Clinica Observation On Treatment Oftemporomandibular Joint Disorder By Adjusting Spine Anddredging Du Meridian Acupuncture

Objective: In this study,the Fricton temporomandibular joint disorder index(TMD)and the simplified Mc Gill's pain questionnaire(SF-MPQ)were used to compare the clinical efficacy of acupuncture and conventional acupuncture in the treatment of TMD,to explore a new way to treat TMD by acupuncture and Adjusting spine and dredging Du meridian acupuncture method,and to provide a new and more effective method for clinical treatment of TMD,so as to improve the symptoms and quality of life of TMD patients.Methods: A total of 66 patients who met the inclusion criteria of TMD from October 2017 to October 2019 were randomly divided into two groups: TMD Adjusted Group(33 cases)and routine acupuncture group(33 cases),in the end,31 cases of Adjusting spine and dredging Du meridian acupuncture Group and30 cases of routine acupuncture group were finished.In Adjusting spine and dredging Du meridian acupuncture group,Bilateral Tianzhu,3-6 Jiaji points,Cervical 4-5 interspinaldu pulse,Baihui,bilateral Fengfu,Fengchi and Ashi points were taken and treated once a day for 5 times for one course.In the routine acupuncture group,the affected side of Xiaguan,Tinggong,buccal cavity,bilateral Hegu and local Ashi points were selected and treated with routine acupuncture once a day for five times for one course.The clinical effect and the changes of Fricton temporomandibular joint disorder index and SF-MPQ score were observed and compared between the two groups.Results:1.Baseline data: There was no significant difference in age and course of disease between the two groups(p>0.05).2.Fricton index: There was no significant difference in functional Disorder Index Di,muscle tenderness index Pi and temporomandibular joint disorder index CMI between the two groups before treatment(p>0.05),there were significant differences in Jn,JP,MM,DI,MP,Pi,CMI between the two groups before treatment and before Treatment(p<0.01).There was significant difference in Jn,MP,Pi and CMI between the two groups after 4 courses of treatment(p<0.05),but no significant difference in JP,MM and DI(p>0.05).3.SF-MPQ score: SF-MPQ score before treatment(p<0.05),there was no significant difference between the two groups,the scores of SF-MPQ were significantly different between the two groups before Treatment(P<0.01),and the scores of sensation,emotion and PRI were significantly different between the two groups after treatment(p<0.05),there was no significant difference in PPI,VAS,and SF-MPQ scores between the two groups after Treatment(p<0.05).4.Clinical effect:The total effective rate of Adjustingspine and dredging Du meridian acupuncture group was 96.78%after treatment,and that of routine acupuncture group was80.00%.The x2 test p<0.05.Conclusion:1.Based on the statistical analysis of Fricton index and SF-MPQ scores before and after treatment,it is concluded that both acupuncture and Conventional Acupuncture have certain curative effects on TMD,and can improve pain,elasticity and mouth opening limitation symptoms,however,the former was superior to the conventional acupuncture in improving joint murmurs and relieving muscle tenderness.Compared with the conventional acupuncture treatment,the TMD patients' TMD index was significantly lower,the results showed that acupuncture with Adjusting spine and dredging Du meridian acupuncture method was similar to conventional acupuncture in improving the mandibular movement and reducing the index of temporomandibular joint dysfunction.Statistical analysis of SF-MPQ scores before and after treatment showed that both acupuncture and conventional acupuncture could significantly relieve the pain of TMD patients,however,Adjusting spine and dredging Du meridian acupuncture method is superior to conventional acupuncture in reducing the patients' feeling score,mood score and PRI,indicating that Adjusting spine and dredging Du meridian acupuncture method can effectively adjust the emotion of TMD patients,and there is no difference in the total scores of PPI,Vas and SF-MPQ,the results showed that the two groups had similar effect in relieving the pain of TMD patients.2.Both acupuncture and conventional acupuncture canimprove the symptoms of TMD patients,but the effect of Adjusting spine and dredging Du meridian acupuncture group is more significant,and from the long-term effect,acupuncture and Adjusting spine and dredging Du meridian acupuncture treatment TMD the recurrence rate is lower.3.The treatment of TMD with acupuncture and Adjusting spine and dredging Du meridian acupuncture method takes into account the disease around TMJ and the related muscle group to maintain the normal function of TMJ.It is more targeted and effective in treatment,and is one of the methods worthy of clinical promotion.4.Safety Evaluation: During the study period,all patients were treated with acupuncture according to the clinical practice,which had high safety.