曹颖光，袁艳祥，尹业祥.颌骨骨折错位愈合后咬合紊乱的物理治疗与重建[J].中华物理医学与康复杂志,2003,(5):.-
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| 颌骨骨折错位愈合后咬合紊乱的物理治疗与重建 |
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| DOI： |
| 中文关键词: 咬合重建 物理治疗 颌骨骨折 |
| 英文关键词: Occlusal reconstruction Physiotherapy Maxillofacial bone fracture |
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| 中文摘要: |
| 目的分析颌骨骨折错位愈合后咬合关系紊乱的原因；观察物理治疗对张口受限的改善；采用固定修复技术重建咬合关系，分析治疗前后的咀嚼效能。 方法45例患者通过病史回顾及临床检查分析咬合关系紊乱的原因；采用超声波并配合半导体激光辅助治疗，以改善张口度和咀嚼肌功能；采用冠、桥等固定修复技术重建咬合，并分别于物理治疗和咬合重建治疗前、治疗后1个月和1年，进行咀嚼效能的测试。 结果复合外伤后首先治疗身体其他部位创伤而延误颌骨骨折治疗的病例占大多数；物理治疗配合运动训练改善患者张口度疗效显著；统计学分析显示，物理治疗和咬合重建治疗前后咀嚼效率的差异有显著性（P<0.01）。 结论颌骨骨折错位愈合后的物理治疗和咬合重建治疗的方法对改善张口度、咀嚼功能恢复是有效的，这种治疗方法尚需长期、大量的临床观察。 |
| 英文摘要: |
| Objective To analyze the reasons of the occlusal disorder after mistaken concrescence of maxillofacial fracture, to observe the effect of the physiotherapy for the masticatory movement and the masticatory efficiency after occlusal reconstruction with fixed prosthesis. MethodsThe reasons of occlusal disorder of 45 patients were analyzed by reviewing the case history and clinical examination. Ultrasound diathermy and laser irradiation were used to help improve masticatory movement. The fixed prosthesis was used to reconstruct the occlusal relationship. Masticatory efficiency was measured with the method of sift out before treatment, one month and one year after treatment. ResultsThe main reason of occlusal disorder was the delay of treatment because of the other treatment of body after trauma. The physiotherapy was effective in improving the masticatory movement. Statistically analysis showed the significantly difference before and after occlusal reconstruction with fixed prosthesis (P<0.01). ConclusionThe physiotherapy and occlusal reconstruction with fixed prosthesis were effective for improving the function and movement of mastication and deserve further clinical observation. |
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