乳牙列及混合牙列儿童夜磨牙症相关因素的分析  

The related factors of bruxism in children

作　　者：祝欣[1] 郑树国[1] 郑毅[2] 傅开元[3] 周永胜[4] 俞畅[5] 

机构地区：[1]北京大学口腔医学院·口腔医院儿童口腔科,100081 [2]首都医科大学附属北京安定医院儿科 [3]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 [4]北京大学口腔医学院·口腔医院修复科,100081 [5]北京大学口腔医学院·口腔医院第一门诊部,100081

出　　处：《中华口腔医学杂志》2009年第1期15-18,共4页Chinese Journal of Stomatology

摘　　要：目的研究夜磨牙症儿童的心理、咬合等特点，探索儿童夜磨牙症发生、发展的影响因素。方法收集北京大学口腔医学院·口腔医院儿童口腔科门诊117例4～10岁乳牙列和混合牙列儿童，其中59例符合夜磨牙症的诊断标准，为病例组；58例未患夜磨牙症，为对照组。通过口腔检查和问卷调查，研究其口腔、颞下颌关节和心理等，分析各项因素与夜磨牙症发生的关系。结果经Logistic回归分析得出：精神心理因素、咬合关系、特定的睡眠姿势、父母遗传和亲属遗传等因素的OR值分别为1．074、1．528、4．472、11．164和8．757。结论精神心理因素、咬合关系、特定的睡眠姿势和遗传因素是儿童夜磨牙症发病的相关因素。Objective To investigate the related factors of children bruxism. Methods Data of 117 children with primary and mixed dentition of 4-10 years of age were collected in the present study. There were 59 children in bruxism group and 58 children in control group. Oral and temporomandibular joint examinations were carried out on each child, and the parents were asked to fill the questionnaires. The data were statistically analyzed, and the relationship between the factors and the occurrence of bruxism was examined. Results The odd ratio（OR） for psychology factor, occlusal factor, specific sleep posture, parents heredity and relatives heredity were 1. 074, 1. 528, 4. 472, 11. 164 and 8. 757, respectively. Conclusions Psychology factor, occlusal factor, specific sleep posture and heredity factor are the related factors of children bruxism.

关 键 词：夜磨牙症 回归分析 ACHENBACH儿童行为量表 

分 类 号：R686[医药卫生—骨科学]