颞下颌关节紊乱病患者疼痛的临床描述分析  

Evaluation of the description of pain in patients with temporomandibular disorders

作　　者：周振[1] 王美青[2] 李楠[1] 贺建军[2] 

机构地区：[1]西藏军区总医院口腔科,西藏拉萨850003 [2]第四军医大学口腔医学院解剖生理学教研室,陕西西安710032

出　　处：《华西口腔医学杂志》2008年第4期402-405,共4页West China Journal of Stomatology

基　　金：国家自然科学基金国际交流资助项目(30540130469)

摘　　要：目的通过研究颞下颌关节紊乱病(TMD)患者对疼痛的主观描述情况,分析TMD患者疼痛的特点。方法选择以口颌面部疼痛为主诉的TMD患者90例为研究对象,检测患者疼痛的强度和相关功能丧失的程度,记录患者自述的疼痛规律和描述疼痛的词汇。结果90例患者主要为轻到中等强度的疼痛,男女之间以及急、慢性期之间疼痛强度的差异无统计学意义(P>0.05)。TMD疼痛对咀嚼功能的影响最大,其次是对心情状况有比较大的影响。急、慢性期患者下颌静止时疼痛出现率无统计学差异(P>0.05)。急性期患者常用酸痛、隐痛、刺痛和抽着痛来描述疼痛,慢性期患者常用的词汇是钝痛、木痛和胀痛。结论急、慢性期TMD导致的疼痛强度均较低,主要影响患者的咀嚼功能和心理状态。急、慢性TMD疼痛的描述词汇有所不同。Objective To investigate the characteristics of pain in temporomandibular disorders （TMD） through analyzing the description of pain by the TMD patients. Methods Ninety TMD pain patients were included and the glossary in description of the intensity, rhythm and degree of disability due to TMD pain were recorded. Results The descriptive pain by 90 patients was slight to moderate. There was no significant difference between males and females or between chronic and acute patients in the description of pain intensity （P〉0.05）. The chewing disability was the most often reported complaining, and then was mental status. The probability of pain at rest was not different between in chronic pain patients and acute pain patients （P〉0.05）. The acute pain patients often used aching, slight and tingle to describe their pain, while the chronic pain patients used dull, gas and numb more. Conclusion Pain intensity in acute or chronic TMD patients is beth low. The pain mainly influences chewing function and mental status in patients. Descriptive characteristic with chronic orofacial pain is different from acute.

关 键 词：颞下颌关节紊乱病 疼痛 描述 

分 类 号：R782.6[医药卫生—口腔医学]