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透明质酸钠与曲安奈得治疗颞下颌关节滑膜炎的对比观察

Effects of intraarticular injection of sodium hyaluronate and triamcinolone acetonide on secondary temporomandibular synovitis

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【作者】 罗伟民; 杨玉茹; 张志红; 龙星;

【Author】 Luo Weimin,Yang Yuru,Zhang Zhihong,et al.Department of Stomatology,Xiangfan Center Hospital,Xiangfan City,Hubei 441021,China

【机构】 湖北省襄樊市中心医院口腔科; 襄樊市卫生局; 武汉大学口腔医学院 441021; 441021;

【摘要】 目的:探索治疗颞下颌关节继发性滑膜炎的方法。方法:选择颞下颌关节滑膜炎患者67例,随机分成2组,分别采用透明质酸钠和曲安奈得行关节腔注射治疗,对比2种药物的治疗效果,并计算各组总有效率并进行χ2检验。结果:治疗后1周、1、3月复诊,1周时2组有显著差异,曲安奈得好于透明质酸钠(P<0.05);1月时2组无明显差异(P>0.05);3月时2组又有显著差异,透明质酸钠好于曲安奈得(P<0.01)。结论:短期效果曲安奈得比透明质酸钠好,长期疗效透明质酸钠比曲安奈得好。

【Abstract】 Objective:To evaluate the therapeutical effects of sodium hyaluronate and triamcinolone acetonide on secondary temporomandibular synovitis.Methods:67 patients with secondary temporomandibular synovitis were divided into two groups:A group received the intraarticular injection of sodium hyaluronate and B group received triamcinolone acetonide injection.The effects of two groups were observed.Results:Patients were followed up at 1 week,2 months and 3 months after being treated respectively.Although 1 week after treatment,A group showed better curative effect(P<0.05),there was no significant difference between the two medicines after 2 months(P>0.05).After 3 months,B group showed better effects than A group(P<0.01).Conclusion:In a short time,the effect of triamcinolone acetonide intraarticular injection is better than that of sodium hyaluronate.But in a long term,the effect of sodium hyaluronate injection is more effective.

  • 【文献出处】 实用口腔医学杂志 ,Journal of Practical Stomatology , 编辑部邮箱 ,2007年03期
  • 【分类号】R782.6
  • 【被引频次】5
  • 【下载频次】123
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