[1]王琴,楚佳梅,余静△.针刺合谷穴结合理筋手法治疗颞下颌关节紊乱30例[J].中国中医骨伤科杂志,2022,30(11):67-69.
　WANG Qin,CHU Jiamei,YU Jing.30 Cases Clinical Report on Acupuncture Hegu Acupoint Combined with Tendon-Regulating Manipulation on the Treatment of Temporomandibular Disorders[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(11):67-69.
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针刺合谷穴结合理筋手法治疗颞下颌关节紊乱30例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年11期
页码:
67-69
栏目:
临床报道
出版日期:
2022-11-15

文章信息/Info

Title:
30 Cases Clinical Report on Acupuncture Hegu Acupoint Combined with Tendon-Regulating Manipulation on the Treatment of Temporomandibular Disorders
文章编号:
1005-0205(2022)11-0067-03
作者:
王琴1; 楚佳梅2; 余静2△
1浙江中医药大学第三临床医学院(杭州,310053) 2杭州市中医院
Author(s):
WANG Qin1 ; CHU Jiamei2; YU Jing2△
1The Third Clinical College of Medicine,Zhejiang Chinese Medical University,Hangzhou 310053,China; 2Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,China.
关键词:
颞下颌关节紊乱;  合谷穴;  理筋手法;  疗效观察
Keywords:
temporomandibular disorders;  Hegu acupoint;  tendon-regulating manipulation;  clinical observation
分类号:
R782.6
文献标志码:
B
摘要:
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。
Abstract:
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.

参考文献/References:

[1] GESCH D,BERNHARDT O,MACK F,et al.Association of malocclusion and functional occlusion with subjective symptoms of TMD in adults:results of the Study of Health in Pomerania(SHIP)[J].Angle Orthod,2005,75(2):183-190.
[2] VALESAN L F,DA-CAS C D,RÉUS J C,et al.Prevalence of temporomandibular joint disorders:a systematic review and meta-analysis[J].Clinical Oral Investigations,2021,25(2):1-13.
[3] SCHIFFMAN E,OHRBACH R,TRUELOVE E,et al.Diagnostic criteria for temporomandibular disorders(DC/TMD)for clinical and research applications:recommendations of the international RDC/TMD consortium network and orofacial pain special interest group[J].J Oral Facial Pain Headache,2014,28(1):6-27.
[4] 邱蔚六,张震康.口腔颌面外科学[M].北京:人民卫生出版社,2006:425-428.
[5] 布赫,王紫玄,贾敏.基于“同气相求”理论的激痛点疗法治疗顽固性偏头痛15例[J].中国针灸,2020,40(3):318-319.
[6] 景向红,蔡虹,逯波.“面口合谷收”的形态学基础[J].中国针灸,2003(2):46-47.
[7] LUND J P,SUN G D,LAMARRE Y.Cortical reorganization and deafferentation in adult macaques[J].Science,1994,265(5171):546-548.
[8] 杨骏,李传富,徐春生.健康成人合谷穴、后溪穴的针刺fMRI比较研究[J].世界中医药,2014,9(12):1575-1580.
[9] 李顺月,张栋,王淑友.针刺合谷穴对正常人面部温度的影响[J].中国针灸,2009,29(S1):57-59.
[10] 王晅,高燕玲,陈立典.指揉合谷穴的功能磁共振研究[J].中国康复医学杂志,2013,28(4):311-314.
[11] 吴绪平.骨伤科疾病针灸推拿治疗学[M].北京:中国医药科技出版社,2003:1-8.
[12] 宏达,臧福科.大成推拿术[M].北京:中国中医药出版社,1998:694.

备注/Memo

备注/Memo:
基金项目:2020-2024年杭州市医学重点学科针灸推拿康复学建设项目(2020SJZDXK05) △通信作者 E-mail:zegnajing@163.com
更新日期/Last Update: 2022-11-10