發(fā)布時(shí)間：2018-06-09 00:27

  本文選題：正畸 + TEAS　； 參考：《中國(guó)針灸》2016年05期

【摘要】：目的:觀察經(jīng)皮穴位電刺激(transcutanclus electrical acupoint stimulation,TEAS)防治正畸牙齒疼痛和口腔功能障礙的臨床療效。方法:將85例錯(cuò)畸形初診正畸患者隨機(jī)分為對(duì)照組(20例)、心理干預(yù)組(22例)、藥物治療組(20例)、TEAS組(23例)4組,均給予正畸治療。對(duì)照組不進(jìn)行其他干預(yù);心理干預(yù)組給予綜合心理治療,包括認(rèn)知教育和音樂治療;藥物治療組口服布洛芬治療;TEAS組予TEAS治療,穴取巨毼、夾承漿和耳穴"牙",每日治療2次,早晚各1次,均治療7d。觀察各組患者正畸牙齒疼痛評(píng)分和口腔功能障礙變化情況。結(jié)果:1 TEAS組從第12h到第4d5個(gè)評(píng)測(cè)點(diǎn)正畸自發(fā)痛評(píng)分均較對(duì)照組降低(均P0.01),同時(shí)段評(píng)分均低于心理干預(yù)組(P0.05,P0.01);TEAS組自發(fā)痛評(píng)分與藥物治療組相當(dāng),差異均無統(tǒng)計(jì)學(xué)意義(均P0.05)。2在自發(fā)痛高峰期,TEAS組激惹痛評(píng)分均低于對(duì)照組,無論分時(shí)統(tǒng)計(jì)還是總體統(tǒng)計(jì)差異均有統(tǒng)計(jì)學(xué)意義(均P0.01);激惹痛評(píng)分也低于心理干預(yù)組(均P0.01);與藥物治療組比較差異均無統(tǒng)計(jì)學(xué)意義(均P0.05)。3與對(duì)照組比較,余組說話障礙分級(jí)無明顯變化,差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。4 TEAS組較對(duì)照組能有效降低正畸患者中重度進(jìn)食的障礙分級(jí),差異有統(tǒng)計(jì)學(xué)意義(P0.05),與藥物治療組分級(jí)情況比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);心理干預(yù)組患者中重度進(jìn)食的障礙分級(jí)情況與對(duì)照組比較差異亦無統(tǒng)計(jì)學(xué)意義(P0.05)。5藥物治療組出現(xiàn)3例胃腸不良反應(yīng),余組未見不良反應(yīng)。結(jié)論:TEAS能有效防治正畸牙齒疼痛和口腔功能障礙,療效優(yōu)于心理干預(yù),并與藥物治療相當(dāng),且能避免藥物治療的不良反應(yīng)。
[Abstract]:Objective: to observe the clinical effect of transcutanclus electrical acupoint stimulation on orthodontic tooth pain and oral dysfunction. Methods: 85 patients with malocclusion were randomly divided into control group (n = 20), psychological intervention group (n = 22) and drug treatment group (n = 20). The control group received no other intervention; the psychological intervention group was given comprehensive psychological treatment, including cognitive education and music therapy; the drug treatment group was treated with teas by oral administration of ibuprofen. One time in the morning and evening, all the patients were treated for 7 days. To observe the changes of orthodontic dental pain score and oral dysfunction. Results the scores of spontaneous pain of orthodontic pain in group 1 were lower than those in control group from 12 h to 4d5 (P 0.01). The scores of spontaneous pain in group 1 were lower than those in group P 0.05 and P 0.01 in the same period as those in the group treated with drugs. There was no significant difference between the two groups (P0.05B.2) in the peak period of spontaneous pain, the scores of irritation pain in the teas group were lower than those in the control group. Both time-sharing and overall statistical differences were statistically significant (all P 0.01), the score of irritation pain was also lower than that of psychological intervention group (all P 0.01), and there was no significant difference compared with the drug treatment group (all P 0.05.3 vs the control group). There was no significant change in speech disorder grade in the remaining group, but there was no significant difference between the two groups. Compared with the control group, the scores of moderate and severe eating disorders in the rest group were significantly lower than those in the control group. The difference was statistically significant (P 0.05), and there was no significant difference between the two groups. There was no significant difference between the psychological intervention group and the control group in the grading of moderate and severe eating disorders. There was no significant difference between the two groups in the drug treatment group (P 0.05.5), and in the psychological intervention group (P 0.05), there was no significant difference between the psychological intervention group and the control group. There were 3 cases of gastrointestinal adverse reactions. No adverse reactions were observed in the other group. ConclusionThEAS can effectively prevent and treat orthodontic tooth pain and oral dysfunction. It is superior to psychological intervention and can avoid adverse reactions of drug therapy.
【作者單位】： 貴州醫(yī)科大學(xué)口腔醫(yī)學(xué)院;貴陽中醫(yī)學(xué)院針灸推拿學(xué)院;遵義貝齒藍(lán)天口腔疾病預(yù)防與控制研究所;
【基金】：貴州省科學(xué)技術(shù)基金項(xiàng)目:黔科合J字[2012]2052號(hào) 貴州省科技廳貴州醫(yī)科大學(xué)聯(lián)合基金項(xiàng)目:黔科合LG字[2012]048號(hào) 貴州省中醫(yī)藥管理局中醫(yī)藥、民族醫(yī)藥科學(xué)技術(shù)研究項(xiàng)目:QZYY2010-56
【分類號(hào)】：R783.5;R781.5

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本文編號(hào)：1997931