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针刺结合药罐治疗颞颌关节紊乱症临床观察
摘    要：

Acupuncture combined with medicated cupping for temporomandibular disorders
Affiliation:1. Department of Stomatology, Beijing 100091, China;2. Department of Physiotherapy, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China;1. Department of Allergology, Hospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain;2. Department of Allergology, Hospital Universitario Reina Sofía, Córdoba, Spain;3. Department of Allergology, Hospital Universitario de Ceuta, Ceuta, Spain;1. Division of Cardiology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA;2. Department of Cardiology, University of Bern, Bern, Switzerland;3. Department of Neurology, University of Bern, Bern, Switzerland;4. Department of Cardiology, New York University, New York, NY, USA
Abstract:
ObjectiveTo observe the application of acupuncture at distal points combined with medicated cupping on the affected parts in the treatment of temporomandibular disorders (TMD) and to evaluate its effectiveness.MethodsA total of 120 patients with TMD were randomly divided into two groups according to the random number table and random number remainder method. Sixty-two patients in acupuncture combined with cupping group (group A) were treated with acupuncture at Hégŭ (
></figure> LI 4) and Tàichōng (<figure class=></figure> LR 3) combined with medicated cupping on the affected parts with <em>Sānqī</em> (<figure class=></figure> <em>Radix et Rhizoma Notoginseng</em>) and <em>Báizh<figure class=></figure></em> (<figure class=></figure> <em>Radix Angelicae Dahuricae</em>). Fifty-eight patients in cupping group (group B) were just treated with medicated cupping. Patients were treated for 30 min each time, once daily, and 10 times were considered as one course of treatment. After one course of treatment, the therapeutic effect was evaluated. Before and after treatment, craniomandihular index (CMI), dysfunction index (DI), palpation index(PI) and changes in pain degree (VAS score) were compared.<b>Results</b>Before and after treatment, CMI in group A were 0.27±0.02 and 0.04±0.01, respectively, and in group B were 0.29±0.02 and 0.06±0.01, respectively; PI in group A were 0.19±0.01 and 0.05±0.03, respectively, and in group B were 0.18±0.02 and 0.11±0.02, respectively; DI in group A were 0.33±0.04 and 0.06±0.02, respectively, and in group B were 0.34±0.05 and 0.11±0.04, respectively; VAS in group A were 5.39±0.24 and 2.13±0.47, respectively, and in group B were 5.70±0.31 and 3.97±0.26, respectively. After treatment, CMI, DI, PI and VAS in both groups significantly decreased when compared with those before treatment (all <em>P</em><0.01), and the indices in group A were significantly lower than that in group B after treatment (all <em>P</em><0.05), indicating that the difference was significant.<b>Conclusion</b>The therapeutic effect of acupuncture at distal points combined with cupping at adjacent points in treatment of TMD is superior to that of single medicated cupping therapy.</td> </tr> <tr> <td align=
Keywords:temporomandibular disorders  acupuncture therapy  medicated cupping
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