《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (4): 383-385.

• 论文 • 上一篇    下一篇

旋磁穴位疗法对颞下颌关节紊乱病患者疼痛及Fricton指数的影响

陈蔚，王娜，郭燕梅，朱才兴，黎春华，瓮长水   

  1. 解放军总医院南楼临床部康复医学科，北京市 100853。
  • 收稿日期:2010-03-04 修回日期:1900-01-01 出版日期:2010-04-25 发布日期:2010-04-25

Effect of Acupoint Rotating Magnetic Therapy on Pain and Fricton's Index in Patients with Temporomandibular Disorders

CHEN Wei, WANG Na, GUO Yan-mei，et al.   

  1. Department of Rehabilitation Medicine of Nan Lou, The General Hospital of PLA, Beijing 100853, China
  • Received:2010-03-04 Revised:1900-01-01 Published:2010-04-25 Online:2010-04-25

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摘要： 目的探讨旋磁对颞下颌关节紊乱病患者的疼痛指数及Fricton指数的影响。方法采集解放军总医院门诊确诊为颞下颌关节紊乱病(TMD)、符合入选标准的患者65例，随机分为两组：观察组(35例)采用XZC-A型旋转磁疗仪在患侧的下关、听宫、颊车、翳风及阿是穴进行治疗，10 min/穴/次，2次/d，10 d为1个疗程。对照组(30例)采用超短波治疗，15～20 min/次，1次/d，10 d为1个疗程。治疗1个疗程前、后分别对患者进行视觉模拟评分法(VAS)疼痛评分和Fricton指数评定。结果1个疗程治疗后，两组患者的VAS疼痛评分及Fricton指数均下降(P<0-05)，其中观察组效果优于对照组(P<0-05)。结论旋磁穴位疗法能有效缓解TMD患者的疼痛和颞下颌关节功能障碍等临床症状。

关键词: 颞下颌关节紊乱病, 旋转磁场, 穴位, 视觉模拟评分法, Fricton指数

Abstract: ObjectiveTo observe the effect of acupoint rotating magnetic field(RMF) therapy on the pain and Fricton's index in patients with temporomandibular disorders(TMD).Methods65 TMD patients, who met the inclusive criteria, were randomly divided into two groups: the acupoint rotating magnetic therapy group(treatment group, n=35) and the ultrashortwave diathermy group (control group, n=30). The treatment group received XZC-A rotating magnetic field therapy at the acupoints in the affected side, including Xiaguan(ST7), Tinggong(SI19), Jiache(ST6), Yifeng(SJ17) and Ashi, 10 minutes for each acupiont, the course of treatment was performed twice daily for 10 days. The control group was treated with ultrashortwave diathermy for 15～20 min once daily, and considered 10 days as a course of treatment. The patients were evaluated before and after the treatment through Visual Analogue Scale (VAS) and Fricton's Craniomandibular Index(CMI) respectively.ResultsThe values of VAS and CMI in the both groups significantly reduced after a course of treatment respectively (P<0-05), and there were significant differences regarding the post-therapy values of VAS and CMI (P<0-05) between two groups. The values of VAS and CMI in the treatment group reduced more significantly than those in the control group(P<0-05).ConclusionAcupoint rotating magnetic field therapy can relieve the pain and improve the functions of TMD in patients with temporomandibular joint disorder.

Key words: temporomandibular disorders, rotating magnetic field, acupoint, Visual Analogue Scale, Fricton's Craniomandibular Index