观察"邱氏"耳针夹治疗颞下颌关节紊乱病的临床疗效。

选取2012年8月至2017年8月扬州市中医院针灸科及口腔科门诊患者90例，按照随机数字表法分为耳针夹组和体针组，每组各30例。耳针夹组予"邱氏"耳针夹夹于相关耳穴治疗；体针组予毫针针刺听宫穴、下关穴等穴位进行治疗，2组患者均治疗10 d。采用χ²检验比较2组患者的视觉模拟评分(VAS)和关节活动度(ROM)，比较2组患者疼痛程度及开口度方面的改善情况。

(1)治疗10 d后，耳针夹组VAS评分主要集中在0～1分占83.3%(25/30)，其他评分段为≥7分者占3.3%(1/30)，3～7分者占6.7%(2/30)，1～3分者占6.7%(2/30)；体针组VAS评分≥7分者占13.3%(4/30)，3～7分 者占16.7%(5/30)，1～3分者占10.0%(3/30)，0～1分占60.0%(18/30)，耳针夹组VAS评分0～1分段患者多于体针组，且差异有统计学意义(χ²＝2.944，P<0.05)。(2)治疗10 d后，耳针夹组ROM主要集中在3.4～3.9 cm者共占83.4%(25/30)，≤3.0 cm者占13.3%(4/30)，≤2.0 cm者占3.3%(1/30)；体针组ROM 3.4～3.9 cm者占60.0%(18/30)，≤3.0 cm者占26.7%(8/30)，≤2.0 cm者占13.3%(4/30)，耳针夹组ROM 3.4～3.9 cm患者多于体针组，且差异有统计学意义(χ²＝2.944，P<0.05)。(3)耳针夹组、体针组治疗10 d后治愈率分别为33.33%(10/30)、16.67%(5/30)，耳夹针组高于体针组，且差异有统计学意义(χ²＝2.844，P<0.05)。耳针夹组、体针组治疗10 d后总有效率分别为93.33%(28/30)、86.67%(26/30)，耳针夹组高于体针组，且差异有统计学意义(χ²＝4.444，P<0.05)。

"邱氏"耳针夹治疗颞下颌关节紊乱病，有即刻镇痛和改善开口度的效果，具有疗效显著、无创伤、安全性高、简便易行等优点，对惧针患者尤为适宜。

To observe the clinical efficacy of Qiu′s ear acupuncture clips in the treatment of temporomandibular joint disorders.

90 patients admitted tothe acupuncture department and stomatology clinic of Yangzhou Traditional Chinese Medicine Hospital from August 2012 to August 2017 were selected, and were divided into the ear acupuncture clip group and the body acupuncture group according to the random digital table method, 30 cases in each group.The ear acupuncture clip group was treated with the Qiu′s ear acupuncture clips in the relevant auricular points; the body acupuncture group was treated with acupuncture points such as point SI19(Tinggong) and point ST7(Xiaguan); the two groups of patients were treated for 10 days.VAS and ROM scores were compared between the two groups by chi-square tests, to observe the improvement of pain and mouth opening degree after treatment.

(1) After 10 days of treatment, the VAS scores of the ear acupuncture clip group were mainly concentrated in 0~1 points, accounting for 83.3%(25/30), and other scores were as follows: Participants with≥7 points, accounted for 3.3%(1/30), those with 3~7 accounted for 6.7% (2/30), and those with 1-3 points accounted for 6.7% (2/30). Those with VAS scores≥7 in the body acupuncture group accounted for 13.3% (4/30), and those with scores of 3~7 accounted for 16.7%(5/30), 1~3 points accounted for 10.0% (3/30), 0~1 points accounted for 60.0% (18/30). The participants with VAS scores of 0~1 in the ear acupuncture clip group were more than those in the body acupuncture group, and the difference was statistically significant (χ²=2.944, P<0.05). (2) After 10 days of treatment, the ROM of the ear acupuncture clip group was mainly concentrated in 3.4~3.9 cm, accounting for 83.4% (25/30), with that ≤3.0 cm accounting for 13.3% (4/30)and that≤2.0 cm for 3.3% (1/30); for the body acupuncture group, ROM with 3.4~3.9 cm accounted for 60.0% (18/30), that ≤3.0 cm accounted for 26.7% (8/30), and that ≤2.0 cm accounted for 13.3% (4/30). Participants with ROM of 3.4 ~ 3.9 cm in the ear acupuncture clip group were more than those in the body acupuncture group, and the difference was statistically significant (χ²=2.944, P<0.05). (3) After 10 days of treatment, the cure rate was 33.33% (10/30) and 16.67% (5/30), respectively, of which that in the ear acupuncture clip group was higher, and the difference was statistically significant (χ²= 2.844, P<0.05). The total effective rate after treatment for 10 days in the ear acupuncture group and the body acupuncture group was 93.33%(28/30) and 86.67%(26/30), respectively, of which that in the ear acupuncture clip group was higher, and the difference was statistically significant (χ²=4.444, P<0.05).

Qiu′s ear acupuncture clips for the treatment of temporomandibular joint disorders, with immediate analgesia and improved mouth opening degree, has the advantages of remarkable curative effect, no trauma, high safety, simple and easy practice, and is especially suitable for patients with fear of needle.