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目的研究比较正畸治疗联合认知-行为干预对颞下颌关节紊乱病(TMD)青壮年患者的临床疗效。方法 48例TMD患者随机分成实验组和对照组,每组24例。实验组患者进行正畸治疗联合认知-行为干预,对照组患者单纯进行正畸治疗。比较两组和治疗效果。结果对照组治愈12例,治愈率为50.0%;有效6例,占25.0%;无效6例,占25.0%;成功率为75.0%。实验组治愈14例,治愈率为58.3%;有效9例,占37.5%;无效1例,占4.2%;成功率95.8%。实验组疗效优于对照组,差异有统计学意义(P<0.05)。结论在正畸治疗TMD青壮年患者中,有必要考虑社会心理因素,并对症给予心理疏导。
Objective To compare the clinical effects of orthodontic treatment combined with cognitive-behavioral intervention on young adults with temporomandibular disorder (TMD). Methods 48 cases of TMD patients were randomly divided into experimental group and control group, 24 cases in each group. Patients in the experimental group received orthodontic treatment combined with cognitive-behavioral intervention, while those in the control group received orthodontic treatment alone. Compare the two groups and the treatment effect. Results The control group was cured in 12 cases, the cure rate was 50.0%; effective in 6 cases, accounting for 25.0%; ineffective in 6 cases, accounting for 25.0%; success rate was 75.0%. The experimental group was cured in 14 cases, the cure rate was 58.3%; effective in 9 cases, accounting for 37.5%; ineffective in 1 case, accounting for 4.2%; success rate was 95.8%. The experimental group was better than the control group, the difference was statistically significant (P <0.05). Conclusion In orthodontic treatment of TMD patients with young adults, it is necessary to consider the social and psychological factors, and symptomatic psychological counseling.