CAJ | 학술논문

目的：探讨透明质酸钠联合牙合垫治疗颞下颌关节盘不可复性前移位的临床疗效，进而探索效果明显且疗效持久的治疗方法。方法：选取60例颞下颌关节盘不可复性前移位患者，利用抽签取样法将其以1：1比例分成治疗组和对照组，治疗组30例患者应用透明质酸钠注射联合牙合垫治疗；对照组30例患者应用单纯牙合垫治疗。治疗后2、4、6周和6个月复诊，通过疼痛自评视觉模拟尺和FRICTON指数变化来评价临床疗效，从而比较2种治疗方法的疗效。结果：治疗组患者6个月后的总有效率均明显高于对照组；并且疼痛分值、Fricton指数均低于对照组，P<0.05差异有统计学意义。结论：透明质酸钠注射联合咬合板治疗颞下颌关节盘不可复性前移位的疗效明显，能有效缓解各种临床症状。
목적：탐토투명질산납연합아합점치료섭하합관절반불가복성전이위적림상료효，진이탐색효과명현차료효지구적치료방법。방법：선취60례섭하합관절반불가복성전이위환자，이용추첨취양법장기이1：1비례분성치료조화대조조，치료조30례환자응용투명질산납주사연합아합점치료；대조조30례환자응용단순아합점치료。치료후2、4、6주화6개월복진，통과동통자평시각모의척화FRICTON지수변화래평개림상료효，종이비교2충치료방법적료효。결과：치료조환자6개월후적총유효솔균명현고우대조조；병차동통분치、Fricton지수균저우대조조，P<0.05차이유통계학의의。결론：투명질산납주사연합교합판치료섭하합관절반불가복성전이위적료효명현，능유효완해각충림상증상。
Objective To study the sodium hydrogenate joint splint cushion treat-ment of articular disc is clinical curative effect of shifting there maturation ago, ex-plored the effect is obvious and lasting treatment curative effect. Methods 60 patients with TMJ disc not irreversible shift before, will use the sampling method of lottery to them 1:1 ratio were divided into treatment group and control group, treatment group 30 cases of patients with combined application of sodium hydrogenate injection oc-clusion pad treatment.In the control group of 30 patients were used simple cushion treat-ment. Treatment of 2-6 weeks and 6 months appointment, through self-evaluation of pain visual analog scale changes and FRICTON index to evaluate the clinical efficacy,so as to compare the curative effect of two treatment methods. Results The treatment group patients with 2,4,6 weeks and six months after the total effective rate were significantly higher than the control group.And pain scores, Fricton index were significantly lower than the control group, the differences P<0.05 was statistically significant. Conclusion Sodium hydrogenate injection combined therapy with teeth or pad joint shift before not summarize curative effect significantly, can effectively re-lieve the clinical symptoms.