颞下颌关节不可复性盘前移位患者的口面肌功能训练

Orofacial myofunctional therapy for patients with temporomandibular joint anterior disc displacement without reduction

目的提高颞下颌关节不可复性盘前移位患者治疗效果。方法将64例颞下颌关节不可复性盘前移位患者随机分为对照组31例、训练组33例。两组均行透明质酸钠关节腔注射;对照组接受常规护理,训练组在此基础上增加口面肌功能训练,连续3个月后评价效果。结果干预后训练组疼痛评分及最大张口度显著优于对照组(均P<0.01);干预后两组负性情绪均达到正常范围,两组比较,差异无统计学意义(均P>0.05)。结论对颞下颌关节不可复性盘前移位行透明质酸钠关节腔注射患者,增加口面肌功能训练可有效缓解患者疼痛程度和增加张口度。

Objective To improve the treatment effect of patients with anterior disc displacement without reduction of the temporomandibular joint(TMJ).Methods A total of 64 patients with anterior disc displacement without reduction of the TMJ were randomized into a control group of 31 and an training group of 33.Both groups received sodium hyaluronic acid for injection.The control group was given routine nursing care,while their counterparts in the training group were addtionally subjected to orofacial myofunctional therapy.The effect was evaluated after 3 months.Results The training group had lower pain score and greater mouth opening compared with the control group after the intervention(P<0.01 for both).Negative emotions in both groups were within normal range and showed no significant differences between the two groups(P>0.05 for all).Conclusion Adding orofacial myofunctional therapy in patients with anterior disc displacement without reduction of the TMJ underwent sodium hyaluronic acid for injection,can effectively relieve pain and increase mouth opening.