摘要
目的评价分析关节腔注射透明质酸钠介入治疗老年颞下颌关节紊乱病患者的临床疗效。方法临床选择经保守治疗无效的40例颞下颌关节紊乱病引起的张口受限合并关节区疼痛的老年患者,将患者随机分为两组:实验组(关节腔冲洗后注射透明质酸钠),对照组(单纯关节腔冲洗),观察两组治疗前后患者开口度和疼痛变化。结果经一个疗程(每周一次,三周)治疗后,实验组和对照组之间比较:实验组疼痛均较治疗前减轻,与对照组之间有统计学意义(显著性差异)(P<0.01),开口度有统计学意义(显著性差异)(P<0.01),侧向运动有统计学意义(显著性差异)(P<0.01)。结论关节腔注射透明质酸钠介入治疗老年颞下颌关节紊乱病的疗效优于单纯进行关节腔冲洗,透明质酸钠可以明显改善老年患者开口度和疼痛症状的缓解。
Objective To evaluate the clinical efficacy of interventional treatment of sodium hyaluronate for temporomandibular disorders in the aged. Methods An outcome analysis of interventional treatment of sodium hyaluronate （SH） for temporomandibular disorders in the aged. 40 TMD aged patients with limited mouth opening and temporomandibular pain were choosed who suffered conservative treatment. Then we dividing them into the two groups,the experiment group（injection SH after pouring intra-capsnlar）,another group was the contrasrive group （only pouring intra-capsular）.The mouthopening and pain-cured of two groups were observed. Results After a course of treatment （once per week,three weeks）, it seems that SH group was better than the contrastive group,not only on mouth-opening and pain-cured,but also on the mandibular motion. The data was significant difference in statistics（P〈0.01）. Conclusion It seems that the way of injection SH after pouring intra-capsular can gain better outcome than only pouring intra-capsular,SH can improved significantly the mouth-opening and pain-cured of the aged TMD patients.
出处
《中国老年保健医学》
2009年第2期43-44,共2页
Chinese Journal of Geriatric Care
