经皮电刺激治疗颞下颌关节紊乱

摘要

Objective:To study and analysis the effect of Transcutaneous Electrical Nerve Stimulation(TENS) on the treatment of temporomandibular disorder(TMD) patients. Methods:135 cases with TMD participated in this study. 67cases (70 temporomandibular joint) received TENS therapy and 68 cases (70 temporomandibular joint)received He－Ne Laser therapy（ control group） . Compare the total effect and the effect within 10 times therapy of the two groups and the effect with the course respectively. Result: The total fully－recovered and notable－improved rate and effective rate of TENS group and control group were 88.6％ 、 97.1％ ， and 82.9％ 、 95.7％ , respectively. There weren't significant differences between both groups(P 0.05).To the patients within 10 times therapy, the fully－recovered and notable－improved rate of TENS group (46 temporomandibular joint)and control group(41 temporomandibular joint) were 89.1％ and 70.7％（ χ2=4.6676， P0.05） ,the average therapy times were(5.4± 2.0)and(6.7± 2.0)（ 95％ confidence limit）（ P 0.05).Conclusion: Clinical practice initially confirms that TENS is an effective therapy for TMD. It has better effect in shortening the course and alleviating the symptoms of TMD compared with He－Ne Laser.%目的：观察经皮电刺激(TENS)治疗颞下颌关节紊乱疗效。方法：采用TENS及He－Ne激光（对照组）治疗颞下颌关节紊乱，两组分别为70颞/67例和70颞/68例。结果：TENS组及对照组治疗前后总痊愈显效率及有效率分别为88.6％、97.1％和82.9％、95.7％，经统计学处理，差异均无显著性意义（P0.05）。疗程10次以内的患者，TENS组45例（46颞下颌关节），对照组41颞/40例，痊愈显效率分别为89.1％和70.7％(P0.05)，平均治疗次数分别为(5.4±2.0)和(6.7±2.0)(P0.05)，两组相比均有显著性差异。结论：TENS可有效治疗颞下颌关节紊乱，见效较He－Ne激光快。