|
KMID : 0355220130380020161
|
|
Journal of Korean Academy Oral Medicine
2013 Volume.38 No. 2 p.161 ~ p.174
|
|
|
Effect of Peripheral Opioid Receptor on Masticatory Muscle Pain Control
|
|
Ko Seok-Ho
Kang Soo-Kyung
Auh Q-Schick
Kim Eun-Cheol
Hong Jung-Pyo
Chun Yang-Hyun
|
|
|
Abstract
|
|
|
|
This study was designed to evaluate the pain control effect by morphine injection to masticatory muscle pain patients. Patients with masticatory muscle pain visited the Department of Oral Medicine, Kyung Hee University Dental Hospital were recruited to this study and diagnosed by RDC/TMD. Experimental group were divided into four group; saline injection group (n=10), lidocaine injection group (n=10), morphine 1.5 ㎎ injection group (n=10) and morphine 3 ㎎ injection group (n=10). Evaluation list was the subjective pain evaluation(visual analogue scale, Mc Gill pain questionnaire, pain drawing) and the objective pain evaluation(pressure pain threshold, pressure pain tolerance) and evaluation time was injection before, after 1 hour, 24 hour, 48 hour and then it was analyzed statistically. The results were as follows : 1. The subjective pain evaluation were significantly different statistically in morphine 3 ㎎ group after 48 hour. (VAS: p＜0.01, ㎎Q: p＜.001, PD: p＜0.05) 2. The objective pain evaluation were significantly different statistically in morphine 1.5 ㎎ group after 1 hour. (PPT: p＜0.01, PPTol: p＜0.05) 3. The morphine 3 ㎎ group were more significantly different than lidocaine group and morphine 1.5 ㎎ group statistically in the McGill pain questionnaire evaluation. (1h: p＜0.01, 24h: p＜0.01, 48h: p＜0.001) Therefore, it was revealed that the morphine 3 ㎎ injection was effective to pain control for masticatory muscle pain patients within 48 hours and more effect than lidocaine injection.
|
|
|
KEYWORD
|
|
|
Morphine sulfate, Masticatory Muscle Pain, Temporomandibular Disorders
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
|
|