关节腔注射治疗对老年与非老年颞下颌关节骨关节炎患者的疗效观察

摘要

Objectiye To evaluate the clinical efficacy of articular cavity injection of sodium hyaluronate treated in elderly and non - eld-erly patients with temporomandibular joint osteoarthritis. Methods According to the different age,the patinets will be divided into 2 groups,70 patients with TMJOA non elderly group( < 60 years old,n = 35)and elderly group(60 years old or higher,n = 35). Two groups of patients all accepted a period of treatment(5 weeks)total lavage and articular cavity injection therapy. Unassisted maximum opening degree,the pain at rest and chewing,joint movement disorders,and the patientˊs quality of life(OHIP - 14 scale)of the two groups patients before and after treatment for 6 months. Results After 6 months treatment,unassisted maximum opening degree,the pain at rest and chewing,the movement disorders,and the patient ˊs quality of life after treatment were improved significantly than before treatment( P < 0. 05). All kinds of symptoms in elderly group were better those of non elderly group( P < 0. 05). Conclusion Articular cavity injection of sodium hyaluronate used to treat patients with elder-ly and non - elderly TMJOA has better clinical curative effect,and the curative effect of old people is better.%目的：评价关节腔注射透明质酸钠治疗老年与非老年颞下颌关节骨关节炎（ TMJOA）患者的临床疗效。方法依照年龄段不同将70例 TMJOA 患者分为两组，非老年组（<60周岁，n =35）和老年组（≥60周岁，n =35），两组患者均接受1个疗程（5周）的全关节灌洗术加关节腔注射治疗；比较两组患者治疗前和治疗后6个月的非辅助最大开口度、休息时及咀嚼时疼痛感、关节运动功能障碍以及患者的生存质量（OHIP -14量表）。结果两组患者治疗后6个月的非辅助最大开口度、休息时及咀嚼时疼痛感、关节运动功能障碍以及患者的生存质量均较治疗前明显改善（ P <0.05）；老年组的各项症状的改善情况优于非老年组（ P <0.05）。结论关节腔注射透明质酸钠治疗老年与非老年TMJOA 患者均有较好的临床疗效，而对老年人的疗效更优。