经皮穴位电刺激防治正畸牙痛与口腔功能障碍临床研究

发布时间：2018-06-09 00:27

本文选题：正畸 + TEAS　；参考：《中国针灸》2016年05期

【摘要】：目的:观察经皮穴位电刺激(transcutanclus electrical acupoint stimulation,TEAS)防治正畸牙齿疼痛和口腔功能障碍的临床疗效。方法:将85例错畸形初诊正畸患者随机分为对照组(20例)、心理干预组(22例)、药物治疗组(20例)、TEAS组(23例)4组,均给予正畸治疗。对照组不进行其他干预;心理干预组给予综合心理治疗,包括认知教育和音乐治疗;药物治疗组口服布洛芬治疗;TEAS组予TEAS治疗,穴取巨毼、夹承浆和耳穴"牙",每日治疗2次,早晚各1次,均治疗7d。观察各组患者正畸牙齿疼痛评分和口腔功能障碍变化情况。结果:1 TEAS组从第12h到第4d5个评测点正畸自发痛评分均较对照组降低(均P0.01),同时段评分均低于心理干预组(P0.05,P0.01);TEAS组自发痛评分与药物治疗组相当,差异均无统计学意义(均P0.05)。2在自发痛高峰期,TEAS组激惹痛评分均低于对照组,无论分时统计还是总体统计差异均有统计学意义(均P0.01);激惹痛评分也低于心理干预组(均P0.01);与药物治疗组比较差异均无统计学意义(均P0.05)。3与对照组比较,余组说话障碍分级无明显变化,差异均无统计学意义(P0.05)。4 TEAS组较对照组能有效降低正畸患者中重度进食的障碍分级,差异有统计学意义(P0.05),与药物治疗组分级情况比较差异无统计学意义(P0.05);心理干预组患者中重度进食的障碍分级情况与对照组比较差异亦无统计学意义(P0.05)。5药物治疗组出现3例胃肠不良反应,余组未见不良反应。结论:TEAS能有效防治正畸牙齿疼痛和口腔功能障碍,疗效优于心理干预,并与药物治疗相当,且能避免药物治疗的不良反应。
[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.
【作者单位】：贵州医科大学口腔医学院;贵阳中医学院针灸推拿学院;遵义贝齿蓝天口腔疾病预防与控制研究所;
【基金】：贵州省科学技术基金项目:黔科合J字[2012]2052号贵州省科技厅贵州医科大学联合基金项目:黔科合LG字[2012]048号贵州省中医药管理局中医药、民族医药科学技术研究项目:QZYY2010-56
【分类号】：R783.5;R781.5

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