关节灌洗术联合心理护理对TMJOA患者的影响  

Effect of joint irrigation combined with psychological nursing on TMJOA patients

作　　者：崔静[1] 张智玲[1] CUI Jing;ZHANG Zhi-ling(Department of Maxillofacial Head and Neck Surgery,Tianjin Stomatological Hospital,Hospital of Stomatology,Nankai University,Tianjin 300041,China)

机构地区：[1]天津市口腔医院南开大学口腔医院颌面头颈外科,天津300041

出　　处：《中国城乡企业卫生》2024年第6期101-105,共5页Chinese Journal of Urban and Rural Enterprise Hygiene

基　　金：天津市口腔医院护理科研基金项目(HL202110)。

摘　　要：目的探讨颞下颌关节灌洗术联合心理护理对颞下颌关节骨关节炎(TMJOA)患者临床效果、生活质量水平及心理状况的影响。方法选取2020年1—12月于天津市口腔医院就诊治疗的TMJOA患者200例。将患者随机分为研究组和对照组各100例。研究组采用颞下颌关节灌洗术联合心理护理,对照组仅采用颞下颌关节灌洗术。比较两组患者干预前后最大张口度、疼痛评分、生活质量评分及心理状况评分。结果干预前,两组患者最大开口情况和疼痛评分比较差异无统计学意义(P>0.05);干预后3个月及6个月,两组患者最大开口情况和疼痛评分均优于干预前,且研究组优于对照组,差异均有统计学意义(P<0.05)。干预前,两组患者OHIP-14量表评分比较差异无统计学意义(P>0.05);干预后3个月及6个月,两组患者OHIP-14量表评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。干预前,两组患者DASS-21量表评分比较差异无统计学意义(P>0.05);干预后3个月及6个月,两组患者DASS-21量表评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。结论颞下颌关节灌洗术联合心理护理与单纯颞下颌关节灌洗术均对TMJOA有一定临床疗效,其中颞下颌关节灌洗术联合心理护理治疗方式对改善患者生活质量水平及心理状况效果更佳。Objective To explore the clinical effect,quality of life and psychological status of patients with temporomandibular joint osteoarthritis(TMJOA)after temporomandibular joint irrigation combined with psychological nursing.Methods Form January 2020 to December 2020,200 patients with TMJOA treated in Tianjin Stomatological Hospital were selected.Patients were randomly divided into study group and control group,with 100 cases in each group.The study group was treated with temporomandibular joint irrigation combined with psychological nursing,the control group was treated with temporomandibular joint irrigation only.The maximum mouth opening,pain score,quality of life score and psychological status scores of patients between the two groups before and after intervention were compared.Results Before intervention,there were no significant differences in maximum mouth opening and pain score between the two groups(P>0.05),at 3 months and 6 months after intervention,the maximum mouth opening and pain scores of patients in both groups were better than before intervention,and the study group was better than the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in the score of OHIP-14 between the two groups(P>0.05);at 3 months and 6 months after intervention,the scores of OHIP-14 in both groups were lower than before intervention,and the study group was lower than the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in DASS-21 scale scores between the two groups(P>0.05);at 3 months and 6 months after intervention,the DASS-21 scale scores in both groups were lower than before intervention,and the study group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Both temporomandibular joint irrigation combined with psychological nursing and temporomandibular joint irrigation only had a certain clinical effect on TMJOA,in whi

关 键 词：颞下颌关节骨关节炎 颞下颌关节灌洗术 心理护理 

分 类 号：R78[医药卫生—口腔医学]