心理干预在下颌升支矢状劈开截骨术后肌功能康复训练中的作用  

Effect of Psychological Intervention in Post-op Sagittal Split Ramus Osteotomy Muscular Rehabilitation

作　　者：邹虹[1] 张华[1] 李雪美[1] 彭郁林[1] 李丽[1] 吴迪宾[1] 

机构地区：[1]北京大学深圳医院五官科,广东深圳518000

出　　处：《口腔医学研究》2012年第6期583-585,共3页Journal of Oral Science Research

摘　　要：目的:探讨心理干预在下颌升支矢状劈开截骨术(sagittal split ramus osteotomy,SSRO)矫治下颌前突畸形术后肌功能康复训练中的作用。方法:60例接受下颌升支矢状劈开术的患者随机分为实验组和对照组,2组均接受系统治疗和肌功能康复训练,实验组在此基础上增加心理干预,测量术前、术后2、4周的张口度;术前、术后4、8周的焦虑自评评分和力。结果:实验组术后4周时张口度已接近术前水平,术后8周时力接近术前水平,焦虑情绪改善,实验组各方面参数相比对照组都有明显提高。结论:系统地心理干预能有效地提高患者健康知识水平,改善认知态度,使焦虑情绪得以改善,医患配合度提高,从而提高治疗有效率。Objective：To study the effect of psychological intervention in post-op sagittal split ramus osteotomy muscular rehabilitation training.Methods：60 post-op sagittal split ramus osteotomy patients were randomly assigned to two study groups：experimental and controlling group.Both groups received standard systemic care with muscular rehabilitation training.Psychological interventions were given to patient in the experimental group.Then degree of mouth opening,biting force and self-rated anxiety scale were measured pre-op and at 2,4 and 8 weeks of post-op interval.Results：The degree of mouth opening and biting force of the experimental group had reached the level prior to surgery at 4week and 8week post-op respectively.The control group could not achieve the same degree of mouth opening at week 4and biting force at week 8.Self-Rating Anxiety Scale score for controlling group was comparably lower than the experimental group at 2,4,8weeks of post-op.Conclusion：The psychological intervention could improve the functional recovery of SSRO patients who went through muscular rehabilitation training.Psychological intervention could help reducing the anxiety of post-op patient and enhance the cooperation between care provider and patient.

关 键 词：心理干预 肌功能康复训练 下颌升支矢状截骨术 张口度 力力 焦虑 

分 类 号：R473.78[医药卫生—护理学]