针刺激痛点结合运动疗法治疗颞下颌关节紊乱病的临床观察

目的:观察针刺激痛点结合运动疗法对颞下颌关节紊乱病的疗效.方法:选取颞下颌关节紊乱病患者63例随机分为对照组31例和观察组32例,因治疗期间脱落3人,对照组和观察组各30例.2组均给予运动疗法包括筋膜手法、颞颌关节松动术配合宣传教育训练.观察组在对照组的基础上结合针刺激痛点的方法.在治疗前和治疗4周后,用疼痛视觉模拟评...

Clinical Observation of acupuncture stimulation in pain points combined with exercise therapy in the treatment of temporomandibular joint disorders

Objective:To observe the effectiveness of acupuncture stimulation in pain points combined with exercise therapy for temporomandibular joint disorders.Methods:Totally 63 patients with temporomandibular joint disorders were divided into control group(n=31)and treatment group(n=32)according to the method of random number table,with 3 cases falling off during treatment,and there were 30 cases in control group and treatment group respectively.Both groups were treated with exercise therapy,including fascial manipulation,temporomandibular joint mobilization in combination with publicity and education.The treatment group was given the acupuncture stimulation in pain points additionally.Before and after treatment for 4 weeks,the pain visual analogue scale(VAS),Helkimo clinical dysfunction index and clinical efficacy standard were used to evaluate the two groups of patients.Results:After 4 weeks of treatment,VAS and Helkimo scores in both groups were significantly lower than those before treatment(all P<0.01),and the above scores in the treatment group were significantly lower than those in the control group(both P<0.05).The effective rate in the treatment group was significantly higher than that in the control group(P<0.01).Conclusion:Acupuncture stimulation in pain points combined with exercise therapy to treat temporomandibular joint disorders can relieve pain and reduce the dysfunction of the temporomandibular joint,which is more effective than exercise therapy alone.