温针和激光穴位照射治疗颞颌关节功能紊乱的疗效比较.pdfVIP

上海针灸杂志2008年6月第27卷第6期 · 29· 文章编号：1005-0957(2008)06-0029-02 · 临床研究· 温@tSn激光穴位照射治疗颞颌关节功能紊乱的疗效比较 张翠彦 ， 郭惠杰 ， 袁 巍 (1．北京大学人民医院针灸科，北京100044；2．北京大学人民医院口腔科，北京100044) 【摘要】 目的 评价传统疗法(温针)和现代疗法(激光照射)治疗颞颌关节功能紊乱的疗效和优缺点。方法 60例患者随 机分为治疗组(温针)和对照组(激光照射)，治疗组取下关穴和阿是穴给予温针，其他穴位常规疗法针刺，对照组给与以上穴 位激光治疗。分别比较两组的疗效和治疗的次数和经济花费情况。结果 治疗组和对照组疗效比较差异无统计学意义(治 愈率分别为93．3％和90．0％)，治疗组和对照组的平均治疗次数和花费比较差异有统计学意义(治疗组平均治疗l5次、花费 120元，对照组平均治疗8次、花费400元)。结论 两种疗法各有利弊，可根据情况采用。 【关键词】颞下颌关节疾病；温针疗法；激光针刺；颞颌关节功能紊乱 【中图分类号】 R246．83 【文献标识码】 A Comparison of the Efficacy of Warm Needling with Laser Radiation in Treating Temporomandibular Joint Dysfunction ZHANG Cui-yan ，GUO Hui-jie ， YUAN Wei ． 1．Department ofAcupuncture and Moxibustion，Be ng University People’S Hospi— mf’ ng 100044，China；2．Department ofStomatology，Beijing University People’S Hospital，Be ng 100044，China 【Abstract】 Objective To assess the advantages and disadvantages of traditional treatment(wariTl needling)and modem treatment for temporomandibular joint dysfunction．Methods Sixty patients were randomly allocated to a treatment group(w~nrl needling)and a control group(1aser radiation)．In the treatment group，point Xiaguan(ST7)and ashi point were given wariTl needling and other points，conventional acupuncture．In the control group，the above points were given laser radiation．The therapeutic effects，the nun— bers of treatments and the costs were compared between the two groups．Results There was no statistically significant difference in therapeutic effect between the treatment and control groups(the cure rate was 93．3％ and 90．0％ respectively)．There were statisti— cally significant differences in average number of treatments and cost between the treatment and control groups(on average，15 treat— ments received and 120 yuan spent in the treatment group and 8 treatments received and 40O yuan spent in the control group)．Condu-