文章摘要
何曦,陈秋秋,刘海霞,等.颞下颌关节紊乱病病人口腔健康相关生活质量评价[J].安徽医药,2017,21(8):1432-1435.
颞下颌关节紊乱病病人口腔健康相关生活质量评价
Analysis of oral health-related quality of life in temporomandibular disorder patients
投稿时间:2016-12-01  
DOI:
中文关键词: 颞下颌关节紊乱病  口腔相关生活质量  心理因素
英文关键词: 
基金项目:新疆维吾尔自治区自然基金(2014211C084)
作者单位E-mail
何曦 新疆医科大学第二附属医院口腔科,新疆 乌鲁木齐 830063  
陈秋秋 新疆医科大学第二附属医院口腔科,新疆 乌鲁木齐 830063  
刘海霞 新疆医科大学第二附属医院口腔科,新疆 乌鲁木齐 830063 522544352@qq.com 
王琳琳 新疆医科大学第二附属医院口腔科,新疆 乌鲁木齐 830063  
龚忠诚 新疆医科大学第一附属医院颌面外科, 新疆 乌鲁木齐 830054  
徐江 石河子大学医学院第一附属医院颌面外科,新疆 石河子 832000  
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中文摘要:
      目的 评价颞下颌关节紊乱病(TMD)病人的口腔相关生活质量,并探讨心理因素与TMD的关系。方法 选取新疆医科大学第一附属医院、新疆医科大学第二附属医院、石河子大学医学院第一附属医院口腔门诊且经RCD/TMD双轴诊断确诊为TMD病人350例设为观察组,选取上述三家医院就诊且确诊无TMD的正常人群299例设为对照组,使用口腔健康影响程度量表(OHIP-14)进行问卷调查,对量表数据进行整理后使用统计软件SPSS17.0进行统计学分析。结果 观察组和对照组的OHIP-14得分分别为(12.68±8.47)和(6.48±6.71)分。观察组14个条目得分均较对照组高,其中除条目2“味觉变差”、条目12“难以完成日常的工作”分数间的差异无统计学意义(P>0.05),其余12项条目分数间均差异有统计学意义(P<0.05)。将观察组病人按RCD/TMD轴Ⅰ诊断分类,其中筋膜痛病人得分(13.23±9.06)分,筋膜痛伴张口受限病人得分(14.00±7.90)分,可复性关节盘前移位病人得分(10.88±7.33)分,不可复性关节盘移位伴开口受限病人得分(14.42±8.43)分,不可复关节盘移位不伴开口受限病人得分(15.42±8.66)分,关节痛病人得分(14.91±7.33)分,骨关节炎病人得分(17.78±9.36)分,骨关节病病人得分(6.59±9.78)分。结论 TMD对病人的生活质量存在影响,对心理和生理的影响较明显。
英文摘要:
      Objective To evaluate the oral life quality of patients with temporomandibular disorders(TMD) and to explore the relationship between psychological factors and temporomandibular joint disorders. Methods A total of 350 patients diagnosed as TMD diagnosed by RCD/TMD biaxial diagnosis were selected from the First Affiliated Hospital of Xinjiang Medical University,the Second Affiliated Hospital of Xinjiang Medical University and the Affiliated Hospital of Shihezi University as the observation group.299 normal people who were diagnosed with no TMD was selected as the control group in the three above mentioned hospitals.Questionnaires were conducted using the Oral Health Impact Scale(OHIP-14).The statistical data were collected and analyzed by SPSS 17.0. Results The OHIP-14 scores of the observation group were(12.68±8.47) and the OHIP-14 scores of the control group were(6.48±6.71).The scores of 14 items in the observation group were higher than those in the control group.There were no significant differences (P>0.05) except for item 2 "taste deterioration" and item 12 "difficult to complete daily work" and there were significant differences in the scores of the other 12 entries.The patients in the observation group were classified by RCD/TMD axis Ⅰ diagnosis.It showed that the patient′s fascia pain scores were (13.23±9.06) points.The patient′s fascia pain and mouth restricted scores were (14.00±7.90) points.The recoverable articular disc anterior displacement scores were (10.88±7.33) points.The patient′s unrecoverable articular disc displacement and without mouth restricted scores were (15.42±8.66) points,The joint pain scores,osteoarthritis scores and osteoarthrosis scores were (14.91±7.33),(17.78±9.36),(6.59±9.78) points respetively. Conclusion TMD has a significant effect on the patients′ life quality and more obvious impact on the patient′s psychology and physiology.
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