摘要
目的:探讨充气式开口训练器联合口腔功能训练操对张口受限患者的治疗效果。方法:选取2019年11月~2020年6月在弋矶山医院口腔颌面外科住院的张口受限患者100例,接受为期2周的培训和锻炼计划。对照组50例使用软木塞进行口腔扩张训练,联合口腔操;观察组50例使用充气式开口训练器进行口腔扩张训练,联合口腔操。比较分析两组患者张口度、张口受限分度、口腔健康影响程度量表(OHIP-14)得分、住院时间以及患者依从性。结果:训练前两组患者张口度和张口受限分度差异均无统计学意义(P>0.05),训练后观察组张口度、张口受限分度和OHIP-14得分均优于对照组,观察组训练依从性较好,住院天数较短,差异均有统计学意义(P<0.05)。结论:使用充气式开口训练器联合口腔操更易缓解患者张口受限程度,减少患者住院时间,增加患者训练依从性,改善患者口腔健康相关生活质量。
Objective:To observe the therapeutic effect of inflatable-opening aid combined with oral functional training on patients with limited mouth opening.Methods:One hundred patients with limited mouth opening after maxillofacial surgery in our department were included between November 2019 and June 2020,and equally allocated to control group and observational group to undergo a session of 2-week mouth opening training.Patients in the control group were assisted by cork for oral expansion,and those in the observational group were giveninflatable mouth-opening aid plus oral exercises.The two groups were compared concerning degree of mouth opening,scoring on mouth opening limitation and Oral Health Impact Profile(OHIP-14)as well as the days of hospital stay and patients′compliance.Results:The difference was insignificant for the two groups of patients in degree of mouth opening and scoring on mouth opening limitation before training(P>0.05),yet the patients in the observational group had better improved degree of mouth opening,scoring on mouth opening limitation and OHIP-14 and compliance as well as shortened hospital stay than those in control group(all P<0.05).Conclusion:Inflatable mouth-opening aid combined with oral exercise can effectively improve the limited mouth opening,reduce length of hospital stay,increase patient compliance,and raise the oral health-related quality of life in patients following maxillofacial surgery.
作者
吴瑞芳
王燕
陈亮
WU Ruifang;WANG Yan;CHEN Liang(Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2021年第2期192-194,201,共4页
Journal of Wannan Medical College
基金
皖南医学院中青年科研基金项目(WK2019ZF07)。
关键词
充气式开口训练器
口腔操
张口受限
口腔健康
inflatable mouth-opening aid
oral exercises
limited mouth opening
oral health
