正畸治疗联合认知-行为干预疗法在治疗颞下颌关节紊乱病中的疗效分析

Curative effect analysis of orthodontic treatment combined with cognition-behavior intervention therapy in the treatment of temporomandibular disorders

目的研究比较正畸治疗联合认知-行为干预对颞下颌关节紊乱病(TMD)青壮年患者的临床疗效。方法 48例TMD患者随机分成实验组和对照组,每组24例。实验组患者进行正畸治疗联合认知-行为干预,对照组患者单纯进行正畸治疗。比较两组和治疗效果。结果对照组治愈12例,治愈率为50.0%;有效6例,占25.0%;无效6例,占25.0%;成功率为75.0%。实验组治愈14例,治愈率为58.3%;有效9例,占37.5%;无效1例,占4.2%;成功率95.8%。实验组疗效优于对照组,差异有统计学意义(P<0.05)。结论在正畸治疗TMD青壮年患者中,有必要考虑社会心理因素,并对症给予心理疏导。

Objective To study and compare the clinical effect of orthodontic treatment combined with cognition-behavior intervention in the treatment of young adults with temporomandibular disorders （TMD）. Methods A total of 48 TMD patients were randomly divided into experimental group and control group, with 24 cases in each group. The experimental group received orthodontic treatment combined with cognition-behavior intervention, while the control group received orthodontic treatment alone. Curative effects of the two groups were compared. Results There were 12 cured eases in the controlgroup, and the cure rate was 50.0%. Among them, there were 6 effective cases, accounting for 25.0%, and 6 ineffective cases, accounting for 25.0%. The success rate was 75.0%. The cured cases in the experimental group were 14 cases, and the cure rate was 58.3%. There were 9 effective cases, accounting for 37.5%, and 1 ineffective case, accounting for 4.2%. The success rate was 95,8%. The curative effect of the experimental group was better than that of the control group, and the difference had statistical significance （P〈0.05）. Conclusion In the orthodontic treatment of young adults with TMD, it is necessary for consideration of the social-psychological factors and providing symptomatic psychological counseling.