微信平台干预在颞下颌关节紊乱患者中的应用研究
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阮紫娟,女,副主任中医师,主要研究方向是头面五官常见疾病的中医药诊治及研究。

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R 782.6

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东莞市社会科技发展(一般)项目资助课题(202050715012621)


Study on the Application of Wechat Platform Intervention in Patients with Temporomandibular Joint Disorder
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    摘要:

    摘 要目的:分析在颞下颌关节紊乱患者中采用微信平台干预的效果。 方法:将在东莞市企石医院诊治的颞下颌关 节紊乱患者 60 例选定为观察对象,选取时间为 2020 年 4 月至 2021 年 8 月,所有患者均采用穴位推拿治疗,遵循随机分配 原则进行平均分组,分配到对照组(采用口头传授+电话随访)和观察组(联合微信平台干预)当中,各 30 例,比较组间 干预效果及满意度。 结果:热灌注组患者 的客观缓解率(ORR)为 83.87 %,高于静脉给药组的 61.29 %,差异具有统计学意义(P < 0.05)。治疗后两组患者的 CA19–9、CEA、NSE 均有不同程度下降,且热灌注组低于静脉给药组,差异具有统计学意义(P < 0.05)。热灌注组不良 反应发生率为 51.61 %,与静脉给药组的 64.51 % 比较,差异无统计学意义(P > 0.05)。 结论:通过微信平台干预对颞下颌关节紊乱患者 进行随访干预能有效提高患者综合疗效及生活质量。

    Abstract:

    AbstractObjective To analyze the effect of wechat platform intervention in patients with temporomandibular joint disorder. Methods 60 patients with temporomandibular joint disorders diagnosed and treated in Dongguan Qishi Hospital were selected as the observation objects. The selection time was from April 2020 to August 2021. The patients were all treated with acupoint massage.They were equally divided into two groups according to the principle of random distribution; They were allocated to the control group (oral teaching + telephone follow-up) and the observation group (combined with wechat platform intervention), with 30 cases in each group, the intervention effect and satisfaction between the two groups were compared. Results The total effective rate of treatment for temporomandibular joint disorders in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05); The visual analogue scoring (VAS) scores, the self-rating anxiety scale (SAS) scores and the self-rating depression scale (SDS) scores of the observation group were lower than those of the control group, and the health survey scale (SF-36) scores were higher than those of the control group, the differences were statistically significant (P < 0.05). Conclusion The follow-up intervention of patients with temporomandibular joint disorder through wechat platform can effectively improve the comprehensive curative effect and quality of life of the patients.

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  • 收稿日期:2021-10-16
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  • 在线发布日期: 2023-07-26
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