中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (3): 284-289.doi: 10.19438/j.cjoms.2025.03.012

• 论著 • 上一篇    下一篇

全程护理联合计算机导航术中修正对颞下颌关节强直患者术后开口度及满意度的影响

陶丽丽1, 赵保建1, 刘千子1, 孙国文1, 刘小云2   

  1. 1.南京大学医学院附属口腔医院,南京市口腔医院 口腔麻醉科,南京大学口腔医学研究所,江苏 南京 210008;
    2.武汉市第三医院 口腔科,湖北 武汉 430060
  • 收稿日期:2024-03-13 修回日期:2024-10-12 出版日期:2025-05-20 发布日期:2025-06-05
  • 通讯作者: 赵保建,E-mail: mzkzbj@163.com
  • 作者简介:陶丽丽（1975-）,女,本科,E-mail: tll13912978382@163.com

Effects of comprehensive nursing combined with intraoperative correction via computer navigation on mouth opening and satisfaction in patients with temporomandibular joint ankylosis

Tao Lili1, Zhao Baojian1, Liu Qianzi1, Sun Guowen1, Liu Xiaoyun2   

  1. 1. Department of Oral Anesthesiology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School; Institute of Stomatology, Nanjing University. Nanjing 210008, Jiangsu Province;
    2. Department of Stomatology, Wuhan Third Hospital. Wuhan 430060, Hubei Province, China
  • Received:2024-03-13 Revised:2024-10-12 Online:2025-05-20 Published:2025-06-05

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摘要： 目的：探讨全程护理结合计算机导航术中修正对颞下颌关节强直患者术后开口度和满意度的影响。方法：选择2016年2月—2023年2月在南京市口腔医院接受治疗的颞下颌关节强直患者104例。根据随机数字表法分为对照组（n=52,给予计算机导航术中修正）和试验组（n=52,对照组基础上给予全程护理）。比较2组患者治疗前后的颞下颌关节功能、咀嚼效率、心理弹性量表（CD-RISC）评分、口腔健康影响程度量表（OHIP-14）评分以及患者满意度。采用SPSS 27.0软件包对数据进行统计学分析。结果：治疗后,试验组患者的最大开口度、咀嚼效率显著高于对照组,DI、PI和CMI显著低于对照组（P<0.05）。试验组的CD-RISC量表各维度评分显著高于对照组,OHIP-14量表各维度评分显著低于对照组（P<0.05）。试验组的患者满意度显著高于对照组（P<0.05）。结论：全程护理结合计算机导航的术中修正对颞下颌关节强直患者的治疗效果显著,能够有效提高患者术后开口度和满意度,提高关节功能,适合临床推广应用。

关键词: 颞下颌关节强直, 全程护理, 计算机导航, 开口度, 患者满意度

Abstract: PURPOSE: To investigate the effects of comprehensive nursing combined with intraoperative correction via computer navigation on mouth opening and satisfaction in patients with temporomandibular joint(TMJ) ankylosis. METHODS: A total of 104 patients with TMJ ankylosis who underwent treatment in Nanjing Stomatological Hospital from February 2016 to February 2023 were included and randomly divided into the control group (n=52, treated with intraoperative correction via computer navigation) and the experimental group(n=52, treated with comprehensive nursing on the basis of the control group). TMJ function, masticatory efficiency, Connor-Davidson Resilience Scale(CD-RISC) scores, Oral Health Impact Profile-14 (OHIP-14) scores, and patients' satisfaction were compared between the two groups before and after treatment. SPSS 27.0 software package was used for data analysis. RESULTS: After treatment, the maximum mouth opening and masticatory efficiency in the experimental group were significantly higher than those in the control group, while DI, PI and CMI were significantly lower than those of the control group(P<0.05). The CD-RISC subscale scores in the experimental group were significantly higher than those in the control group, and the OHIP-14 subscale scores were significantly lower (P<0.05). Patients' satisfaction was significantly higher in the experimental group than in the control group(P<0.05). CONCLUSIONS: Comprehensive nursing combined with intraoperative correction via computer navigation demonstrates significant therapeutic effects in patients with TMJ ankylosis, which can effectively improve mouth opening, patients' satisfaction and joint function, and is suitable for clinical application.

Key words: Temporomandibular joint ankylosis, Comprehensive nursing, Computer navigation, Mouth opening, Patient satisfaction

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