颞下颌关节紊乱病症状、体征与患者生活质量的关系  

The relationship between symptoms and signs of temporomandibular disorders and the patients'quality of life

作　　者：陈慧敏[1] 傅开元[1] 张震康[1] 

机构地区：[1]北京大学口腔医学院.口腔医院颞下颌关节病口颌面疼痛中心,100081

出　　处：《中华口腔医学杂志》2007年第3期173-175,共3页Chinese Journal of Stomatology

基　　金：首都医学发展科研基金(2003-3007)

摘　　要：目的定量分析颞下颌关节紊乱病(temporomandibular disorders,TMD)症状、体征与患者生活质量的关系。方法连续选择初次就诊的 TMD 患者492例,自制"生活质量视觉模拟尺评估表",计分评价 TMD 患者生活质量受影响程度。结果 TMD 对生活质量的影响主要表现在咀嚼、日常生活和情绪方面;单纯关节弹响对生活质量的影响最小;关节绞锁对生活质量的影响显著大于单纯关节弹响;重度和中度的疼痛、开口受限对生活质量的影响显著大于轻度的疼痛、开口受限。结论临床治疗应考虑 TMD 患者主诉症状对生活质量的影响程度。Objective To analyze the relationship between symptoms and signs of temporomandibular disorders （TMD） and the patients＇ quality of life （QOL）. Methods A total of 492 TMD patients were included in this study. The clinical examination results were recorded using Fricton index of temporomanclibular joint function. ＂ Visual analog scale （ VAS ） evaluation of QOL disturbance＂ was designed to quantitate patients＇ QOL, to evaluate the degree that the patients QOL was affected. Results Chewing,daily life and emotion among all 8 items of QOL were frequently affected by TMD ,and joint clicking had the least influence on QOL. Intermittent closed lock had more severe interference with QOL than joint clicking only. Severe and moderate pain or limited mouth opening affected the QOL more severely than mild pain or mild limited mouth opening. The simple linear relationship between Fricton index and patients＇ QOL was poor（r 〈 0. 4 ）. Conclusions Pain is the most frequently seen symptom in TMD. TMD could affect patients＇ QOL, including both physical and social-psychological functions. The results suggest that the patients＇ QOL as well as TMD symptoms and signs should be considered in the management of TMD.

关 键 词：颞下颌关节 生活质量 面部疼痛 

分 类 号：R782.6[医药卫生—口腔医学]