非神经源性成人张口受限的评估和康复训练专家共识

doi:10.19438/j.cjoms.2026.05.002

中国口腔颌面外科杂志 ›› 2026, Vol. 24 ›› Issue (5): 446-453.doi: 10.19438/j.cjoms.2026.05.002

非神经源性成人张口受限的评估和康复训练专家共识

杨冬叶^1#, 周建芳^2#, 张清彬³, 李云⁴, 朱淑连⁴, 方雪梅⁵, 杨悦⁶, 侯黎莉⁷, 毕小琴⁸, 肖炜⁹, 李燕娥¹⁰, 赵芳¹¹, 赵艺媛¹², 何杏芳¹³, 陈林敏¹⁴, 吴淑仪^1,*, 陈芸梅^4,*

1.中山大学附属口腔医院口腔修复科,广东省口腔医学重点实验室,中山大学口腔医学研究所,广东广州 510055;
2.北京大学深圳医院口腔颌面外科,广东深圳 518036;
3.广州医科大学口腔医学院·附属口腔医院颞下颌关节科,广东广州 510140;
4.中山大学附属第一医院口腔科,广东广州 510080;
5.华南恶性肿瘤防治全国重点实验室,中山大学肿瘤防治中心头颈科,广东广州 510060;
6.北京大学口腔医院口腔颌面外科,北京 100081;
7.上海交通大学医学院附属第九人民医院护理部,上海 200011;
8.口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正颌与关节外科,四川成都 610041;
9.广州医科大学口腔医学院·附属口腔医院护理部,广东广州 510140;
10.南方医科大学附属广东省人民医院（广东省医学科学院）口腔颌面外科,广东广州 510080;
11.南方医科大学南方医院口腔科,广东广州 510515;
12.北京大学肿瘤医院暨北京市肿瘤防治研究所头颈外科,北京 100142;
13.中山大学附属口腔医院东圃门诊,广东广州 510055;
14.中山大学肿瘤防治中心鼻咽科,广东广州 510060

收稿日期:2026-05-07 修回日期:2026-06-02 出版日期:2026-09-20 发布日期:2026-10-10
通讯作者: 陈芸梅,E-mail: chym.z@163.com;吴淑仪,E-mail: wushuyi@mail.sysu.edu.cn。^*共同通信作者
作者简介:杨冬叶（1981—）,女,副主任护师,E-mail: yangdy@mail.sysu.edu.cn;周建芳（1994—）,女,主管护师,E-mail: 16675139537@163.com。^#并列第一作者
基金资助:
广东省护理学会团体标准立项（粤护字〔2025〕26号）; 广东省岭南南丁格尔护理研究院、广东省护理学会护理创新发展研究课题（GDHLYJYM202406）; 广东省卫生健康适宜技术推广项目（202405151709155501、202207021101098279、202107021258242046）

Expert consensus on assessment and rehabilitation training for non-neurogenic restricted mouth opening in adults

Yang Dongye¹, Zhou Jianfang², Zhang Qingbin³, Li Yun⁴, Zhu Shulian⁴, Fang Xuemei⁵, Yang Yue⁶, Hou Lili⁷, Bi Xiaoqin⁸, Xiao Wei⁹, Li Yan'e¹⁰, Zhao Fang¹¹, Zhao Yiyuan¹², He Xingfang¹³, Chen Linmin¹⁴, Wu Shuyi¹, Chen Yunmei⁴

