国际口腔医学杂志

国际口腔医学杂志 ›› 2026, Vol. 53 ›› Issue (6): 859-865.doi: 10.7518/gjkq.2026132

• 论著 • 上一篇    

激光协同针灸治疗颞下颌关节紊乱病的临床效果观察

郝旭蕾(),赵强()   

  1. 航空总医院口腔医学中心 北京 100012
  • 收稿日期:2026-02-26 修回日期:2026-07-02 出版日期:2026-11-01 发布日期:2026-10-29
  • 通讯作者: 赵强
  • 作者简介:郝旭蕾，副主任医师，硕士，Email：648069624@qq.com

Clinical effects of laser-assisted acupuncture on temporomandibular joint disorders

Xulei Hao(),Qiang Zhao()   

  1. Dept. of Stomatology, Aviation General Hospital, Beijing 100012, China
  • Received:2026-02-26 Revised:2026-07-02 Online:2026-11-01 Published:2026-10-29
  • Contact: Qiang Zhao

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摘要：

目的 探讨激光协同针灸治疗颞下颌关节紊乱病（TMD）的临床效果。 方法 回顾性分析2023年1月至2025年1月航空总医院口腔医学中心收治的120例TMD患者的临床资料，根据实际接受的治疗方式分为A、B和C组，每组各40例。A组采用激光治疗，B组采用针灸治疗，C组采用激光协同针灸治疗，治疗周期均为4周。比较3组临床疗效、疼痛程度评分、最大主动开口度（MMO）以及颞下颌关节功能情况，并记录3组患者治疗期间不良反应发生情况。 结果 A、B、C组治疗总有效率分别为75.00%、80.00%和95.00%；C组治疗总有效率高于A和B组，差异有统计学意义（P<0.05）。治疗4周后，与A、B组患者相比，C组视觉模拟量表（VAS）评分、功能障碍指数（DI）、肌肉压痛指数（PI）、Fricton颞下颌关节紊乱指数（CMI）以及下颌功能受损问卷（MFIQ）中饮食能力、执行能力评分更低，MMO更高（P<0.05）；治疗4周后，A和B组上述指标比较，差异均无统计学意义（P>0.05）。3组患者治疗期间均未出现不良反应。 结论 激光协同针灸治疗TMD可提高临床疗效，有效缓解患者疼痛症状，提高张口度，且有助于改善颞下颌关节功能，安全性较好。

关键词: 颞下颌关节紊乱病, 激光, 针灸疗法, 临床研究

Abstract:

Objective To investigate the clinical effects of laser-assisted acupuncture in treating temporomandibular joint disorders (TMD). Methods A total of 120 patients with TMD admitted to Department of Stomatology, Aviation General Hospital from January 2023 to January 2025 were selected and divided into groups A, B, and C according to the actual treatment received, with 40 cases in each group. Groups A, B, and C received laser, acupuncture, and laser-assisted acupuncture therapies, respectively, for a treatment period of four weeks. Clinical efficacy indices, including pain intensity scores, maximum mouth opening (MMO), and temporomandibular joint function, along with the incidence of adverse reactions during treatment, were compared among three groups. Results The overall effective rates of treatment in groups A, B, and C were 75.00%, 80.00%, and 95.00%, respectively. The overall effective rate of treatment in group C was significantly higher than those in groups A and B (P<0.05). After four weeks of treatment, group C had lower visual analogue scale (VAS) scores; lower dysfunction index (DI), palpation index (PI), and craniomandibular index (CMI); lower scores on the mandibular function impairment questionnaire (MFIQ) scales for eating ability and executive function; and higher MMO (P<0.05) than groups A and B. After four weeks of treatment, no statistically significant differences in VAS scores; TMD, functional impairment, and muscle tenderness indices; scores on the MFIQ scales for eating ability and executive function; or MMO were found between groups A and B (P>0.05). No adverse reactions occurred in any of the three groups during the treatment period. Conclusion Laser-assisted acupuncture can improve clinical efficacy, mouth opening, and temporomandibular joint function and effectively relieve patients’ pain symptoms. Moreover, it is safe and reliable.

Key words: temporomandibular joint disorder, laser, acupuncture therapy, clinical study

中图分类号: 

  • R782.6

图1

3组临床疗效比较"

表 1

3组VAS评分比较 (x±s)"

组别例数VAS评分
治疗前治疗4周
A405.68±1.212.46±0.78#*
B405.52±1.302.29±0.70#*
C405.60±1.251.42±0.46#
F值0.16328.510
P值0.850<0.001

表 2

组间MMO比较 (x±s，mm)"

组别例数MMO
治疗前治疗4周
A4025.06±2.7232.61±3.10#*
B4025.15±2.8031.03±3.02#*
C4025.32±2.8534.42±3.46#
F值0.09011.247
P值0.914<0.001

表 3

3组颞下颌关节功能评分比较 (x±s)"

组别例数DIPICMI
治疗前治疗4周治疗前治疗4周治疗前治疗4周
A400.38±0.060.20±0.08#*0.45±0.140.24±0.08#*0.43±0.100.22±0.08#*
B400.41±0.090.19±0.07#*0.43±0.120.22±0.09#*0.42±0.080.20±0.08#*
C400.40±0.120.12±0.04#0.46±0.150.16±0.05#0.43±0.080.14±0.05#
F值1.07317.6740.49612.2350.17513.595
P值0.345<0.0010.611<0.0010.839<0.001

图2

饮食能力评分比较"

图3

执行能力评分比较"

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