透明质酸钠注射联合垫治疗颞下颌关节盘不可复性前移位的临床疗效分析

Sodium hyaluronate injection combined with occlusal pad for the treatment of temporomandibular joint disc can not be clinical analysis of displacement

目的:探讨透明质酸钠联合垫治疗颞下颌关节盘不可复性前移位的临床疗效,进而探索效果明显且疗效持久的治疗方法。方法:选取60例颞下颌关节盘不可复性前移位患者,利用抽签取样法将其以1:1比例分成治疗组和对照组,治疗组30例患者应用透明质酸钠注射联合垫治疗;对照组30例患者应用单纯垫治疗。治疗后2、4、6周和6个月复诊,通过疼痛自评视觉模拟尺和FRICTON指数变化来评价临床疗效,从而比较2种治疗方法的疗效。结果:治疗组患者6个月后的总有效率均明显高于对照组;并且疼痛分值、Fricton指数均低于对照组,P<0.05差异有统计学意义。结论:透明质酸钠注射联合咬合板治疗颞下颌关节盘不可复性前移位的疗效明显,能有效缓解各种临床症状。

Objective To study the sodium hydrogenate joint splint cushion treat-ment of articular disc is clinical curative effect of shifting there maturation ago, ex-plored the effect is obvious and lasting treatment curative effect. Methods 60 patients with TMJ disc not irreversible shift before, will use the sampling method of lottery to them 1：1 ratio were divided into treatment group and control group, treatment group 30 cases of patients with combined application of sodium hydrogenate injection oc-clusion pad treatment.In the control group of 30 patients were used simple cushion treat-ment. Treatment of 2-6 weeks and 6 months appointment, through self-evaluation of pain visual analog scale changes and FRICTON index to evaluate the clinical efficacy,so as to compare the curative effect of two treatment methods. Results The treatment group patients with 2,4,6 weeks and six months after the total effective rate were significantly higher than the control group.And pain scores, Fricton index were significantly lower than the control group, the differences P〈0.05 was statistically significant. Conclusion Sodium hydrogenate injection combined therapy with teeth or pad joint shift before not summarize curative effect significantly, can effectively re-lieve the clinical symptoms.