心理干预在下颌升支矢状劈开截骨术后肌功能康复训练中的作用 |
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引用本文: | 邹虹,张华,李雪美,彭郁林,李丽,吴迪宾.心理干预在下颌升支矢状劈开截骨术后肌功能康复训练中的作用[J].口腔医学研究,2012,28(6):583-585. |
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作者姓名: | 邹虹 张华 李雪美 彭郁林 李丽 吴迪宾 |
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作者单位: | 北京大学深圳医院五官科 ,广东深圳,518000 |
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摘 要: | 目的:探讨心理干预在下颌升支矢状劈开截骨术(sagittal split ramus osteotomy,SSRO)矫治下颌前突畸形术后肌功能康复训练中的作用。方法:60例接受下颌升支矢状劈开术的患者随机分为实验组和对照组,2组均接受系统治疗和肌功能康复训练,实验组在此基础上增加心理干预,测量术前、术后2、4周的张口度;术前、术后4、8周的焦虑自评评分和力。结果:实验组术后4周时张口度已接近术前水平,术后8周时力接近术前水平,焦虑情绪改善,实验组各方面参数相比对照组都有明显提高。结论:系统地心理干预能有效地提高患者健康知识水平,改善认知态度,使焦虑情绪得以改善,医患配合度提高,从而提高治疗有效率。
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关 键 词: | 心理干预 肌功能康复训练 下颌升支矢状截骨术 张口度 力力 焦虑 |
Effect of Psychological Intervention in Post-op Sagittal Split Ramus Osteotomy Muscular Rehabilitation |
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Institution: | ZOU Hong,ZHANG Hua,LI Xue-mei,et al.Department of ENT,Shenzhen Hospital of Beijing University Shenzhen 518000 |
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Abstract: | Objective:To study the effect of psychological intervention in post-op sagittal split ramus osteotomy muscular rehabilitation training.Methods:60 post-op sagittal split ramus osteotomy patients were randomly assigned to two study groups:experimental and controlling group.Both groups received standard systemic care with muscular rehabilitation training.Psychological interventions were given to patient in the experimental group.Then degree of mouth opening,biting force and self-rated anxiety scale were measured pre-op and at 2,4 and 8 weeks of post-op interval.Results:The degree of mouth opening and biting force of the experimental group had reached the level prior to surgery at 4week and 8week post-op respectively.The control group could not achieve the same degree of mouth opening at week 4and biting force at week 8.Self-Rating Anxiety Scale score for controlling group was comparably lower than the experimental group at 2,4,8weeks of post-op.Conclusion:The psychological intervention could improve the functional recovery of SSRO patients who went through muscular rehabilitation training.Psychological intervention could help reducing the anxiety of post-op patient and enhance the cooperation between care provider and patient. |
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Keywords: | Psychological intervention Muscular rehabilitation Sagittal split ramus osteotomy Mouth opening Biting force Anxiety |
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