CAJ | 학술논문

目的：探讨关节腔注射玻璃酸钠结合术后被动张口训练治疗不可复性关节盘前移位的临床疗效。方法：将96例不可复性关节盘前移位的患者随机分为实验组和对照组，两组均行关节腔注射玻璃酸钠3次，实验组术后结合被动张口训练，对照组术后不进行被动张口训练。每次治疗后和3个月后均对两组患者治疗效果、有效率进行临床评价。结果：各组在治疗第3次后与治疗前相比较，实验组有显著性差异（P ＜0．01），对照组差异有统计学意义（P ＜0．05）；各组在治疗第1次、第2次和第3次分别进行两两比较，实验组、对照组差异均有统计学意义（P＜0．05）。各组治疗第3次后与治疗3个月后相比较，差异无统计学意义（P＞0．05）。实验组和对照组在每次治疗后和3个月后的对比观察均具有显著性差异（P＜0．01）。结论：应用玻璃酸钠关节腔内3次注射结合被动张口训练在不可复性关节盘前移位的治疗中具有显著稳定的临床疗效，在一定程度上为临床医师选择治疗周期和治疗次数提供参考。
목적：탐토관절강주사파리산납결합술후피동장구훈련치료불가복성관절반전이위적림상료효。방법：장96례불가복성관절반전이위적환자수궤분위실험조화대조조，량조균행관절강주사파리산납3차，실험조술후결합피동장구훈련，대조조술후불진행피동장구훈련。매차치료후화3개월후균대량조환자치료효과、유효솔진행림상평개。결과：각조재치료제3차후여치료전상비교，실험조유현저성차이（P ＜0．01），대조조차이유통계학의의（P ＜0．05）；각조재치료제1차、제2차화제3차분별진행량량비교，실험조、대조조차이균유통계학의의（P＜0．05）。각조치료제3차후여치료3개월후상비교，차이무통계학의의（P＞0．05）。실험조화대조조재매차치료후화3개월후적대비관찰균구유현저성차이（P＜0．01）。결론：응용파리산납관절강내3차주사결합피동장구훈련재불가복성관절반전이위적치료중구유현저은정적림상료효，재일정정도상위림상의사선택치료주기화치료차수제공삼고。
Objective:to study the articular cavity injection of sodium hyaluronate combined with postoperative pas-sive mouth treatment clinical curative effect of shifting the renaturation joint plate before, to provide technical guidance for clinical. Method:96 cases of an irreversible joint plate before the shift of the patients were randomly divided into trial group and control group,two groups of articular cavity injection of sodium hyaluronate in 3, the experimental group com-bined with passive mouth after training,the control of postoperative passive mouth training.Every time after treatment and after 3 months for two groups of patients in the clinical evaluation on the treatment effect, efficient. Result:each group after treatment for 3 times compared with before treatment, found that the experimental group had significant difference (P <0.01),while the control group the difference had statistical significance(P<0.05);Between groups in treatment of first,sec-ond and third respectively are compared,and two found that have a statistically significant difference were observed in the experimental group and control group(P<0.05).Each group 3 times after treatment compared with 3 months after treatment, there was no statistically significant difference(P>0.05).The experimental group and control group after each treatment and 3 months after the contrast found that have significant difference (P <0.01). Conclusion:the application of sodium hyaluronate articular cavity injection combined with passive mouth training 3 times before not irreversible articular disc dis-placement has significant stability in the treatment of clinical curative effect,and to a certain extent for clinicians to choose number of treatment cycles, and provide a reference value.