不同训练方案对下颌骨单侧髁突骨折患者术后开口度训练效果的影响

目的观察不同训练方案对下颌骨单侧髁突骨折患者术后开口度训练效果的影响。方法选取我院收治的80例行手术治疗的下颌骨单侧髁突骨折患者,依据术后训练方案分为对照组(n=36)与干预组(n=44),对照组给予常规康复训练,干预组给予下颌运动康复训练,比较2组患者术前、术后1个月、术后6个月下颌主动张口度、健侧活动度、患侧活动度及前后活动度,观察2组患者术后6个月张口受限、咬合关系紊乱情况。结果干预组术后1个月与术后6个月下颌主动张口度、下颌健侧活动度、下颌前后活动度大于对照组,差异有统计学意义(P<0.05);术后6个月时,干预组张口受限率与咬合关系紊乱率低于对照组,差异有统计学意义(P<0.05)。结论相较于常规康复训练,下颌运动康复训练方案对下颌骨单侧髁突骨折患者手术后开口度与活动度的训练效果更好,可缩短下颌运动功能恢复进程,减少张口受限及咬合关系紊乱。

Influence of different training programs on opening training effects in patients with unilateral mandibular condyle fractures after surgery

Objective To observe the influence of different training programs on opening training effects in patients with unilateral mandibular condyle fractures after surgery.Methods Totally 80 patients with unilateral mandibular condyle fractures in our hospital were selected and divided into control group(n=36)and intervention group(n=44)according to different postoperative training programs.The control group was given routine rehabilitation training.The intervention group was given mandibular exercise rehabilitation training.The mandibular active opening,range of motion on healthy side and affected side,forward and backward range of motion were compared between the two groups before surgery,at 1 month and 6 months after surgery.Opening limitation and malocclusion in both groups at 6 months after surgery were observed.Results At 1 month and 6 months after surgery,the mandibular active opening,range of motion on the healthy side and forward and backward range of motion in intervention group were significantly larger than those in control group,the differences were significant(P<0.05).At 6 months after surgery,the rates of opening limitation and malocclusion in intervention group were lower than those in control group,the differences were significant(P<0.05).Conclusion Compared with routine rehabilitation training,effects of mandibular exercise rehabilitation training is better for patients with unilateral mandibular condyle fractures after surgery,in terms of opening and range of motion.It can shorten the recovery process of mandibular exercise function,and reduce opening limitation and malocclusion.