目的 综合分析国内外头颈癌患者张口困难相关评估工具，为头颈癌患者张口困难评估提供参考。方法 系统检索PubMed、Web of Science、CINAHL、Medline、SinoMed、中国知网、万方及维普数据库，追溯参考文献并补充检索灰色文献数据库OpenGrey。检索时限为建库至2024年5月18日。结果 纳入18篇文献，汇总出11种头颈癌患者张口困难相关评估工具，其中5种已在中国进行本土化。评估角度分为客观角度、主观角度以及主客观相结合角度；评估目的分为张口困难严重程度、张口困难相关生活质量、康复锻炼。结论 现有张口困难相关评估工具较多，特征各异，选择时应综合考虑。未来应对相关评估工具进一步验证与完善，也可应用人工智能技术优化或开发新的张口困难评估工具。

Objective To synthesize and analyze domestic and international tools related to assessing trismus in patients with head and neck cancer,and to provide reference for the assessment.Method A systematic search was conducted in PubMed,Web of Science,CINAHL,Medline,SinoMed,CNKI,Wanfang and VIP databases.References were traced and the supplemental search was conducted in the grey literature database OpenGrey.The retrieval timeframe was from the inception to May 18,2024.Results A total of 18 articles were included and 11 assessment tools were summarized related to trismus in patients with head and neck cancer,5 of which have been localized in China.The evaluation perspectives were categorized into objective,subjective,and a combination of both objective and subjective perspectives.The assessment purposes included the severity of trismus,quality of life with trismus,and rehabilitation exercises.Conclusions There are many existing assessment tools related to trismus.Due to different characteristics,these tools should be considered comprehensively before selection.In the future,further validation and refinement of existing assessment tools should be conducted,and artificial intelligence technology can be applied to optimize these tools or develop new ones.

R473.73

湖南省自然科学基金面上项目（2021JJ30586）