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急性前脱位是临床最常见的颞下颌关节脱位。复位的方法有口内拇指压送法,口外“下关”穴按压法和颌间复位法。笔者以往曾运用口内拇指压送法冶疗脱位,虽然成功率高,但由于患者精神极度紧张,尽管医生治疗前作了精神安慰,但当患者看到裹有纱布的大拇指伸进口腔时,紧张情绪始终难以解除,给复位带来阻力,较费时,且有咬伤医生拇指的可能。近年笔者改用口外“下关”穴按压法治疗急性脱位50例,觉得此法方法简单,复位迅速,病人痛苦少,效果优于其他方法。
Acute anterior dislocation is the most common clinical dislocation of the temporomandibular joint. Reset method is oral pressure delivery method, outside the mouth, “Shimonoseki” acupressure and intermaxillary reset method. In the past, I had used the oral pressure delivery method for the treatment of dislocation. Although the success rate was high, the patient was so nervous that despite the mental comfort of the doctor before the treatment, when the patient saw the thumb wrapped in gauze into the mouth, he was nervous Emotions have always been difficult to lift, to reset the resistance, more time-consuming, and may bite the doctor's thumb may. In recent years, I switched to mouth “Shimonoseki” acupressure treatment of 50 cases of acute dislocation, that this method is simple, rapid reset, the patient less pain, the effect is better than other methods.