超声波联合中药外敷治疗颞下颌关节紊乱病的疗效分析

doi:10.13591/j.cnki.kqyx.2025.11.010

摘要/Abstract

摘要：

目的分析颞下颌关节紊乱病患者应用超声波联合中药外敷治疗的效果。方法选取2022年1月至2023年12月我院诊治的72例颞下颌关节紊乱病患者,按照随机数表法分为对照组和治疗组,每组36例。对照组采取超声波治疗,治疗组采用超声波联合中药外敷,观察两组治疗前后疼痛(VAS)评分、最大张口度、关节弹响和临床疗效。结果治疗组的VAS评分明显低于对照组(P<0.05);治疗组最大张口度>3.7 cm的患者明显多于对照组(P<0.05);两组关节弹响人数对比没有统计学意义(P>0.05);治疗组显效率高于对照组,差异有统计学意义(P<0.05);治疗组有效率高于对照组,但差异不具有统计学意义(P>0.05)。结论超声波联合中药外敷治疗颞下颌关节紊乱病,相比较单一的超声波治疗,可以显著改善患者颞下颌关节临床症状、提高临床治疗效果。

关键词: 超声波, 中药, 颞下颌关节紊乱病

Abstract:

Objective To analyze the therapeutic effect of ultrasound combined with external application of Chinese medicine in the treatment of temporomandibular disorders(TMD). Methods A total of 72 patients with TMD and treated in our hospital from January 2022 to December 2023 were randomly divided into the control group and the treatment group, with 36 cases in each group. The control group was treated with ultrasound, and the treatment group was treated with ultrasound combined with traditional Chinese medicine. Then the pain VAS score, maximum mouth opening degree, joint click and clinical effect were observed before and after treatment. Results The VAS score of the treatment group was lower than that of the control group(P<0.05). There were more patients with maximum mouth opening greater than 3.7 cm in the treatment group than in the control group(P<0.05). There was no statistical significance in the number of patients with joint click between the two groups(P>0.05). The significant efficiency of treatment group was higher than that of control group(P<0.05). The effective rate of treatment group was higher than that of control group, but the difference was not statistically significant (P>0.05). Conclusion Ultrasound combined with external application of traditional Chinese medicine in the treatment of TMD, compared with single ultrasound treatment, can significantly improve the clinical symptoms and promote the clinical therapeutic effect.

Key words: ultrasound, Chinese medicine, temporomandibular disorders(TMD)

中图分类号:

R782.6

薛明飞, 束为, 张佳佳, 胡佳艺. 超声波联合中药外敷治疗颞下颌关节紊乱病的疗效分析[J]. 口腔医学, 2025, 45(11): 854-857.

XUE Mingfei, SHU Wei, ZHANG Jiajia, HU Jiayi. Analysis of therapeutic effect of ultrasound combined with external application of Chinese medicine in the treatment of temporomandibular disorders[J]. Stomatology, 2025, 45(11): 854-857.

图/表 3

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组别	n	治疗前	治疗后
对照组	36	6.16±0.92	3.91±1.91
治疗组	36	6.19±0.97	2.91±0.89