摘要
目的 探讨正颌术后的正畸患者康复训练应用效果。方法 选取2016年1月-2017年本院经正颌手术治疗的牙颌面畸形患者274例作为研究对象,所有患者术后进行基础护理与康复训练,随访6个月,所有入选者评估术前、术后1周、1个月、3个月、6个月张口度评分与NRS疼痛评分,观察患者术后并发症情况(切口感染、呼吸不畅、食道反流)。结果 经6个月随访后,患者张口度显著高于术前(P <0. 05);患者NRS疼痛评分下降,且显著低于术前(P <0. 05);274例患者术后伤口感染10例,3. 65%(10/274),呼吸不畅1例,0. 36%(1/274),食道反流2例,0. 73%(2/274)。结论 正颌术后正畸患者采取康复训练后,患者张口、咬合功能慢慢提高,并发症发生机率减小。
Objective To evaluate the effect of rehabilitation training on orthodontic patients after orthodontic surgery. Methods A total of274 patents with maxillofacial deformity treated by orthodontic surgery in our hospital from 2016 to 2017 were enrolled. All patients underwent basic nursing and rehabilitation training,following up 6 months. Evaluate the mouth opening score and NRS score of all patients at preoperative,postoperative 1 week,1 month,3 months and 6 months respectively,and observe the postoperative complications as well. Results After6 months of follow-up,the score of mouth opening was significantly higher than preoperative( P < 0. 05),and the NRS score was significantly lower than preoperative( P < 0. 05). There were 10 cases of wound infection,1 case of dyspnea and 2 cases of esophageal reflux in 274 patients after orthodontic surgery. Conclusion Rehabilitation training for orthodontic patients after orthodontic surgery is beneficial to improve the opening and occlusal function and reduce the occurrence of postoperative complications.
