针刺加推拿治疗颞下颌关节紊乱症45例.doc

针刺加推拿治疗颞下颌关节紊乱症45例.doc针刺加推拿治疗颞下颌关节紊乱症45例
【摘要】[目的] 对比针刺加推拿与口服西药治疗颞下颌关节紊乱症的疗效,以探寻好的治疗方法。[方法]将88例受试者分为针刺加推拿治疗组(45例)和药物治疗对照组(43例),治疗组穴取下关、听会、耳门、颊车、翳风、内关、三阴交、风池、肩井、合谷;对照组口服肠溶扶他林、阿司匹林。[结果]%,%,经统计学处理P<。[结论]针刺加推拿治疗颞下颌关节紊乱症方法简单,疗效显著。
【关键词】颞下颌关节紊乱症针刺疗法推拿疗法
Abstract: [Objective] pare the cure effect on temporomandibular joint disorder treated assage orally taking edicine for good therapy. [Method] Divide the 88 testees into treatment group(45 cases) assage, and control group(43) edicine treatment; the treatment group takes acupoints of Xiaguan, Tinghui, Ermen, Jiache, Yifeng, NEiguan, Sanyinjiao, Fengchi, Jianjing and Hegu; the control takes intestinal dissolving Futalin and Aspirin. [Result] The total effective rate is % for the treatment group, % for control one; P< after statistical dealing. [Conclusion] Acupuncture and massage is simple and has marked cure effect on temporomandibular joint disorder.
Key poromandibular joint disorder; acupuncture; massage
颞下颌关节紊乱症(temporomandibular disorder,TMD)是指累及下颌关节和(或)咀嚼肌系统的,具有相关临床问题(如疼痛、弹响、开口受限等)的一组疾病的总称[1]。笔者采用针刺加推拿治疗该病45例,获得满意的效果。报道如下。
1 一般资料

本组88例均属门诊患者,根据能否每日应诊分针刺加推拿治疗组(治疗组)和口服常规药物治疗对照组(对照组)。治疗组45例,男19例,女26例;年龄最小18岁,最大74岁;病程最短2d,最长3年。患者均有下颌关节运动障碍或关节周围肌肉疼痛,开口受限或关节杂音等症状,并经X线平片排除关节结构器质性病变。
2 治疗方法
治疗组
(1)针刺治疗:穴取下关、颊车、听会、内关、三阴交。具体操作:常规消毒后,~。、,听会张口直刺1寸,平补平泻手法,得气后留针30min,