推拿结合百笑灸治疗颍下颌关节功能紊乱综合征疗效观察

Clinical observation on tuina plus Baixiao moxibustion for temporomandibular joint dysfunction syndrome

目的:观察推拿结合百笑灸治疗羸颌关节功能紊乱综合征(TJDS)的临床疗效。方法:将符合纳入标准的70例TJDS患者用抛币法随机分为观察组和对照组,每组35例。观察组采用推拿结合百笑灸治疗,推拿和百笑灸均每日1次。对照组采用口服双氯芬酸钠缓释剂(75毫克/片)治疗,每日晚餐后口服1片。两组均治疗10次后进行疗效评价。观察两组患者治疗前后最大主动张口度和视觉模拟量表(VAS),比较两组临床疗效。结果:治疗后,两组最大主动张口度和VAS评分与同组治疗前均有统计学差异(均PV0.05);观察组最大主动张口度和VAS评分与对照组差异均有统计学意义(均PV0.05)。观察组总有效率为91.4%,对照组总有效率为74.3%,两组疗效差异有统计学意义(PV0.05)。结论:推拿结合百笑灸治疗能有效改善TJDS患者的羸颌关节功能并缓解疼痛,其疗效优于口服双氯芬酸钠缓释剂。

Objective:To observe the clinical effect of tuina plus Baixiao moxibustion in the treatment of temporomandibular joint dysfunction syndrome(TJDS).Methods:A total of 70 TJDS patients who met the inclusion criteria were randomized into an observation group and a control group by flipping a coin,with 35 cases in each group.Patients in the observation group were treated with tuina plus Baixiao moxibustion,while patients in the control group received oral intake of diclofenac potassium(75 mg/pill),1 pill after every dinner.Both tuina and Baixiao moxibustion were done once a day during treatment.The therapeutic evaluation was evaluated after 10 treatments in both groups.The maximum mouth opening distanee and visual analog scale(VAS)were observed before and after treatment,and the therapeutic efficacy was also compared.Results:After treatment,the maximum mouth opening distanee and VAS improved in both groups(all P<0.05);both items in the observation group were superior to those in the control group(both P<00.05).The total effective rate was 91.4%in the observation group,versus 74.3%in the control group,and the between-group comparison of the total effective rate showed statistical significanee(P<0.05).Conclusion:Tuina plus Baixiao moxibustion can effectively improve TJDS patient's temporomandibular joint function and alleviate pain,with better efficacy than oral intake of diclofenac potassium.