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目的:比较咬合运动和关节下腔注射醋酸泼尼松龙治疗颞下颌关节滑膜炎的临床效果。方法:选择牙列完整、无第三磨牙阻生、符合颞下颌关节滑膜炎诊断标准的120例患者,随机分为实验组和对照组,每组60例。实验组行咬合运动,每次3-4个循环,每日3-4次,治疗周期为12个月;对照组给予醋酸泼尼松龙0.0125g+0.5ml2%利多卡因关节下腔注射一次,比较两种方法的治疗效果。结果:实验组的60例患者均在治疗后1-2w疼痛消失,追踪3-12个月无复发。对照组的60例患者,2个周后有18例无效,无效率为30%,两组比较其结果有显著性差异(P<0.001);3个月后有22例无效,无效率为36.67%,两组比较其结果有显著性差异(P<0.001)。结论:咬合运动组的治疗效果显著高于醋酸泼尼松龙注射组,咬合运动能有效的治疗滑膜炎并减少患者的治疗痛苦。
Objective: To compare the clinical effects of occlusal movement and injection of prednisolone acetate into temporomandibular joint synovitis. Methods: One hundred and twenty patients with intact dentition without third molars obstruction and conformed to the diagnostic criteria of temporomandibular joint synovitis were randomly divided into experimental group and control group, 60 cases in each group. In the experimental group, occlusion was performed 3-4 times a day for 3-4 times a day, and the treatment period was 12 months. In the control group, prednisolone acetate 0.0125g + 0.5ml 2% lidocaine , Compare the two methods of treatment. Results: All the 60 patients in the experimental group disappeared 1-2 weeks after treatment and followed up for 3-12 months without recurrence. Sixty patients in the control group were ineffective at 18 weeks and 30% after 2 weeks. There was a significant difference between the two groups (P <0.001); after 3 months, 22 were ineffective and the inefficiency was 36.67 %, There was a significant difference between the two groups (P <0.001). Conclusion: The treatment effect of occlusal exercise group is significantly higher than that of prednisolone acetate injection group. The occlusal exercise can effectively treat synovitis and reduce the treatment pain of patients.