| 潘璐璐.稳定型牙合垫联合手法治疗对颞下颌关节紊乱病患者MFIQ评分、最大张口度及VAS评分的影响[J].浙江中西医结合杂志,2020,30(11): |
| 稳定型牙合垫联合手法治疗对颞下颌关节紊乱病患者MFIQ评分、最大张口度及VAS评分的影响 |
| The effects of stable occlusal pad combined with manipulation on the MFIQ score, maximum mouth opening degree and VAS score of patients with temporomandibular disorders |
| 投稿时间：2020-04-04 修订日期：2020-09-08 |
| DOI： |
| 中文关键词: 稳定型牙合垫 手法治疗 颞下颌关节紊乱病 下颌功能损害问卷评分 最大张口度 视觉模拟评分量表 |
| 英文关键词:stable occlusal pad manipulation temporomandibular joint disorder mandibular function impairment questionnaire score maximum mouth opening degree visual analogue scale |
| 基金项目:温州市科技计划项目（2017Y0878） |
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| 中文摘要: |
| 目的：探究稳定型牙合垫联合手法治疗对颞下颌关节紊乱病患者下颌功能损害问卷（MFIQ）评分、最大张口度及视觉模拟评分量表（VAS）的影响。方法：2017年2月-2019年8月在本院接受治疗的100例颞下颌关节紊乱病患者被选为研究对象，随机分为4组：牙合垫组、手法组、联合组及对照组，每组25例。其中牙合垫组患者仅接受稳定型牙合垫治疗，手法组仅接受手法治疗，联合组接受稳定型牙合垫+手法治疗，对照组接受健康宣教。比较4组疗效及治疗前和治疗1个月、3个月后MFIQ评分、最大张口度、VAS评分的变化。结果：牙合垫组、手法组和联合组总有效率均明显高于对照组（P<0.05），而牙合垫组、手法组和联合组总有效率比较，差异无统计学意义（P>0.05）。治疗1个月及3个月后，牙合垫组、手法组和联合组MFIQ评分、VAS评分均较治疗前降低（P＜0.05），无痛最大张口度均较治疗前显著增加（P＜0.05），而对照组与治疗前相比差异无统计学意义（P＞0.05）；且联合组治疗1个月及3个月后，MFIQ评分、VAS评分均明显低于牙合垫组、手法组及对照组单独治疗（P＜0.05），无痛最大张口度均明显高于牙合垫组、手法组及对照组单独治疗。结论：稳定型牙合垫联合手法治疗颞下颌关节紊乱病效果显著，可迅速改善患者张口度，缓解患者疼痛，减轻下颌功能损害，使患者尽快恢复正常生活。 |
| 英文摘要: |
| Objective: To explore the effects of stable occlusal pad combined with manipulation on the mandibular function impairment questionnaire (MFIQ) score, maximum mouth opening degree and visual analogue scale (VAS) of patients with temporomandibular disorders. Methods: From February 2017 to August 2019, 100 patients with temporomandibular disorders who were treated in our hospital were selected and randomly divided into four groups: occlusal pad group, manipulation group, combined group and control group, with 25 cases in each group. Among them, the patients in the occlusal pad group only received stable occlusal pad treatment, the manipulation group only received manipulation, the combined group received stable occlusal pad + manipulation, and the control group received health education. The therapeutic effect and the changes of MFIQ score, maximum mouth opening degree and VAS score before and after treatment were compared among the four groups. Results: The total effective rate of occlusal pad group, manipulation group and combined group was significantly higher than that of control group (P < 0.05), while there was no significant difference in the total effective rate between the occlusal pad group, manipulation group and combined group (P > 0.05). After 1 and 3 months of treatment, the scores of MFIQ and VAS in occlusal pad group, manipulation group and combined group were lower than those before treatment (P < 0.05), the painless maximum mouth opening degree was significantly higher (P < 0.05), while there was no significant difference in control group between after treatment and before treatment (P > 0.05); after 1 and 3 months of treatment, the scores of MFIQ and VAS in the combined group were significantly lower than those in the occlusal pad group, the manipulation group and the control group (P < 0.05), and the painless maximum mouth opening degree was significantly higher than that in occlusal pad group, manipulation group and control group. Conclusions: The stable occlusal pad combined with manipulation is effective in the treatment of temporomandibular disorders. It can quickly improve the opening degree of patients, relieve the pain of patients, reduce the impairment of mandibular function, and make patients recover to normal life as soon as possible. |
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