针刺合谷穴结合理筋手法治疗颞下颌关节紊乱30例

30 Cases Clinical Report on Acupuncture Hegu Acupoint Combined with Tendon-Regulating Manipulation on the Treatment of Temporomandibular Disorders

目的:观察针刺合谷穴结合理筋手法治疗颞下颌关节紊乱病的临床疗效。方法:回顾性分析2021年3月至2021年7月采用针刺合谷穴结合理筋手法治疗30例颞下颌关节紊乱病患者的病例资料。采用视觉模拟量表(VAS)评分评价局部疼痛改善情况,并采用最大张口度及下颌功能损害评分评价下颌功能。结果:所有患者经过针刺合谷穴结合理筋手法治疗5周,治疗5周后及末次随访(治疗后3个月)较治疗前相比,患者疼痛(VAS评分)、最大张口度及下颌功能评分均明显改变,差异有统计学意义(P<0.05),总有效率为86.7%。结论:针刺合谷穴结合理筋手法治疗颞下颌关节紊乱病临床疗效确切,可缓解患者颌面部疼痛,改善下颌功能,适合临床推广应用。

Objective:To observe the clinical efficacy of acupuncture Hegu acupoint combined with tendon-regulating manipulation on the treatment of temporomandibular disorders.Methods:The cases data of 30 patients with temporomandibular disorders treated with acupuncture Hegu acupoint combined with tendon-regulating manipulation from March 2021 to July 2021 were retrospectively analyzed.Local visual analogue scale(VAS)score was used to evaluate the improvement of pain.Maximum mouth opening and mandibular function impairment questionnaire were used to evaluate the improvement of mandibular function.Results:After 5 weeks of acupuncture Hegu acupoint combined with tendon-regulating manipulation treatment,the pain(VAS pain score),maximum mouth opening and mandibular function impairment questionnaire of all patients were significantly improved at the end of treatment and the last follow-up(3 months after treatment),with statistical significance(P<0.05).The total effective rate was 86.7%.Conclusion:Acupuncture Hegu acupoint combined with tendon-regulating manipulation has a definite clinical efficacy on the treatment of temporomandibular disorders and can significantly relieve patients’maxillofacial pain and improve mandibular function,which is suitable for clinical promotion and application.