颞颌关节运动操预防鼻咽癌放疗后张口困难的临床研究  

CLINICAL EFFECT INVESTIGATION OF TEMPOROMANDIBULAR JOINT GYMNASTICS ON PREVENTION OF TRISMUS IN NASOPHARYNGEAL CARCINOMA PATIENTS AFTER RADIOTHERAPY

作　　者：何少丽[1] 李燕英[1] 陈简兴[1] 

机构地区：[1]佛山市第一人民医院,广东佛山528000

出　　处：《现代医院》2010年第8期44-45,共2页Modern Hospitals

摘　　要：目的探讨颞颌关节运动操对鼻咽癌放疗后张口困难的防治效果。方法将70例初治鼻咽癌放疗患者随机分成实验组和对照组各35例,实验组从放疗即日起在主管护士的指导下进行颞颌关节运动操功能锻炼,放疗结束出院后继续自行锻炼,对照组进行常规的放疗健康教育,按传统张口运动法进行锻炼,在放疗前、放疗结束和放疗后1年分别对两组患者的门齿距进行测量。结果实验组张口困难发生率为18%,对照组张口困难发生率为43%。两组比较,差异有统计学意义(p<0.05)。结论颞颌关节运动操功能锻炼可有效降低鼻咽癌患者放疗后张口困难的发生率。Objective To investigate the effect of temporomandibular joint（TMJ） gymnastics on prevention of trismus in nasopharyngeal carcinoma patients after radiotherapy. Methods 70 patients with preliminary nasopharyngeal carcinoma were randomly divided into study group and control group, with 35 patients in each group. Patients in the study group carried on the function training with TMJ gymnastics under the direetiun of nurses - in - charge. It was started at the beginning of radiotherapy, and the patients would go on exercise themselves after they had completed radiotherapy. Patients in the control group were given routine health education, and carried on the function training with traditional methods. The distance between upper and lower incisor of patients was measured at the beginning, the end of, and lyear after radiotherapy. Results The occurrence rate of trismus in the study group was significantly low- er than in the control（ 18% vs 43%, p 〈 0.05 ）. Condusion TMJ gymnastics can effectively decrease the incidence of trismus after radiotherapy in patients with nasopharyngeal carcinoma.

关 键 词：鼻咽癌 放射治疗 张口困难 颞颌关节运动操 

分 类 号：R593.22[医药卫生—内科学]