|
- 2018
封闭注射治疗翼外肌痉挛的疗效观察
|
Abstract:
摘要 目的:评价利多卡因、弥可保、得宝松以1∶1∶1混匀封闭注射治疗翼外肌痉挛的疗效。方法:收集翼外肌痉挛患者28例,并对其进行3次为一疗程的封闭治疗。分析治疗1个疗程前后患者的临床特征、疼痛VAS评分、下颌功能运动、Fricton颞下颌关节紊乱指数的变化。结果:第3次注射结束后与治疗前相比,翼外肌痉挛患者的疼痛VAS评分降低(P<0.05),张口度增加(P<0.05),侧方及前伸边缘运动增大(P<0.05)、Fricton颞下颌关节紊乱指数均减小(P<0.05)。结论:封闭注射治疗翼外肌痉挛有效
[1] | Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications [J]. Journal of Oral & Facial Pain & Headache, 2014, 28(1)∶26-27 |
[2] | 傅开元, 张薇, 曹烨,等. 咀嚼肌痉挛的分型与临床特征[J].中华口腔医学杂志,2012,47(7)∶423-426 |
[3] | Mendes RA, Upton LG. Management of dystonia of the lateral pterygoid muscle with botulinum toxin A [J]. Br J Oral Maxillofac Surg, 2009, 47(6)∶481-483 |
[4] | Macpherson H, Maschino AC, Lewith G, et al. Correction: Characteristics of Acupuncture Treatment Associated with Outcome: An Individual Patient Meta-Analysis of 17,922 Patients with Chronic Pain in Randomised Controlled Trials [J]. Plos One, 2013, 8(10):e77438 |
[5] | M?ller E, Bakke M, Dalager T, et al. Oromandibular dystonia involving the lateral pterygoid muscles: Four cases with different complexity [J]. Movement Disorders, 2007, 22(6)∶785-790 |
[6] | Sunil DC, Ramnani P, Thakur D, et al. Botulinum toxin in the treatment of muscle specific Oro-facial pain: a literature review [J]. Journal of Maxillofacial and Oral Surgery, 2015, 14(2)∶171-175 |
[7] | De Leeuw R. Orofacial pain: guidelines for assessment, diagnosis, and management [M]. Quintessence, 2008 |
[8] | Simons DG. Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction [J]. Journal of Electromyography & Kinesiology Official Journal of the International Society of Electrophysiological Kinesiology, 2004, 14(14)∶95-107 |
[9] | Simons DG. The nature of myofascial trigger points [J]. Clinical Journal of Pain, 1995, 11(1)∶83-84 |
[10] | 霍峰,陈启新,王笑茹,等.钙离子导入治疗翼外肌痉挛的肌电变化[J].中国组织工程研究,2004,8(5)∶838-839 |
[11] | Gonzalezperez LM, Infantecossio P, Granadosnunez M, et al. Treatment of temporomandibular myofascial pain with deep dry needling [J]. Medicina Oral Patología Oral Y Cirugía Bucal, 2012, 17(5)∶e781-e785 |
[12] | Look JO, Schiffman EL, Truelove EL, et al. Reliability and validity of Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) with proposed revisions [J]. Journal of Oral Rehabilitation, 2010, 37(10)∶744-759 |
[13] | 唐文卿.中药热敷治疗颞下颌关节紊乱综合征的临床观察[J].河北中医,1995,8(2)∶303 |
[14] | Wu JY, Zhang C, Xu YP, et al. Acupuncture therapy in the management of the clinical outcomes for temporomandibular disorders: A PRISMA-compliant meta-analysis [J]. Medicine, 2017, 96(9)∶6064 |
[15] | Langevin HM, Wayne PM, Macpherson H, et al. Paradoxes in acupuncture research: strategies for moving forward [J]. Evidence-Based Complementary and Alternative Medicine, 2011, 2011(1741-427X)∶180805 |
[16] | Clark G, Ram S. Four oral motor disorders: bruxism, dystonia, dyskinesia and drug-induced dystonic extrapyramidal reactions [J]. Dental Clinics of North America, 2007, 51(1)∶225-243 |
[17] | 王玉玮,马绪臣,张震康,等.半侧咀嚼肌痉挛的肌电研究[J].中华口腔医学杂志,2004,39(2)∶155-157 |
[18] | M?ller E, Bakke M, Dalager T, et al. Oromandibular dystonia involving the lateral pterygoid muscles: Four cases with different complexity [J]. Movement Disorders, 2007, 22(6)∶785-790 |
[19] | 刘瑾,吕梦翔.咀嚼肌功能紊乱治疗的解剖学研究[J].天津医科大学学报,2005,11(1)∶48-49 |
[20] | Pek CH, Seet RC, Yik JH, et al. Orofacial dystonia triggered by mouth closure [J]. Clinical Neurology & Neurosurgery, 2010, 112(1)∶79 |
[21] | 马绪臣. 颞下颌关节病的基础与临床[M].人民卫生出版社, 2000∶30-36 |
[22] | 江美媛,游清玲.半导体激光理疗联合A型肉毒毒素治疗颞下颌关节紊乱病的效果评价[J].上海口腔医学,2016,25(6)∶758-761 |
[23] | 傅开元,马绪臣,张震康,等.颞下颌关节紊乱指数临床应用评价[J].中华口腔医学杂志,2002,37(5)∶330-332 |
[24] | Shen YF, Younger J, Goddard G, et al. Randomized clinical trial of acupuncture for myofascial pain of the jaw muscles [J]. Journal of Orofacial Pain, 2009, 23(4)∶353-359 |
[25] | Tan EK, Jankovic J. Botulinum toxin A in patients with oromandibular dystonia: long-term follow-up [J]. Neurology, 1999, 53(9)∶2102-2107 |
[26] | Cao Y, Zhang W, Yap AUJ, et al. Clinical characteristics of lateral pterygoid myospasm: a retrospective study of 18 patients [J]. Oral Surgery Oral Medicine Oral Pathology & Oral Radiology, 2012, 113(6)∶762-765 |