关节松动术联合物理因子治疗急性期颞下颌关节紊乱的疗效

Efficacy of joint mobilization combined with physical factors in treatment of temporomandibular joint disorders in acute stage

目的 观察关节松动术联合物理因子治疗急性期颞下颌关节紊乱(TMD)的临床疗效。方法 将50例急性期TMD患者随机均分为两组,对照组采用单纯物理因子治疗,试验组在对照组基础上加用关节松动术治疗,每周3次。比较两组治疗前和治疗2周后VAS疼痛评分、最大主动张口度和下颌功能限制量表(JFLS-20)总分的变化。结果 治疗前,两组最大主动张口度、VAS疼痛评分和JFLS-20总分均无统计学差异(P>0.05)。与治疗前相比,两组治疗后VAS疼痛评分和JFLS-20总分均降低,最大主动张口度均增加(P<0.01),且试验组的改善程度优于对照组(P<0.05)。试验组JFLS-20中下颌功能活动评分较对照组改善更明显(P<0.01)。结论 关节松动术联合物理因子治疗急性期TMD的疗效优于单纯物理因子治疗。

Objective To observe the clinical efficacy of joint mobilization combined with physical factors in the treatment of temporomandibular joint disorders(TMD) in acute stage.MethodsFifty patients with TMD in acute period were randomly and equally divided into two groups.The patients in group A were treated with physical factors combined with joint mobilization 3 times a week for two weeks.The patients in group C were treated with physical factors alone.The clinical efficacy was evaluated with VAS pain score, maximum active mouth opening and Jaw functional limitation scale(JFLS-20) score and compared between the two groups.ResultsThere were no significant differences in maximum active mouth opening, VAS pain score and JFLS-20 score between the two groups before treatment(P>0.05).Compared with before treatment, the VAS pain score and JFLS-20 score were decreased, while the maximum active mouth opening was increased in the two groups after treatment(P<0.01),which were changed more obviously in group A than those in group C(P<0.05).The improvement of JFLS-20 mandibular movement score after treatment in group A was better than that in group C(P<0.01).Conclusion The efficacy of joint mobilization combined with physical factors in the treatment of acute TMD is superior to that of simple physical factors.