目的观察局部注射醋酸强的松龙对颞下颌关节紊乱的疗效。方法对160例颞下颌关节紊乱疾病患者,采取关节上腔或关节下腔注射醋酸强的松龙0.5ml(12.5mg)与普鲁卡因0.2ml的混合液,98例期间配合其他治疗措施,如磁疗,理疗,调牙合,及戴用牙合垫,随访观察。结果治疗后113例症状减轻,47例无改善。结论疗效并不随治疗次数的增加而增加,醋酸强的松龙的作用,可能是对关节内滑膜炎有抑制和缓解作用的结果 ,随意增加次数的做法,是不适当的,那样会增加患者的痛苦,与其他治疗措施协同。 Objective To observe the curative effect of local injection of prednisolone on temporomandibular joint disorder. Methods A total of 160 cases of temporomandibular disorder patients were treated with 0.5 ml (12.5 mg) prednisolone and 0.2 ml procaine hydrochloride injected into the inferior or superior articular cavity of the joint. During the course of treatment, 98 cases were treated with other therapeutic measures, Such as magnetic therapy, physical therapy, adjusting teeth together, and wearing a occlusal pad, follow-up observation. Results After treatment, the symptoms of 113 patients were relieved, while 47 patients did not improve. Conclusion The curative effect does not increase with the increase of the number of treatments. The effect of prednisolone acetate may be the result of inhibiting and relieving the effect of intra-articular synovitis. It is not appropriate to increase the number of times arbitrarily, which will increase the patients The pain, in conjunction with other therapies.