CAJ | 학술논문

目的：研究比较正畸治疗联合认知-行为干预对颞下颌关节紊乱病(TMD)青壮年患者的临床疗效。方法48例TMD患者随机分成实验组和对照组，每组24例。实验组患者进行正畸治疗联合认知-行为干预，对照组患者单纯进行正畸治疗。比较两组和治疗效果。结果对照组治愈12例，治愈率为50.0%；有效6例，占25.0%；无效6例，占25.0%；成功率为75.0%。实验组治愈14例，治愈率为58.3%；有效9例，占37.5%；无效1例，占4.2%；成功率95.8%。实验组疗效优于对照组，差异有统计学意义(P<0.05)。结论在正畸治疗TMD青壮年患者中，有必要考虑社会心理因素，并对症给予心理疏导。
목적：연구비교정기치료연합인지-행위간예대섭하합관절문란병(TMD)청장년환자적림상료효。방법48례TMD환자수궤분성실험조화대조조，매조24례。실험조환자진행정기치료연합인지-행위간예，대조조환자단순진행정기치료。비교량조화치료효과。결과대조조치유12례，치유솔위50.0%；유효6례，점25.0%；무효6례，점25.0%；성공솔위75.0%。실험조치유14례，치유솔위58.3%；유효9례，점37.5%；무효1례，점4.2%；성공솔95.8%。실험조료효우우대조조，차이유통계학의의(P<0.05)。결론재정기치료TMD청장년환자중，유필요고필사회심리인소，병대증급여심리소도。
Objective To study and compare the clinical effect of orthodontic treatment combined with cognition-behavior intervention in the treatment of young adults with temporomandibular disorders (TMD). Methods A total of 48 TMD patients were randomly divided into experimental group and control group, with 24 cases in each group. The experimental group received orthodontic treatment combined with cognition-behavior intervention, while the control group received orthodontic treatment alone. Curative effects of the two groups were compared.Results There were 12 cured cases in the control group, and the cure rate was 50.0%. Among them, there were 6 effective cases, accounting for 25.0%, and 6 ineffective cases, accounting for 25.0%. The success rate was 75.0%. The cured cases in the experimental group were 14 cases, and the cure rate was 58.3%. There were 9 effective cases, accounting for 37.5%, and 1 ineffective case, accounting for 4.2%. The success rate was 95.8%. The curative effect of the experimental group was better than that of the control group, and the difference had statistical significance (P<0.05).Conclusion In the orthodontic treatment of young adults with TMD, it is necessary for consideration of the social-psychological factors and providing symptomatic psychological counseling.