张口训练对伴张口受限的颞下颌关节紊乱病患者最大开口度恢复的短期影响  

The short⁃term effect of mouth⁃opening exercise on the maximal mouth opening after treatment intemporomandibular joint disorder patients with mouth opening limitation

作　　者：邓凯彤 黎星阳 何霞[1] 袁珊珊 吴燕楠 张清彬[1] Deng Kaitong;Li Xingyang;He Xia;Yuan Shanshan;Wu Yannan;Zhang Qingbin(Department of Temporomandibular Joint,Affiliated Stomatology Hospital of Guangzhou Medical University,Guangzhou Key Laboratory of Basic and Applied Research of Oral Regeneration Medicine,Guangzhou 510182,China)

机构地区：[1]广州医科大学附属口腔医院颞下颌关节科·广州市口腔再生医学基础与应用研究重点实验室,广州510182

出　　处：《中华口腔医学研究杂志（电子版）》2022年第3期150-154,共5页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：广东省科学技术厅广东省国际及港澳台高端人才交流专项(粤财科教〔2021〕294号);广州市重点研发计划农业和社会发展科技项目(202206010004);广州市临床特色技术项目(2019TS42)。

摘　　要：目的研究主动与被动结合的张口训练对伴张口受限的患者透明质酸钠关节腔注射治疗后短期最大开口度(MMO)恢复的影响。方法收集2017—2018年就诊于广州医科大学附属口腔医院颞下颌关节科伴张口受限的颞下颌关节紊乱病(TMD)患者49例,所有患者均接受透明质酸钠关节腔注射治疗。其中25例患者术后接受常规健康宣教方案(对照组),另外24例患者术后在常规健康宣教方案基础上结合主动、被动张口训练治疗(张口训练组),并使用t检验、卡方检验、线性回归模型对两组患者MMO恢复情况进行比较。结果对照组患者在术后2周MMO较张口训练组小3 mm,差异有统计学意义(t=2.049,P=0.046),对照组患者在术后4周MMO较张口训练组小4 mm,差异有统计学意义(t=3.128,P=0.003)。结论张口训练对TMD患者术后张口度恢复有积极作用,并可在4周内体现出辅助MMO恢复的优势。Objective To evaluate the short⁃term effect of mouth⁃opening exercise on the maximal mouth opening(MMO)after sodium hyaluronate injection in patients with mouth opening limitation.Methods A total of 49 temporomandibular joint disorder(TMD)patients with limited mouth opening were enrolled.All patients received temporomandibular joint(TMJ)injection of sodium hyaluronate in Department of Temporomandibular Joint,Affiliated Stomatology Hospital of Guangzhou Medical University.Among them,25 patients received a routine nursing program after injection,and the other 24 received mouth⁃opening exercise treatment based on a routine nursing program.T test,Chi⁃square test and linear regression model were used to compare the MMO of the two groups.Results The MMO of patients in the routine nursing group was 3 mm,which was smaller than that of mouth⁃opening exercise group in 2 weeks after injection(t=2.049,P=0.046).Compared with the routine nursing program group,the MMO in mouth⁃opening exercise group increased by 4 mm in 4 weeks after injection(t=3.128,P=0.003).Conclusion Mouth⁃opening exercise had a positive effect on the MMO of TMD patients,and showed the advantage within 4 weeks.

关 键 词：张口训练 颞下颌关节紊乱 张口受限 

分 类 号：R782.6[医药卫生—口腔医学]