口腔咬合锻炼对未同期重建的下颌骨节段切除术后口腔癌患者咬合性能的影响

doi:10.19439/j.sjos.2025.02.013

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (2): 184-190.doi: 10.19439/j.sjos.2025.02.013

口腔咬合锻炼对未同期重建的下颌骨节段切除术后口腔癌患者咬合性能的影响

杨玲¹, 周恬², 赵宁³, 曲行舟², 陈卫宏¹, 赵燕¹, 侯黎莉¹

1.上海交通大学医学院附属第九人民医院护理部,上海 200011;
2.上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科;
3.口腔正畸科, 上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心, 上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

收稿日期:2023-07-13 修回日期:2024-01-31 出版日期:2025-04-25 发布日期:2025-05-15
通讯作者: 侯黎莉,E-mail：pisces_liz@163.com
作者简介:杨玲（1996-）,女,硕士研究生,E-mail：3463885411@qq.com
基金资助:
“科技创新行动计划”长三角科技创新共同体领域项目（21002411300）; 上海申康医院发展中心市级医院诊疗技术推广及优化管理项目（SHDC22023238）

The impact of oral occlusal exercises on occlusal performance of oral cancer patients following segmental mandibulectomy without simultaneous reconstruction

Yang Ling¹, Zhou Tian², Zhao Ning³, Qu Xingzhou², Chen Weihong¹, Zhao Yan¹, Hou Lili¹

1. Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
2. Department of Oromaxillofacial Head and Neck Oncology;
3. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Clinical Research Center for Oral Diseases; National Engineering Laboratory for Digital and Material Technology of Stomatology; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2023-07-13 Revised:2024-01-31 Online:2025-04-25 Published:2025-05-15

摘要/Abstract

摘要： 目的：探讨口腔咬合锻炼对未同期重建的下颌骨节段切除术后口腔癌患者咬合性能的影响。方法：选择2022年10月—2023年5月在上海交通大学医学院附属第九人民医院接受治疗的63例下颌骨节段切除未同期重建的口腔癌患者,随机分为对照组（30例）和试验组（33例）。对照组接受常规护理,试验组在其基础上进行口腔咬合锻炼。3个月后,对2组患者的最大力咬合百分比（TOF）、力不对称指数（AOF）、力中心点位置（COF）及咀嚼效率进行比较。采用SPSS 26.0软件包对数据进行统计学分析。结果：与对照组相比,试验组的TOF提高,AOF和COF降低,差异均有统计学意义（P<0.01）。试验组咀嚼效率显著优于对照组（P<0.01）。结论：口腔咬合锻炼可改善下颌骨切除未重建患者的咬合性能,但仍需更大样本量临床试验予以验证。

关键词: 口腔咬合锻炼, 未同期重建, 下颌骨节段切除术, 口腔癌, 咬合性能

Abstract: PURPOSE: To investigate the effects of oral occlusion exercises on occlusal performance of oral cancer patients who underwent segmental mandibular resection without simultaneous reconstruction. METHODS: From October 2022 to May 2023, a total of 63 oral cancer patients who underwent segmental mandibular resection without reconstruction at the Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine were selected. They were randomly divided into control group (30 patients) and experimental group (33 patients). The control group received conventional care, while the experimental group underwent oral occlusion exercises except conventional care. After three months, the maximum total occlusal force(TOF), asymmetry index of occlusal force(AOF), center of occlusal force(COF), and mastication efficiency of both groups were compared. Statistical analysis was conducted using SPSS 26.0 software package. RESULTS: Compared with the control group, TOF in the experimental group was increased, AOF and COF were decreased, and the differences were statistically significant(P<0.01). The masticatory efficiency of the experimental group was significantly better than that of the control group(P<0.01). CONCLUSIONS: Oral occlusal exercises can improve occlusal performance in patients with mandibular resection without reconstruction, but larger sample size and rigorous design are needed to further verify its clinical effect and mechanism.

Key words: Oral occlusion exercises, Non-simultaneous reconstruction, Segmental mandibular resection, Oral cancer, Occlusal performance

中图分类号:

R739.8

杨玲, 周恬, 赵宁, 曲行舟, 陈卫宏, 赵燕, 侯黎莉. 口腔咬合锻炼对未同期重建的下颌骨节段切除术后口腔癌患者咬合性能的影响[J]. 上海口腔医学, 2025, 34(2): 184-190.

Yang Ling, Zhou Tian, Zhao Ning, Qu Xingzhou, Chen Weihong, Zhao Yan, Hou Lili. The impact of oral occlusal exercises on occlusal performance of oral cancer patients following segmental mandibulectomy without simultaneous reconstruction[J]. Shanghai Journal of Stomatology, 2025, 34(2): 184-190.

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口腔咬合锻炼对未同期重建的下颌骨节段切除术后口腔癌患者咬合性能的影响

The impact of oral occlusal exercises on occlusal performance of oral cancer patients following segmental mandibulectomy without simultaneous reconstruction

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