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整脊手法联合针灸治疗颞下颌关节紊乱病的临床研究

Clinical Study on the Treatment of Temporomandibular Joint Disorder by Chiropractic Manipulation Combined with Acupuncture and Moxibustion
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摘要 目的 探讨整脊手法联合针灸治疗颞下颌关节紊乱病(TMD)的临床效果。方法 选取2023年1月至2023年12月我院收治的60例TMD患者,按随机数字表法分为两组,各30例。对照组口服塞来昔布治疗,观察组加用整脊手法联合针灸治疗,持续14d。比较两组临床疗效、疼痛评分、Frcton颞下颌关节指数(CMI)、生活质量及安全性。结果 观察组总有效率高于对照组(P<005);观察组治疗后VAS评分、DI、PI、CMI评分低于对照组(P<005);观察组治疗后生活质量评分高于对照组(P<005);两组安全性相比无差异(P>005)。结论 整脊手法联合针灸治疗可提高TMD治疗效果,降低CMI评分,减轻患者疼痛,以改善生活质量,且安全性良好。 Objective To explore the clinical effect of chiropractic manipulation combined with acupuncture and moxibustion on temporomandibular joint disorder(TMD).Methods Sixty TMD patients admitted to our hospital from January 2023 to December 2023 were selected and randomly divided into two groups,each with 30 cases,using a random number table method.The control group was treated with celecoxib orally,and the observation group was treated with chiropractic manipulation combined with acupuncture and moxibustion for 14 days.Compare the clinical efficacy,pain score,Fricton temporomandibular joint index(CMI),quality of life,and safety between two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05);The VAS score,DI,PI,and CMI score of the observation group after treatment were lower than those of the control group(P<0.05);The quality of life score of the observation group after treatment was higher than that of the control group(P<0.05);There was no difference in safety between the two groups(P>0.05).Conclusion Chiropractic manipulation combined with acupuncture and moxibustion can improve the therapeutic effect of TMD,reduce the CMI score,alleviate the pain of patients,and improve the quality of life with good safety.
作者 刘平松 刘厚禄 曾群 刘娟 LIU Ping-song;LIU Hou-lu;ZENG Qun;LIU Juan(Yongfeng County Traditional Chinese Medicine Hospital,Yongfeng 331500,Jiangxi Province,China)
机构地区 永丰县中医院
出处 《罕少疾病杂志》 2024年第9期118-119,共2页 Journal of Rare and Uncommon Diseases
基金 江西省中医药管理局科技计划项目(2023B0902)。
关键词 颞下颌关节紊乱病 整脊手法 针灸 疼痛评分 Temporomandibular Joint Disorder Disease Spinal Manipulation Techniques Acupuncture and Moxibustion Pain Score
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