电针加温和灸治疗颞颌关节紊乱综合征

目的:观察电针加温和灸治疗颞颌关节紊乱综合征(TMJDS)的临床疗效。方法:TMJDS患者62例分为观察组32例和对照组30例,观察组采用电针加温和灸治疗,对照组采用单纯针刺治疗,治疗前后采用Fricton颞下颌关节紊乱指数(CMI)、VAS疼痛评分进行疗效评定。结果:治疗2周后,2组患者CMI及VAS评分均较治疗前明显下降(P<0.05),且观察组更低于对照组(P<0.05)。治疗后2组临床疗效比较,观察组总有效率明显高于对照组(90.62%、76.67%,P<0.05)。结论:电针加温和灸治疗TMJDS疗效较好,明显优于单纯针刺治疗,值得临床推广使用。

Treatment of temporomandibular joint disorders syndrome by electro-acupuncture and mild-warm moxibustion

Objective： To observe the therapeutic effect of electro-acupuncture and mild-warm moxibustion for treatment of temporomandibular joint disorders syndrome（TMJDS）. Methods：Sixty-two cases of TMJDS were divid- ed into observation group（32 cases）and control group（30 cases）. The patients in observation group were treated with electro-acupuncture and mild-warm moxibustion, and those in control group with simple acupuncture only. Before and after treatment,the craniomandibular index（CMI）and the visual analogue scale（VAS）were used for functional as- sessment. Results：After the treatment for 2 weeks,the CMI and VAS scores were significantly reduced（P〈0.05）in two groups as compared with pre-treatment, and CMI and VAS scores in observation group were obviously lower than in control group（P〈0.05）. The total effective rate in observation group was markedly higher than in control group（90.62% ,76.67% ,P〈0.05）. Conclusion：Electro-acupuncture and mild-warm moxibustion has better effect in treating TMJDS than simple acupuncture.