Randomized clinical trial of primary treatment for temporomandibular joint disk displacement without reduction and without osseous changes: a combination of NSAIDs and mouth-opening exercise versus no treatment.
Randomized clinical trial of primary treatment for temporomandibular joint disk displacement without reduction and without osseous changes: a combination of NSAIDs and mouth-opening exercise versus no treatment.
复制标题
无复位且无骨质改变的颞下颌关节盘移位主要治疗的随机临床试验：非甾体抗炎药和张口运动相结合与不治疗。
DOI：
10.1067/moe.2001.114005
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Kenichi Kurita
中科院分区：
文献类型：
--
作者：
H. Yuasa;Kenichi Kurita
目的
非甾体类抗炎药（NSAID）和物理治疗对椎间盘移位不复位的有效性尚不清楚。本研究比较了这种治疗方法与非治疗对照。
方法
将60例疼痛性椎间盘移位患者随机分为两组，一组接受NSAID和物理治疗，另一组未接受治疗。两组均在2周时进行观察，对于没有表现出任何改善的患者，在4周时再次进行观察。
结果
在整个4周的研究中，治疗组的改善率为60%，对照组为33%。需要治疗获益的人数为3.75，95% CI为2.103 - 65.935。
结论
NSAID联合物理治疗4周是治疗椎间盘移位无复位和无骨质改变患者的有效方法。
OBJECTIVE
The effectiveness of nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy for disk displacement without reduction is unknown. This study compared this treatment method with nontreatment controls.
METHODS
Sixty patients with painful disk displacement without reduction and without osseous changes were randomly divided in 2 groups, consisting of NSAID and physical therapy and a nontreated control group. Both groups were observed at 2 weeks and, for those patients who did not show any improvement, again at 4 weeks.
RESULTS
There was 60% improvement in the treatment group compared with 33% in the control group during the entire 4 weeks of the study. The number needed to treat for benefit was 3.75, with a 95% CI 2.103 to 65.935.
CONCLUSIONS
A combination of NSAID and physical therapy for 4 weeks is effective as a primary treatment of patients with disk displacement without reduction and without osseous changes.