温针灸结合康复技术治疗不可复性盘前移位的临床观察。

Clinical observation on warming needle moxibustion combined with rehabilitation techniques in the treatment of anterior disc displacement without reduction.

作者信息

Zhu Renjie, Yu Jing, Wang Fangli, Chu Jiamei, Bao Yehua, Wang Qin, Wei Yuanye, Yuan Jianhui

机构信息

Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

Department of Acupuncture and Rehabilitation, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

出版信息

Clin Oral Investig. 2024 Nov 29;28(12):668. doi: 10.1007/s00784-024-06072-9.

DOI:10.1007/s00784-024-06072-9

PMID:39609322

Abstract

OBJECTIVE

To observe the effect of warming needle moxibustion combined with rehabilitation techniques on clinical symptoms and quality of life of patients with anterior disc displacement without reduction (ADDwoR).

METHODS

This randomized controlled trial included 66patients, with ADDwoR, attending the Hangzhou Hospital of Traditional Chinese Medicine. Patients were assigned to the Experimental (12 sessions of warming needle moxibustion combined with rehabilitation manipulation therapy) and Control (rehabilitation therapy only) group (n = 33, each). Duration of treatment was 4 weeks, with 3 times a week. Outcomes included VAS pain score, maximum mouth opening (MMO), mandibular function impairment score (MFIQ), oral health impact scale (OHIP-14 scale), and mandibular dysfunction index (Fricton score). Safety assessments during treatment included incidence of fainting, broken needle, bleeding, hematoma and scalding.

RESULTS

After treatment, the VAS scores, mandibular function impairment scores, oral health impact degree scale, and the scores of Dysfunction index (DI), palpation index (PI) and craniomandibular index (CMI) in the two groups were significantly decreased compared with before. While the maximum mouth opening was increased in both groups, the clinical efficacy evaluation showed the total significant rate of the control group was 59%, and the total significant rate of the experimental group was 83%, demonstrating a significant clinical efficacy difference between the two groups.

CONCLUSION

Compared to targeted rehabilitation exercises only, warming needle moxibustion combined with rehabilitation manipulation can not only improve the pain and maximum mouth opening, but also mandibular function impairment, mandibular joint disorder and oral health of patients with ADDwoR.

CLINICAL TRIAL REGISTRATION

http://www.chictr.org.cn/index.aspx , identififier: ChiCTR2200059039.

摘要

目的

观察温针灸结合康复技术对未复位的前盘前移位（ADDwoR）患者临床症状及生活质量的影响。

方法

这是一项随机对照试验，纳入了 66 例杭州中医院就诊的 ADDwoR 患者，将其随机分为实验组（12 次温针灸联合康复手法治疗）和对照组（仅康复治疗）（n=33，各）。治疗持续 4 周，每周 3 次。结局指标包括视觉模拟评分（VAS）疼痛评分、最大张口度（MMO）、下颌功能障碍指数（MFIQ）、口腔健康影响程度量表（OHIP-14 量表）和下颌功能障碍指数（Fricton 评分）。治疗期间安全性评估包括晕针、断针、出血、血肿和烫伤的发生率。