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- 2018
经皮神经电刺激治疗颞下颌关节疼痛的研究
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Abstract:
摘要 目的: 探讨经皮神经电刺激(TENS)对颞下颌关节(TMJ)疼痛患者感觉和运动功能的影响。方法: 采用随机、双盲的方法将单侧TMJ疼痛患者20名与20名正常者平均分为2组,第1组先接受真性TENS(rTENS),后接受假性TENS(sTENS),另1组则相反。测量治疗前、治疗后即刻和治疗后30 min双侧TMJ机械痛阈值(MPT)、压力痛阈值(PPT),无痛最大开口度(opening range,OR)和有痛OR。采用方差分析进行统计。结果: 患者PPT、无痛OR及有痛OR低于对照组(PPPT=0.034,P无痛<0.001,P有痛<0.001)。患者组疼痛侧MPT及PPT低于对照侧(PMPT<0.001,PPPT<0.001)。rTENS后MPT、PPT、无痛OR、有痛OR均有差异(PMPT=0.003,PPPT<0.001,P无痛<0.001,P有痛<0.001)。结论: TMJ疼痛患者的感觉较敏感,运动功能下降;TENS可以改善患者的疼痛阈值和开口度
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