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针灸治疗颞下颌关节紊乱症疼痛症状:一份基于证据的病例报告。

Acupuncture in Temporomandibular Disorders Painful Symptomatology: An Evidence-Based Case Report.

作者信息

Dietrich Lia, Rodrigues Igor Vinícius Santos, Assis Costa Marcelo Dias Moreira de, Carvalho Roberta Furtado, Silva Gisele Rodrigues da

机构信息

Department of Operative Dentistry and Dental Materials, Biomechanics Research Group, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil.

Department of Operative Dentistry and Oral Rehabilitation, Faculty of Dentistry, Faculty of Patos de Minas, Patos de Minas, Brazil.

出版信息

Eur J Dent. 2020 Oct;14(4):692-696. doi: 10.1055/s-0040-1716631. Epub 2020 Oct 1.

Abstract

Temporomandibular dysfunction (TMD) is complex and multifactorial. Its etiology involves various factors, such as malocclusion, psychological patterns, parafunctional habits, and the temporomandibular joint anatomy. Symptoms include myofascial pain, joint clicking, mouth opening limitation, headaches, earaches, and neck pain, comprising one of the greatest causes of nondental pain. Acupuncture has been used to treat these conditions by acting locally both in muscle relaxation and pain management as well as reaching physical, mental, and emotional balance. The aim of this study is to present a brief literature review reporting the efficacy of acupuncture on TMDs and a case report in which the painful symptomatology of TMD was treated with a systemic protocol, based on scientific evidence and concepts of traditional Chinese medicine. Acupuncture may be a complementary treatment for TMD, and in this case report, it eliminated the patient's painful symptomatology.

摘要

颞下颌关节紊乱病(TMD)是一种复杂的多因素疾病。其病因涉及多种因素,如错牙合、心理模式、副功能习惯以及颞下颌关节解剖结构等。症状包括肌筋膜疼痛、关节弹响、张口受限、头痛、耳痛和颈部疼痛,是导致非牙源性疼痛的主要原因之一。针灸已被用于治疗这些病症,它通过局部作用于肌肉放松和疼痛管理,以及实现身体、心理和情绪的平衡来发挥作用。本研究的目的是简要回顾文献,报告针灸治疗颞下颌关节紊乱病的疗效,并呈现一例病例报告,该病例基于科学证据和中医理念,采用全身治疗方案治疗颞下颌关节紊乱病的疼痛症状。针灸可能是颞下颌关节紊乱病的一种辅助治疗方法,在本病例报告中,它消除了患者的疼痛症状。

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Could Acupuncture Be Useful in the Treatment of Temporomandibular Dysfunction?针灸对颞下颌关节紊乱病的治疗是否有效?
J Acupunct Meridian Stud. 2015 Aug;8(4):192-9. doi: 10.1016/j.jams.2014.12.001. Epub 2014 Dec 8.

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