手法整复颈椎配合铍针松解治疗颞颌关节功能紊乱60例

Treatment of 60 patients with temporomandibular joint dysfunction by manipulative reduction of cervical vertebrae combined with Pi needle release

目的:评价手法整复颈椎配合铍针松解治疗颞颌关节功能紊乱的临床疗效。方法:自2012年3月至2017年5月,应用手法整复颈椎配合铍针松解治疗颞颌关节功能紊乱60例,男26例,女34例;年龄18~60岁,平均32.5岁;病程1周~5年,平均3个月。对患者颞颌关节最大主动张口度、弹响程度、VAS疼痛评分,进行治疗前和治疗后随访评估。结果:60例均获随访,时间6~24个月,平均12个月。末次随访时,颞颌关节最大主动张口度从治疗前的(1.99±0.47)cm提高至治疗后的(3.17±0.19)cm,关节弹响度从治疗前100%降至治疗后的(27.33±13.51)%,VAS评分从治疗前的4.73±0.67降至治疗后的1.80±0.53。结论:采用手法整复颈椎配合铍针松解治疗颞颌关节功能紊乱,具有操作简便、疗效确切、疗程短等优点,是治疗颞颌关节功能紊乱的有效方法。

Objective：To evaluate the clinical effects of manipulative reduction of cervical vertebrae combined with Pi needle release for the treatment of temporomandibular joint dysfunction. Methods：From March 2012 to May 2017,60 patients with temporomandibular joint dysfunction were treated by manipulative reduction of cervical vertebrae with Pi needle release,including 26 males and 34 females,ranging in age from 18 to 60 years old,with an average of 32.5 years old. The courses of the disease ranged from 1 week to 5 years,with a mean duration of 3 months. The patients were followed up before and after treatment by maximum active opening of temporomandibular joint,joint clicking and comparison of visual analogue scale（VAS） pain scores. Results：All 60 patients were followed up,and the duration ranged from 6 to 24 months,with an average of 12 months. The maximum active opening of temporomandibular joint increased from（1.99±0.47） cm before treatment to（3.17±0.19） cm. The joint clicking decreased from 100% before treatment to（27.33 ±13.51）% after treatment. The VAS score decreased from 4.73 ±0.67 before treatment to 1.80±0.53 after treatment. Conclusion：Treatment of temporomandibular joint dysfunction by manipulative reduction of cervical vertebrae combined with Pi needle release has such advantages as easy operation,obvious curative effect,short course of treatment,which is an effective method for the treatment of temporomandibular joint dysfunction.