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目的对比曲安奈德与透明质酸下颌关节上下腔联合注射治疗颞下颌关节紊乱病的效果。方法将212例颞下颌关节紊乱患者随机分为观察组和对照组各106例。观察组和对照组分别使用曲安奈德和透明质酸进行上下腔联合注射治疗,比较2组临床疗效及治疗前和治疗后第1、4、8周疼痛直观模拟标尺(VAS)评分。结果观察组总有效率为93.40%高于对照组的80.19%,差异有统计学意义(P<0.05)。治疗前2组VAS评分差异无统计学意义(P>0.05)。治疗后2组第1、4、8周VAS评分均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论曲安奈德与透明质酸治疗颞下颌关节紊乱,均具有很好的止痛作用,但在早期止痛效果方面,曲安奈德比透明质酸表现更为优异,值得在临床中应用。
Objective To compare the effects of triamcinolone acetonide and hyaluronic acid combined mandibular joint injection of temporomandibular joint disorder. Methods 212 cases of temporomandibular joint disorder were randomly divided into observation group and control group of 106 cases. The observation group and the control group were treated with triamcinolone acetonide and hyaluronic acid respectively. The clinical curative effect of the two groups were compared, and the pain visual analogue scale (VAS) scores before and 1, 4 and 8 weeks after treatment were compared. Results The total effective rate in the observation group was 93.40%, which was significantly higher than that in the control group (80.19%) (P <0.05). There was no significant difference in VAS score between the two groups before treatment (P> 0.05). The VAS score of the 1st, 2nd, 4th, and 8th week after treatment were lower than before treatment, and the observation group was lower than the control group, the difference was statistically significant (P <0.05). CONCLUSION Triamcinolone acetonide and hyaluronic acid can treat temporomandibular joint disorder well, but all have good analgesic effect in early analgesic effect. Triamcinolone acetonide is superior to hyaluronic acid in clinical application.