Xin;CHEN Jiaofeng;WANG Xiaojuan;CHEN Meifang(Department of Acupuncture and Moxibustion,Fuzhou Traditional Chinese Medicine Hospital,Fujian,Fuzhou 350001,China;Department of Stomatology,Fuzhou Traditional Chinese Medicine Hospital,Fujian,Fuzhou 350001,China)
出处
《中国医药科学》
2022年第3期7-10,共4页
China Medicine And Pharmacy
基金
福建省科技计划引导性项目(2020D015)
福建省福州市科技计划项目(2019-S-83)。
关键词
颞下颌关节紊乱综合征
黄氏浅针
中药熏蒸
寒湿痹阻型
Temporomandibular joint disorder
Huang’s superficial acupuncture
Traditional Chinese medicine fumigation
Cold-damp Bi-syndromes type
