综合康复治疗在颞下颌关节盘复位术后的应用效果分析

Application effect of comprehensive rehabilitation treatment after temporomandibular joint disc reduction surgery

目的:探究综合康复治疗在颞下颌关节盘复位术后的应用效果。方法:选取南京医科大学附属口腔医院2021年7月至2022年1月收治并行颞下颌关节盘复位术患者80例,随机分为两组。对照组(40例)按照既定康复护理流程诊治,试验组(40例)在常规康复护理流程的基础上增加系统性康复治疗措施干预,包含手法治疗、颈部核心稳定训练及物理因子疗法。分别于术前3 d、术后14 d及术后28 d对两组采用疼痛视觉模拟评分(VAS)、颞下颌功能限制量表(JFLS)和最大张口度(MMO)评估功能状况,并进行对比分析。结果:除VAS疼痛评分外,两组JFLS和MMO均在不同阶段获得显著恢复(P<0.05)。术后14 d,试验组康复进度优于对照组(P<0.05)。术后28 d,两组间JFLS和MMO比较差异无统计学意义(P>0.05)。结论:综合康复治疗可加快颞下颌关节盘复位术后康复进程,值得临床推广。

Objective:To explore the application effect of comprehensive rehabilitation treatment after temporomandibular joint disc reduction surgery.Methods:80 patients receiving temporomandibular joint disc reduction surgery admitted to Stomatological Hospital of Nanjing Medical University from July 2021 to January 2022 were randomly divided into two groups.The control group(40 cases)received treatment according to the established rehabilitation nursing process,while the experimental group(40 cases)added systematic rehabilitation treatment interventions on the basis of the conventional rehabilitation nursing process including manual therapy,neck core stability training,and physical factor therapy.The functional status of the two groups was evaluated using pain visual analogue scale(VAS),jaw functional limitation scale(JFLS),and maximum mouth opening(MMO)at 3 days before surgery,14 days after surgery,and 28 days after surgery for further comparative analyses.Results:Except for VAS pain score,the JFLS and MMO of both groups achieved significant recovery at different stages(P<0.05).14 days after surgery,the rehabilitation progress of the experimental group was better than that of the control group(P<0.05).28 days after surgery,there were no statistically significant differences in the JFLS and MMO between the two groups(P>0.05).Conclusion:Comprehensive rehabilitation treatment can accelerate the recovery process after temporomandibular joint disc reduction surgery,which is worth promoting in clinical practice.