【摘要】 【目的】观察浮针联合再灌注疗法治疗颞下颌关节紊乱病的临床疗效。【方法】将70例颞下颌关节紊乱病的患者随机分为观察组和对照组，每组各35例。2组患者给予健康宣教，对照组给予常规针刺治疗，观察组给予浮针联合再灌注活动治疗。每周治疗3次，3次为1个疗程，共治疗2个疗程。治疗2周后，评价2组临床疗效，观察2组患者治疗前后视觉模拟量表（VAS）评分的变化情况，以及最大主动开口度（MMO）的情况。比较2组患者治疗前后Fricton指数评分包括PI、DI、CMI评分的变化情况。并评价2组的安全性及不良反应的发生情况。【结果】（1）观察组总有效率为97.14%(34/35)，对照组为80.00%(28/35)。观察组疗效优于对照组，差异有统计学意义（P<0.05）。（2）治疗后，2组患者的VAS评分明显改善（P<0.05），且观察组在改善VAS评分方面明显优于对照组，差异有统计学意义（P<0.05）。（3）治疗后，2组患者的Fricton指数评分包括PI、DI、CMI评分均明显改善（P<0.05），且观察组在改善PI、DI、CMI评分方面明显优于对照组，差异均有统计学意义（P<0.05）。（4）治疗后，2组患者的MMO明显改善（P<0.01），且观察组在改善MMO方面明显优于对照组，差异有统计学意义（P<0.01）。（5）2组患者的不良反应发生率比较，差异无统计学意义（P>0.05）。【结论】浮针联合再灌注疗法治疗颞下颌关节紊乱病，能明显减轻患者的疼痛症状，改善患者临床症状，提高患者关节功能，临床疗效显著。更多还原

【Abstract】 Objective To observe the clinical efficacy of the Fu’s subcutaneous needling combined with reperfusion approach in treating temporomandibular disorders(TMD). Methods Seventy patients with TMD were randomly divided into observation and control groups,with 35 patients in each group. Both groups of patients were given health education,while the control group was given conventional acupuncture treatment and the observation group was given Fu’s subcutaneous needling combined with reperfusion approach. The treatment was given 3 times a week,3 times as a course of treatment,for a total of 2 courses of treatment. After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Visual Analogue Scale(VAS)scores and the maxima mouth opening(MMO)of the patients in the two groups were observed before and after treatment. The changes in Fricton Index scores including PI,DI and CMI scores were compared in the two groups before and after treatment. The safety of the two groups and the adverse occurrence of reactions were evaluated. Results(1)The total effective rate of the observation group was 97.14%(34/35)and that of the control group was 80.00%(28/35).The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment, the VAS scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the VAS scores,and the difference was statistically significant(P<0.05).(3)After treatment,the Fricton Index scores including PI,DI and CMI scores of the two groups were significantly improved(P<0.05), and the observation group was significantly superior to the control group in improving PI,DI and CMI scores,and the difference was statistically significant(P<0.05).(4)After treatment,the MMO of patients in the two groups was significantly improved(P<0.01), and the observation group was significantly superior to the control group in improving MMO, and the difference was statistically significant(P<0.01).(5)There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion Fu’s subcutaneous needling combined with reperfusion approach for TCM can significantly reduce patients’ pain symptoms, improve their clinical symptoms and enhance their joint function,with remarkable clinical efficacy.更多还原