1. Department of Prosthodontics, Hospital of Stomatology, Sun Yat-sen University; Guangdong Provincial Key Laboratory of Stomatology; Institute of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
2. Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital. Shenzhen 518036, Guangdong Province;
3. Department of Temporomandibular Joint, School of Stomatology, Guangzhou Medical University & Affiliated Stomatology Hospital of Guangzhou Medical University. Guangzhou 510140, Guangdong Province;
4. Department of Stomatology, The First Affiliated Hospital, Sun Yat-sen University. Guangzhou 510080, Guangdong Province;
5. Department of Head and Neck Surgery, Sun Yat-Sen University Cancer Center; State Key Laboratory of Oncology in South China. Guangzhou 510060, Guangdong Province;
6. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
7. Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
8. State Key Laboratory of Oral Diseases; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Department of Orthognathic and Temporomandibular Joint Surgery, West China Hospital of Stomatology, Sichuan University. Chengdu 610041, Sichuan Province;
9. Department of Nursing, School of Stomatology, Guangzhou Medical University & Affiliated Stomatology Hospital of Guangzhou Medical University. Guangzhou 510140, Guangdong Province;
10. Department of Oral and Maxillofacial Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University. Guangzhou 510080, Guangdong Province;
11. Department of Stomatology, Nanfang Hospital, Southern Medical University. Guangzhou 510515, Guangdong Province;
12. Departments of Head and Neck, Peking University Cancer Hospital & Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing). Beijing 100142;
13. Dongpu Dental Clinic, Hospital of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
14. Department of Nasopharynx, Sun Yat-Sen University Cancer Center. Guangzhou 510060, Guangdong Province, China

Received:2026-05-07 Revised:2026-06-02 Online:2026-09-20 Published:2026-10-10

摘要/Abstract

摘要： 张口受限是口腔颌面头颈部疾病及其治疗后的常见并发症,直接影响患者咀嚼、吞咽、言语功能及口腔卫生维护。目前,国内尚缺乏统一、具体的评估与康复训练技术标准。为了规范张口受限的临床评估与康复训练技术,促进患者功能恢复,本团队基于现有最佳循证医学证据,整合国内相关专家意见,通过深度访谈、专家函询及专家会议等方法,最终制定了非神经源性成人张口受限的评估和康复训练专家共识。本共识针对非神经源性成人张口受限的病因、多学科协作管理、筛查与评估、康复训练方法、并发症预防与处理、康复训练效果的评价、健康宣教及随访等内容提出规范化建议,供临床参考。

关键词: 张口受限, 评估, 康复训练, 专家共识

Abstract: Restricted mouth opening is a common complication of oral, maxillofacial, head and neck diseases and their treatments, directly affecting patients' masticatory, swallowing, and speech functions, as well as oral hygiene maintenance. At present, there is still a lack of unified and specific technical standards for assessment and rehabilitation training in China. In order to standardize the clinical assessment and rehabilitation training techniques for restricted mouth opening and promote functional recovery in patients, our team developed the expert consensus on assessment and rehabilitation training for non-neurogenic restricted mouth opening in adults based on the best available evidence-based medicine, integrated with opinions from relevant domestic experts, and through methods such as in-depth interviews, expert correspondence consultations, and expert meetings. This consensus provided standardized recommendations for clinical reference, covering the etiology of non-neurogenic restricted mouth opening in adults, multidisciplinary collaborative management, screening and assessment, rehabilitation training methods, prevention and management of complications, evaluation of rehabilitation training effectiveness, health education, and follow-up.

Key words: Restricted mouth opening, Assessment, Rehabilitation training, Expert consensus

中图分类号:

R782

杨冬叶, 周建芳, 张清彬, 李云, 朱淑连, 方雪梅, 杨悦, 侯黎莉, 毕小琴, 肖炜, 李燕娥, 赵芳, 赵艺媛, 何杏芳, 陈林敏, 吴淑仪, 陈芸梅. 非神经源性成人张口受限的评估和康复训练专家共识[J]. 中国口腔颌面外科杂志, 2026, 24(5): 446-453.

Yang Dongye, Zhou Jianfang, Zhang Qingbin, Li Yun, Zhu Shulian, Fang Xuemei, Yang Yue, Hou Lili, Bi Xiaoqin, Xiao Wei, Li Yan'e, Zhao Fang, Zhao Yiyuan, He Xingfang, Chen Linmin, Wu Shuyi, Chen Yunmei. Expert consensus on assessment and rehabilitation training for non-neurogenic restricted mouth opening in adults[J]. China J Oral Maxillofac Surg, 2026, 24(5): 446-453.

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非神经源性成人张口受限的评估和康复训练专家共识

Expert consensus on assessment and rehabilitation training for non-neurogenic restricted mouth opening in adults

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