关节腔注射治疗、超短波物理治疗、药物口服治疗对颞下颌关节骨关节炎的临床疗效

Clinical effects of joint injection therapy, ultrashort wave physical therapy and oral medication on temporomandibular joint osteoarthritis

目的 观察分析关节腔注射治疗、超短波物理治疗、口服药物治疗对颞下颌关节骨关节炎的临床疗效。方法 120例观察对象均选取于湖北省黄冈市中心医院收治的颞下颌关节骨关节炎患者,治疗时间为2014年9月-2015年9月。根据治疗方式的不同,将其分为3组,每组40例。一组患者使用关节腔注射法治疗（注射组）,一组患者进行超短波物理治疗（超短波组）,一组患者进行药物口服治疗（药物组）。将3组患者治疗后1个月、3个月以及6个月的效果进行对比,并观察3组患者的颞下颌关节功能（DI）值。结果 治疗后1个月,注射组总有效率为92.50%、超短波组总有效率为90.00%、药物组总有效率为72.50%。注射组以及超短波组均优于药物组,差异有统计学意义（P〈0.05）;治疗后3个月、6个月,注射组患者的总有效率为90.00%、95.00%,均优于其他两组,差异有统计学意义（P〈0.05）;且注射组的DI值为（0.17±0.04）、（0.18±0.03）,均显著优于其他2组（P〈0.05）。结论 关节腔注射治疗颞下颌关节骨关节炎效果更佳,稳定性较强,值得进一步推广应用。

Objective To observe and analyze the clinical effects of joint injection therapy, ultrashort wave physical therapy and oral medication on temporomandibular joint osteoarthritis. Methods From September 2014 to September 2016 in Huanggang central hospital of Hubei province, 120 patients with osteoarthritis of the temporomandibular joint were divided into 3 groups according to the different treatment methods, 40 cases in each group. The injection group were treated with a joint cavity injection, The ultrashort wave group were given ultrashort wave physiotherapy, and the drug group were given oral medication. The effects and the temporomandibular joint function （DI） values were compared in the 3 groups at 1, 3 and 6 months after treatment. Results 1 months after treatment, the total effective rate in the injection group was 92.50%, 90%in the ultrashort wave group, and 72.50% in the drug group. The total effective rate in the injection group and the ultrashort wave group were better than that in the drug group （P〈0.05）; 3 and 6 months after treatment, the total effective rate was 90% and 95% in the injection group, which were better than those in the other 2 groups （P〈0.05）; DI value in the injection group was （0.17 ±0.04）, （0.18±0.03）, which were significantly better than the other 2 groups （P〈0.05）. Conclusion The effect is better which joint cavity injection was used in the treatment of temporomandibular joint osteoarthritis. It has good stability and is worthy of further popularization and application