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目的探讨不同颞下颌关节骨关节炎(TMJOA)治疗方法的临床疗效。方法 90例TMJOA患者,根据治疗方法不同将其分为超短波组(行超短波治疗)、口服药物组(口服盐酸氨基葡萄糖联合双氯芬酸钠药物治疗)及关节腔注射组(关节腔内注射透明质酸钠治疗),各30例。观察对比三组的临床疗效。结果关节腔注射组治疗总有效率90.00%显著高于超短波组63.33%及口服药物组66.67%(P<0.05)。结论相较于单纯的超短波及口服药物治疗,关节腔内注入透明质酸钠可以有效改善TMJOA患者的疼痛症状及关节功能,稳定性佳,适于临床应用。
Objective To investigate the clinical effect of different TMJOA treatment methods on temporomandibular joint osteoarthritis. Methods Totally 90 patients with TMJOA were divided into two groups: ultrashort wave group (treated with ultrashort wave therapy), oral drug group (oral administration of glucosamine hydrochloride combined with diclofenac sodium drug) and intra-articular injection of sodium hyaluronate Treatment), each 30 cases. Observed and compared the clinical efficacy of three groups. Results The total effective rate was 90.00% in the intra-articular injection group, significantly higher than 63.33% in the ultra-short wave group and 66.67% in the oral drug group (P <0.05). Conclusion Compared with the simple ultrashort wave and oral drug treatment, intra-articular injection of sodium hyaluronate can effectively improve the TMJOA patients with pain symptoms and joint function, good stability, suitable for clinical applications.