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

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。

Effect of Psychological Intervention in Post-op Sagittal Split Ramus Osteotomy Muscular Rehabilitation

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.