关节腔臭氧浴联合物理疗法治疗颞下颌关节不可复性盘前移位的效果评价

doi:10.19438/j.cjoms.2021.02.005

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (2): 121-125.doi: 10.19438/j.cjoms.2021.02.005

关节腔臭氧浴联合物理疗法治疗颞下颌关节不可复性盘前移位的效果评价

杨萍萍^1,2,3, 席鹏⁴, 王晶^1,2,3, 郭锦锦^1,2,3, 盛广^1,2,3, 买买提吐逊·吐尔地^1,2,3

1.新疆医科大学,新疆乌鲁木齐 830054;
2.新疆医科大学第一附属医院（附属口腔医院）颌面创伤正颌外科,新疆乌鲁木齐 830054;
3.新疆维吾尔自治区口腔医学研究所,新疆乌鲁木齐 830054;
4.新疆医科大学第一附属医院疼痛科,新疆乌鲁木齐 830054

收稿日期:2020-09-14 修回日期:2020-11-07 出版日期:2021-03-20 发布日期:2021-05-11
通讯作者: 买买提吐逊·吐尔地,E-mail: maimaitituxun@aliyun.com
作者简介:杨萍萍（1990-）,女,在读硕士研究生,E-mail:1241192507@qq.com
基金资助:
新疆维吾尔自治区研究生科研创新项目（XJ2019G210）; 新疆医科大学研究生创新创业启动基金项目（CXCY2018046）

Clinical efficacy of intra-articular ozone gas bath therapy combined with physiotherapy on temporomandibular anterior disc displacement without reduction

YANG Ping-ping^1,2,3, XI Peng⁴, WANG Jing^1,2,3, GUO Jin-jin^1,2,3, SHENG Guang^1,2,3, MAIMAITITUXUN Tuerdi^1,2,3

1. Xinjiang Medical University. Urumqi 830054;
2. Department of Maxillofacial Trauma and Orthognathic Surgery, The First Affiliated Hospital /Affiliated Stomatological Hospital of Xinjiang Medical University. Urumqi 830054;
3. Xinjiang Uygur Autonomous Region Institute of Stomatology. Urumqi 830054;
4. Department of Pain Treatment, The First Affiliated Hospital of Xinjiang Medical University. Urumqi 830054, Xinjiang Uygur Autonomous Region, China

Received:2020-09-14 Revised:2020-11-07 Online:2021-03-20 Published:2021-05-11

摘要/Abstract

摘要： 目的探讨关节腔内臭氧浴联合物理疗法治疗颞下颌关节不可复性盘前移位（anterior disc displacement without reduction,ADDwoR）的临床疗效。方法将54例ADDwoR患者随机分为实验组（27例）和对照组（27例）,分别行关节腔臭氧浴和透明质酸钠（sodium hyaluronate, SH）注射,每周1次,连续注射3次,同时联合包括健康教育、手法复位、被动开口训练的物理疗法。对2组治疗后1、3个月后的疼痛视觉模拟评分、下颌功能运动和有效率进行临床评价。采用SPSS 21.0软件包对数据进行统计学分析。结果 2组患者疼痛度和下颌功能运动均较治疗前显著改善（P<0.05）,但组间比较无显著差异（P>0.05）;2组患者治疗总有效率差异无统计学意义（P>0.05）。结论关节腔内臭氧浴联合物理疗法能有效改善ADDwoR症状,与SH联合疗法效果相似,价格低廉,有望成为新的临床治疗选择。

关键词: 颞下颌关节盘, 臭氧, 透明质酸, 物理疗法

Abstract: PURPOSE: To explore the clinical efficacy of intra-articular ozone gas bath therapy combined with physiotherapy on temporomandibular anterior disc displacement without reduction(ADDwoR). METHODS: Fifty-four patients diagnosed with ADDwoR were randomized into the experimental group (27 cases) and control group (27 cases). Patients in the two groups respectively underwent intra-articular ozone gas bath and sodium hyaluronate(SH) injection, once a week for 3 weeks, simultaneously combined with physical therapy modalities which included patients education, mandibular manipulation technique, passive training with open mouth. The visual analogue scale (VAS) of pain, mandibular movements, and efficiency of the two groups were assessed after 1, 3 months of follow-up. SPSS 21.0 software package was used for data analysis. RESULTS: The pain intensity and mandibular movements improved significantly compared to these of pre-treatment in both groups (P<0.05), with no significant intra-group difference (P>0.05). There was no significant difference in the total effective rate between the two groups (P>0.05). CONCLUSIONS: Intra-articular ozone gas bath therapy combined with physiotherapy can provide symptomatic relief on ADDwoR, similar to the efficacy of SH combination; however, it could be a cheaper clinical alternative.

Key words: Temporomandibular joint disc, Ozone, Hyaluronic acid, Physical therapy modality

中图分类号:

R782.6

杨萍萍, 席鹏, 王晶, 郭锦锦, 盛广, 买买提吐逊·吐尔地. 关节腔臭氧浴联合物理疗法治疗颞下颌关节不可复性盘前移位的效果评价[J]. 中国口腔颌面外科杂志, 2021, 19(2): 121-125.

YANG Ping-ping, XI Peng, WANG Jing, GUO Jin-jin, SHENG Guang, MAIMAITITUXUN Tuerdi. Clinical efficacy of intra-articular ozone gas bath therapy combined with physiotherapy on temporomandibular anterior disc displacement without reduction[J]. China J Oral Maxillofac Surg, 2021, 19(2): 121-125.

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关节腔臭氧浴联合物理疗法治疗颞下颌关节不可复性盘前移位的效果评价

Clinical efficacy of intra-articular ozone gas bath therapy combined with physiotherapy on temporomandibular anterior disc displacement without reduction

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