摘要
目的：通过对颞下颌关节紊乱病（ＴＭＤ） 的临床表现及咬合板治疗的疗效进行分析，探讨ＴＭＤ 的最佳治疗时机。方法：对１５６ 例经咬合板治疗的ＴＭＤ患者就诊时间及治疗２ 个月后治疗效果做分类统计分析。结果：治疗２ 个月后疼痛、弹响及张口受限的总治愈率分别为８１．４％ 、４９．０％ 和８１．５％ 。其中于发病４ 周内就诊的患者治愈率分别为９３．２％ 、７７．３％ 和９３．２％ ，于４ 周后就诊的患者治愈率分别为７３．９％ 、４０．８ ％ 和３０．０ ％ ，两组差异显著（ 弹响及张口受限， Ｐ＜ ０．０１，疼痛Ｐ＜０．０５）。结论：ＴＭＤ在发病４ 周内进行咬合板治疗效果满意。
Objective: The clinical symptoms of temporomandibular disorders (TMD) and the treatment effect in different treatment periods with occlusal splints were analysed in order to find the best treatment period for TMD.Methods:The different treatment periods of 156 cases of TMD who were treated with occlusal splints and the treatment effect 2 months after the treatment were reviewed and statistically analysed. Results: The total cure rate of pain, clicking and limited range of motion of TMD 2 months after the treatment were separately 81 4%、49 0% and 81 5%. But the cure rate in the groups who were treated within 4 weeks after the symptoms had been found were 93 2%, 77 3% and 93 2%. The cure rate in the groups who were treated 4 weeks later were separately 73 9%,40 8% and 30 0%. There was significant difference between the two groups (pain:P<0 05,clicking and limited range of motion:P<0 01). Conclusion: The treatment effect of TMD with occlusal splints is satisfied, if the patient is treated within 4 weeks after the symptoms were found.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
1999年第S1期49-51,共3页
Journal of Sun Yat-Sen University:Medical Sciences
关键词
颞下颌关节紊乱病/治疗
咬合板
temporomandibular disorders/therapy
occlusal splint
