自编颞颌关节运动操对鼻咽癌患者放疗后张口困难的影响

目的 探讨颞颌关节运动操对鼻咽癌患者放疗后张口困难的预防效果.方法 将200例初治鼻咽癌放疗患者,按入院顺序随机分成观察组和对照组各100例,观察组从放疗即日起在主管护士的指导下,进行颞颌关节运动操功能锻炼,放疗结束出院后继续自行锻炼;对照组进行常规的放疗健康教育,按传统张口运动法进行锻炼.在放疗前、放疗结束和放疗后1年、2年分别对两组患者的门齿距进行测量和比较.结果 (1)放疗1年时,观察组98例发生张口困难Ⅰ级12例,Ⅱ级4例,Ⅲ～Ⅳ级0例,共16例(16%);对照组97例发生张口困难Ⅰ级30例,Ⅱ级4例,Ⅲ级0例,Ⅳ级1例,共35例(36%),经比较,两组差异有统计学意义(P＜0.05).(2)放疗2年时,观察组发生张口困难Ⅰ级16例,Ⅱ级4例,Ⅲ～Ⅳ级0例,共20例(20%);对照组发生张口困难Ⅰ级25例,Ⅱ级14例,Ⅲ级1例,Ⅳ级1例,共41例(42%),经比较,两组差异有统计学意义(P＜0.05).结论 坚持做颞颌关节运动操功能锻炼,能有效降低鼻咽癌患者放疗后张口困难的发生率及严重程度.

Influence of Self-designed Temporomandibular Joint Gymnastics on Trismus in Nasopharyngeal Carcinoma Patients after Radiotherapy

Objective To explore the effect of temporomandibular joint gymnastics on trismus in nasopharyngeal carcinoma patients after radiotherapy.Methods Newly-diagnosed patients were randomly divided into experiment group(n=100) and control group(n=100).Patients in experiment group received functional training with temporomandibular joint gymnastics under the direction of nurses-in-charge while patients in control group received routine health education and carried on functional training with traditional methods.Th...