玻璃酸钠联合肌功能训练治疗颞下颌关节可复性盘前移位伴耳痛的临床研究

张宁; 许天娇; 黄晓峰

doi:10.14009/j.issn.1672-2124.2021.03.007

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玻璃酸钠联合肌功能训练治疗颞下颌关节可复性盘前移位伴耳痛的临床研究

论著 | 更新时间：2022-10-08

- 玻璃酸钠联合肌功能训练治疗颞下颌关节可复性盘前移位伴耳痛的临床研究
- Clinical Research of Sodium Hyaluronate Combined with Muscle Function Training in the Treatment of Temporomandibular Joint Anterior Disc Displacement with Reduction Complicated with Earache
- 中国医院用药评价与分析 2021年21卷第3期页码：285-288
- 作者机构：
  
  首都医科大学附属北京友谊医院口腔科
- 作者简介：
- 基金信息：
  
  国家自然科学基金面上项目（No.82071141）
- DOI：10.14009/j.issn.1672-2124.2021.03.007
  中图分类号： R782.6
- 纸质出版日期：2021，
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[1]张宁,许天娇,黄晓峰.玻璃酸钠联合肌功能训练治疗颞下颌关节可复性盘前移位伴耳痛的临床研究[J].中国医院用药评价与分析,2021,21(03):285-288.

ZHANG Ning, XU Tianjiao, HUANG Xiaofeng. Clinical Research of Sodium Hyaluronate Combined with Muscle Function Training in the Treatment of Temporomandibular Joint Anterior Disc Displacement with Reduction Complicated with Earache[J]. 2021,21(3):285-288.
[1]张宁,许天娇,黄晓峰.玻璃酸钠联合肌功能训练治疗颞下颌关节可复性盘前移位伴耳痛的临床研究[J].中国医院用药评价与分析,2021,21(03):285-288. DOI： 10.14009/j.issn.1672-2124.2021.03.007.

ZHANG Ning, XU Tianjiao, HUANG Xiaofeng. Clinical Research of Sodium Hyaluronate Combined with Muscle Function Training in the Treatment of Temporomandibular Joint Anterior Disc Displacement with Reduction Complicated with Earache[J]. 2021,21(3):285-288. DOI： 10.14009/j.issn.1672-2124.2021.03.007.

摘要

目的:探讨玻璃酸钠联合肌功能训练对颞下颌关节可复性盘前移位伴耳痛的临床治疗效果。方法:选取2018年1月至2020年6月首都医科大学附属北京友谊医院口腔科收治的颞下颌关节可复性盘前移位伴耳痛的患者159例为研究对象

其中78例研究组患者采用玻璃酸钠联合肌功能训练治疗

81例对照组患者仅采用肌功能训练治疗。观察治疗前、治疗结束后第4、12周的耳痛疼痛程度[视觉模拟评分（visual analogue scale

VAS）]、最大开口度（maximum opening

MMO）和颞下颌关节功能评价（Fricton指数）。结果:治疗结束后第4、12周

研究组患者的耳痛VAS评分显著低于对照组同期

MMO显著高于对照组同期

Fricton指数中的功能障碍指数（DI）、肌肉压诊指数（PI）和颞下颌关节紊乱指数（CMI）均显著低于对照组同期

上述差异均有统计学意义（P<0.05）。结论:玻璃酸钠联合肌功能训练治疗颞下颌可复性盘前移位伴耳痛具有确切的短期和中期疗效

能够显著改善患者的临床症状。

Abstract

OBJECTIVE: To probe into the clinical efficacy of sodium hyaluronate combined with muscle function training in the treatment of temporomandibular joint anterior disc displacement with reduction complicated with earache.METHODS: Totally 159 patients with temporomandibular joint anterior disc displacement with reduction complicated with earache admitted into department of stomatology

Beijing Friendship Hospital

Capital Medical University from Jan.2018 to Jun.2020 were extracted.Seventy-eight patients in the study group were treated with sodium hyaluronate combined with muscle function training

and 81 patients in the control group received muscle function training only.The degree of earache [visual analogue scale（ VAS） ]

maximum opening（ MMO）

and temporomandibular joint function（ Fricton index） were observed before treatment and after treatment of 4 and 12 weeks.RESULTS: After treatment of 4 and 12 weeks

the earache VAS score of the study group was significantly lower than that of the control group

the MMO was significantly higher than that of the control group

and the DI

PI and CMI in the fricton index were significantly lower than those of the control group

the differences were statistically significant（ P < 0.05）.CONCLUSIONS: Sodium hyaluronate combined with muscle function training in the treatment of temporomandibular joint anterior disc displacement with reduction complicated with earache has effective short-term and mid-term efficacy

and can significantly improve the clinical symptoms of patients.

关键词

玻璃酸钠肌功能训练关节可复性盘前移位耳痛

Keywords

Sodium hyaluronateMuscle function trainingAnterior disc displacement with reductionEarache

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