关节腔冲洗结合手法复位配合运动对急性颞下颌关节不可复性盘前移位的疗效探讨

Effect of Joint Cavity Irrigation Combined with Manual Reduction and Ex⁃ercise on Acute Temporomandibular Joint Irreducible Anterior Disk Dis⁃placement

目的研究急性颞下颌关节不可复性盘前移位患者采用关节腔冲洗结合手法复位配合运动干预的疗效优势。方法选取2022年3月—2023年3月平邑县人民医院收治的40例急性颞下颌关节不可复性盘前移位患者作为研究对象,以随机抽签法分组,其中对照组纳入20例患者,施行手法复位配合运动治疗;研究组同样纳入20例患者,行关节腔冲洗结合手法复位配合运动治疗。对比组间的治疗效果。结果治疗前两组患者疼痛情况及最大张口度比较,差异无统计学意义(P均>0.05),治疗后1、6、12个月,研究组疼痛情况及最大张口度分别为(3.93±0.66)分、(3.87±0.63)分、(3.51±0.08)分、(37.25±2.54)mm、(38.16±2.51)mm、(39.47±3.66)mm,显著优于对照组(4.98±0.82)分、(4.68±0.32)分、(4.35±0.27)分、(33.58±3.31)mm、(34.22±3.18)mm、(35.19±3.01)mm,差异有统计学意义(t=4.461、5.126、13.340、3.482、2.117、3.482,P均<0.05)。结论对于急性颞下颌关节不可复性盘前移位患者的关节腔冲洗结合手法复位配合运动治疗,有助于减轻疼痛和促进关节的功能恢复。

Objective To study the therapeutic advantages of joint cavity irrigation combined with manual reduction combined with exercise on patients with acute temporomandibular joint irreducible anterior disk displacement.Methods A total of 40 patients with acute temporomandibular joint irretrievable anterior disk displacement admitted to Pingyi County People's Hospital from March 2022 to March 2023 were selected as study objects.They were grouped by random drawing.The control group included 20 patients,who were treated with manual reduction and exer⁃cise.The study group also included 20 patients who underwent joint cavity irrigation combined with manual reduction and exercise therapy.The treatment effect was randomized and compared between groups.Results Before treatment,the pain and maximum mouth opening of the two groups were compared,and the differences were not statistically sig⁃nificant(both P>0.05).At 1,6,and 12 months after treatment,the pain situation and maximum opening degree of the study group(3.93±0.66)points,(3.87±0.63)points,(3.51±0.08)points,(37.25±2.54)mm,(38.16±2.51)mm,(39.47±3.66)mm were significantly better than those of the control group(4.98±0.82)points,(4.68±0.32)points,(4.35±0.27)points,(33.58±3.31)mm,(34.22±3.18)mm,(35.19±3.01)mm,and the differences were statistically significant(t=4.461,5.126,13.340,3.482,2.117,3.482,all P<0.05).Conclusion For patients with acute temporomandibular joint irreducible anterior disk displacement,joint cavity irrigation combined with manual reduction and exercise therapy is helpful to reduce pain and promote joint functional recovery.