Effect of Rehabilitation Thearpy on the Psychological and Medical Coping Styles of Patients with Temporomandibular Joint Reversible Anterior Disc Displacement
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摘要:
目的 探讨康复治疗对颞下颌关节可复性盘前移位患者心理及医学应对方式的作用，为临床治疗及研究提供一定的心理理论依据。 方法 以2022年4月至2022年8月在云南大学附属医院口腔医学中心门诊诊断为颞下颌关节可复性盘前移位的患者185例，完全随机分为2组，实验组为康复治疗联合基础红外偏振光理疗及心理治疗组（n = 93例），对照组为基础红外偏振光理疗及心理治疗组（n = 92例）。实验对象行为期1个月的治疗，采用广泛性焦虑量表、抑郁症状群量表、患者健康问卷躯体症状群量表和医学应对问卷，分别在治疗前及治疗后对2组患者进行问卷调查并进行分析。 结果 实验组焦虑均值、抑郁均值、躯体症状均值、医学应对方式均值均低于对照组（P < 0.05）。 结论 相对单独使用常规红外偏振光理疗及心理治疗，康复治疗配合常规红外偏振光理疗及心理治疗对减轻患者焦虑、抑郁、躯体症状和提高医学应对的积极方式的治疗效果更显著。 Abstract:Objective To explore the effect of rehabilitation therapy on the psychological and medical coping styles of patients with reversible anterior disc displacement of temporomandibular joint, so as to provide some theoretical support for clinical treatment and research. Methods From April 2022 to August 2022, 185 patients with reversible anterior disc displacement of the temporomandibular joint diagnosed at the stomatology center of the Affiliated Hospital of Yunnan University were randomly divided into two groups: the experimental group received rehabilitation therapy combined with basic infrared polarized light physiotherapy and psychotherapy （n = 93cases）, and the control group received basic infrared polarized light physiotherapy and psychotherapy （n = 92 cases）. The subjects were treated for 1 month, and the generalized Anxiety Scale, depressive Symptom Group Scale, patient health questionnaire Somatic Symptom Group Scale and medical Coping questionnaire were used to investigate and analyze the two groups of patients before and after treatment. Result The mean values of anxiety, depression, physical symptoms and medical coping styles in the experimental group were significantly lower than those in the control group （P < 0.05）. Conclusion Compared with the use of conventional infrared polarized light physiotherapy and psychotherapy alone, rehabilitation therapy combined with conventional infrared polarized light physiotherapy and psychotherapy has a more significant effect on reducing anxiety, depression, physical symptoms and improving the positive way of medical response. -
表 1 被调查者基本信息[n（%）]
Table 1. Basic information [n（%）]
治疗方式 n 性别 年龄（岁） 男性 女性 ≤ 20 21～30 > 30 对照组 92 19（20.7） 73（73.0） 24（26.1） 53（57.6） 15（16.3） 实验组 93 22（27.0） 71（76.3） 20（21.5） 56（60.2） 17（18.3） χ2 0.242 0.566 P 0.623 0.754 
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表 2 治疗前各组不同维度差异分析（
$ \bar x \pm s$ ，分）Table 2. Analysis of differences in different dimensions of each group before treatment （
$ \bar x \pm s$ ，score）分组 焦虑自评 抑郁自评 躯体症状自评 医学应对方式 对照组（n = 92） 2.00 ± 0.70 1.80 ± 0.61 1.45 ± 0.36 2.36 ± 0.40 实验组（n = 93） 1.95 ± 0.66 1.78 ± 0.54 1.48 ± 0.39 2.36 ± 0.31 t 0.524 0.200 0.379 0.043 P 0.601 0.840 0.705 0.965
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表 3 实验组各维度治疗前后差异分析（
$ \bar x \pm s$ ，分）Table 3. Analysis of differences in each dimension of the experimental group before and after treatment （
$ \bar x \pm s$ , score）分组 焦虑自评 抑郁自评 躯体症状自评 医学应对方式 治疗前 1.70 ± 0.49 1.56 ± 0.46 1.33 ± 0.30 2.33 ± 0.34 治疗后 1.29 ± 0.24 1.31 ± 0.23 1.18 ± 0.18 2.22 ± 0.24 t 11.924 8.630 8.348 2.102 P < 0.001* < 0.001* < 0.001* 0.038* *P < 0.05。
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表 4 治疗后各维度采用不同治疗方式差异分析（
$ \bar x \pm s$ ，分）Table 4. Analysis of differences in different treatment methods used in various dimensions after treatment （
$ \bar x \pm s$ , score）分组 焦虑自评 抑郁自评 躯体症状自评 医学应对方式 对照组（n = 92） 1.50 ± 0.34 1.47 ± 0.30 1.29 ± 0.22 2.29 ± 0.25 实验组（n = 93） 1.29 ± 0.24 1.31 ± 0.23 1.18 ± 0.18 2.22 ± 0.24 t 4.705 4.185 3.699 1.996 P < 0.001* < 0.001* < 0.001* 0.047* *P < 0.05。
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