Noiman Michele, Garty Azriel, Maimon Yair, Miller Udi, Lev-Ari Shahar
Unit of Complementary and Integrative Medicine, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Acupunct Meridian Stud. 2010 Dec;3(4):260-6. doi: 10.1016/S2005-2901(10)60046-5.
This study aimed to retrospectively examine the efficacy and safety of acupuncture for the relief of pain originating from temporomandibular joint disorder and trigeminal neuralgia. Participants included patients suffering from trigeminal neuralgia or temporomandibular disorder with osseous pathology ruled out by panoramic X-rays. Participants received a series of 8-10 weekly acupuncture treatments and rated their pain via a visual analogue scale. From assessment of a total of 39 patients, analysis of pain severity before and after treatment showed that acupuncture intervention was highly beneficial for patients with temporomandibular joint disorder (88.6%, p < 0.01), compared with patients with trigeminal neuralgia in which there was only a minor effect (25%). The data also demonstrated that acupuncture was both efficacious in acute patients (91%, p < 0.01) and chronic patients (70%, p < 0.05) and elicited no side effects during the course of treatment. Acupuncture treatment was a safe and efficient methodology for relieving the pain of patients suffering from temporomandibular disorder with no detectable osseous joint component. Based on these results, a randomized clinical trial is being initiated at the Stomatologic Clinic at the Tel Aviv Sourasky Medical Center to assess the role of acupuncture in treating temporomandibular joint disorder.
本研究旨在回顾性地研究针刺疗法缓解颞下颌关节紊乱症和三叉神经痛所致疼痛的疗效和安全性。参与者包括患有三叉神经痛或颞下颌关节紊乱症且经全景X线片排除骨病变的患者。参与者接受了一系列每周1次、共8 - 10次的针刺治疗，并通过视觉模拟量表对疼痛进行评分。在对总共39例患者的评估中，治疗前后疼痛严重程度分析显示，针刺干预对颞下颌关节紊乱症患者非常有益（88.6%，p < 0.01），而对三叉神经痛患者只有轻微效果（25%）。数据还表明，针刺对急性患者（91%，p < 0.01）和慢性患者（70%，p < 0.05）均有效，且在治疗过程中未引发副作用。针刺治疗是一种安全有效的方法，可缓解无明显骨关节病变的颞下颌关节紊乱症患者的疼痛。基于这些结果，特拉维夫索拉斯基医疗中心口腔诊所正在开展一项随机临床试验，以评估针刺在治疗颞下颌关节紊乱症中的作用。
