舌肌功能训练对舌后缩的无牙颌患者修复效果的初步研究  

A preliminary study of the effects of tongue muscle functional training on edentulous patients with tongue retraction

作　　者：张超 王栋 李玥[3] 张红[3] 袁颖[4] ZHANG Chao;WANG Dong;LI Yue;ZHANG Hong;YUAN Ying(Department of Stomatology,Zhejiang Greentoivn Cardiovascular Hospital,Hangzhou 310012,China)

机构地区：[1]浙江绿城心血管病医院口腔科,浙江杭州310012 [2]镇江市口腔医院牌湾分院,江苏镇江212001 [3]南京大学医学院附属口腔医院·南京市口腔医院修复科,江苏南京210008 [4]浙江省立同德医院口腔科,浙江杭州310012

出　　处：《口腔医学》2021年第7期623-626,共4页Stomatology

基　　金：浙江省中医药科技项目(2121ZB063);镇江市重点研发计划(社会发展)项目(SH2018085)。

摘　　要：目的观察舌肌的功能训练是否能改善舌后缩的程度并提高下颌全口义齿的固位效果。方法选择30例舌后缩的无牙颌患者,按照生物功能性修复系统(biofunctional prosthetic system, BPS)的标准流程为其制作全口义齿,并在下颌义齿前牙区唇侧基托的磨光面制作3个底为5 mm、高为2 mm的树脂突,间隔为10 mm。舌肌功能训练为:嘱患者在早、中、晚餐前及睡前用舌尖舔下颌义齿唇侧基托磨光面上的树脂突,每次维持3 s后放松,10~12次/min,每次10 min,连续训练2周。结果舌肌功能训练后,舌尖至下颌前牙区牙槽嵴顶的距离从训练前的(28.2±5.8)mm缩小为(18.1±7.3)mm;患者对固位满意度的评分从训练前的7.2±1.1增加至8.1±1.4,训练前后均有显著的统计学差异(P<0.01)。结论舌肌功能训练可以改善舌后缩的程度并提高患者对下颌全口义齿固位的满意度。Objective To observe whether the tongue muscle functional training can decrease the tongue retraction and improve the retention of mandibular complete denture.Methods Thirty edentulous patients with tongue retraction were selected.The complete dentures were manufactured with biofunctional prosthetic system(BPS)technique,additionally with 3 resin tubers,5 mm wide and 2 mm high,on the mandibular labial polishing surface with an interval of 10 mm.Patients were instructed to lick the resin balls with the tip of their tongue before breakfast,lunch,dinner and going to bed.They were asked to maintain the action for 3 seconds,then relax,repeating 10-12 times/min,10 minutes each time for 2 weeks.Results After the tongue muscle functional training,the distance from the tip of the tongue to the alveolar crest of the anterior mandibular was reduced from(28.2±5.8)mm(before training)to(18.1±7.3)mm;the score of patients′satisfaction with retention increased from 7.2±1.1(before training)to 8.1±1.4,both with significant statistical difference(P<0.01).Conclusion The tongue muscle functional training can decrease the tongue retraction and improve patients’satisfaction with retention of mandibular complete denture.

关 键 词：肌功能训练 舌后缩 无牙颌 

分 类 号：R783.4[医药卫生—口腔医学]