CAJ | 학술논문

目的：观察推拿手法对风寒湿痹型颞下颌关节紊乱患者张口受限的疗效。方法自门诊选取60例颞下颌关节紊乱患者，随机分为两组。 A组31例采用推拿手法治疗，方法为施推法和拇指点按法于阿是穴、耳禾髎、颊车、上关和下关穴，以拿法施于外关合谷穴。 B组29例以超短波理疗。3次/周，2周为1个疗程。疗程结束后对患者张口受限情况进行评定。结果AB两组张口受限程度均减轻，治疗前后差异有统计学意义（<0.05）。 A组最大开口度由治疗前(28.6±6.7） mm增加到（29.9±7.6）mm。 B组最大开口度由治疗前(28.8±5.6) mm,增加到(30.6±6.5) mm。治疗后AB两组间开口度差异无统计学意义（>0.05）。结论两种治疗手段疗效相似，均可减轻患者张口受限症状，促进患者功能康复。
목적：관찰추나수법대풍한습비형섭하합관절문란환자장구수한적료효。방법자문진선취60례섭하합관절문란환자，수궤분위량조。 A조31례채용추나수법치료，방법위시추법화무지점안법우아시혈、이화료、협차、상관화하관혈，이나법시우외관합곡혈。 B조29례이초단파리료。3차/주，2주위1개료정。료정결속후대환자장구수한정황진행평정。결과AB량조장구수한정도균감경，치료전후차이유통계학의의（<0.05）。 A조최대개구도유치료전(28.6±6.7） mm증가도（29.9±7.6）mm。 B조최대개구도유치료전(28.8±5.6) mm,증가도(30.6±6.5) mm。치료후AB량조간개구도차이무통계학의의（>0.05）。결론량충치료수단료효상사，균가감경환자장구수한증상，촉진환자공능강복。
Objective To investigate the mouth opening improvement and safety of tuina manipulation on patients with temporo-mandibular disorders (TMD) Methods A total of 60 cases with early stage TMD were selected. All patients were randomized into two groups. Group A (31 cases) employed pushing technique on Ashi point, Erheliao SJ-22, Xiaguan ST-7, Shangguan GB-3, Ji-ache ST-6 for 5 minutes. Pinching technique was applied on Hegu LI-4 for 1 minute. Group B (29 cases) employed ultrashort wave therapy on local site for 10 minutes. For both groups, the treatment was conducted Three times per week for 2 weeks. The maximum mouth opening were measured prior treatment and after one session treatment. ResuIt In both groups, mouth opening was improved significantly ( <0.05). In group A the maximum mouth opening was increased from 28.6±6.7mm to 29.9±7.6. Group B maximum mouth opening increased from 28.8±5.6 to 30.6±6.5. There was no significant difference between group A and B ( <0.05). ConcIusion Tuina and ultrashort wave therapy are both effective intervention method for limitation of mouth opening for TMD.