3D打印偏颌测量仪的研制及在偏颌患者康复期的应用效果  

Development of a 3D printed jaw deviation measuring instrument and its application in the rehabilitation period of patients with jaw asymmetry

作　　者：郁玺玺 徐诸凤 张媛媛 吕明明[3] 王进兵[3] 王悦平[1] YU Xi-xi;XU Zhu-feng;ZHANG Yuan-yuan;LYU Ming-ming;WANG Jin-bing;WANG Yue-ping(Department of Nursing,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011;School of Medicine,Shanghai Jiao Tong University,Shanghai 200025;Department of Oromaxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海200011 [2]上海交通大学医学院,上海200025 [3]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海200011

出　　处：《中国口腔颌面外科杂志》2024年第3期255-260,共6页China Journal of Oral and Maxillofacial Surgery

基　　金：上海申康医院发展中心(SHDC2023CRS009);上海交通大学医学院附属第九人民医院护理院级基金(JYHL20213D01,JYHL2023MS10)。

摘　　要：目的:研制3D打印偏颌测量仪,初步探索其在偏颌患者康复期的应用效果。方法:选择2021年7月—2022年12月上海交通大学医学院附属第九人民医院收治的偏颌患者20例,通过数字随机表法分为试验组(n=10)和对照组(n=10)。试验组在围术期及康复期均使用3D偏颌测量仪,对照组在围术期及康复期均使用常规测量方法。比较2组在疼痛、语言清晰度、咀嚼功能、相关生活质量方面的差异。采用SPSS 24.0软件包对数据进行统计学分析。结果:术后1、3、6个月,试验组疼痛VAS评分显著低于对照组(P<0.001),咬合力评分和语言清晰度显著高于对照组(P<0.001);试验组术后1、3、6个月的正颌健康相关生活质量问卷(OQLQ)评分显著高于对照组(P<0.05)。结论:3D打印偏颌测量仪能个体化、可视化地帮助医护患三方准确测量患者的偏颌程度,解决了传统测量方法的烦琐性和主观性等问题;可改善患者的疼痛及语言清晰度,减少并发症发生,减轻临床工作量,增强患者对康复训练的信心和行为,美化患者外观,促进功能恢复,提高生活质量,值得在临床上推广使用。PURPOSE:To develop a 3D printed jaw deviation measuring instrument and preliminarily explore its application in the rehabilitation period of patients with jaw deviation.METHODS:Twenty patients with jaw deviation admitted to Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from July 2021 to December 2022 were selected and randomly divided into experimental group(n=10)and control group(n=10)using a digital randomization table.The experimental group used a 3D printed jaw deviation measuring instrument during the perioperative and rehabilitation periods,while the control group used conventional measurement methods during the perioperative and rehabilitation periods.Differences in pain,speech articulation,chewing function,and related quality of life were compared between the two groups.SPSS 24.0 software package was used for data analysis.RESULTS:At 1,3 and 6 months after operation,pain VAS score of the experimental group was significantly lower than that of the control group(P<0.001),bite force score and speech articulation score were significantly higher than that of the control group(P<0.001).The scores of Orthognathic Quality of Life Questionnaire(OQLQ)at 1,3 and 6 months after operation in the experimental group were significantly higher than those in the control group(P<0.05).CONCLUSIONS:The 3D printed jaw deviation measuring instrument can help patients and doctors to accurately measure the degree of patients'mandibular deviation in a personalized and visual way,which can solve the cumbersome and subjective problems of traditional measurement methods.It can improve patients'pain and speech clarity,reduce the occurrence of complications,reduce clinical workload,enhance patients'confidence and behavior in rehabilitation training,beautify the appearance of patients,promote functional recovery,and improve their quality of life.It is worth promoting and using in clinical practice.

关 键 词：3D打印 偏颌测量仪 偏颌 康复 疼痛 语音清晰度 咀嚼功能 

分 类 号：R782.2[医药卫生—口腔医学]