88例错患者矫治前Helkimo指数评价  

An Assessment of Helkimo Index in 88 Orthodontic Patients Before Treatment

作　　者：陈丹鹏[1] 孟敏 郭洁之[1] 艾学民[1] 

机构地区：[1]上海市第一人民医院口腔科,200080 [2]昆明市妇幼保健医院口腔科

出　　处：《华西口腔医学杂志》1999年第3期248-250,共3页West China Journal of Stomatology

摘　　要：目的 :了解颞下颌关节紊乱症在错患者中的分布特点。方法 :用 Helkimo指数对 88例矫治前错患者进行评价。结果 :主诉症状指数 Ai 0为 5 0 % ,Ai 为 4 4.3 2 % ,Ai 为 5 .68% ;临床检查指数 Di 0为 3 2 .95 % ,Di 为5 1.14 % ,Di 为 14 .77% ,Di 为 1.14 %。咀嚼肌异常和关节杂音为最多见的症状和体征。结论 :主诉症状指数和临床检查指数 Di的分布在男性和女性无显著性差异 ,在 Angle 类和 类之间的分布也无差异 ,但两者的分级程度有相关性。Objective:The prevalence of temporomandibular joint disorders(TMJDs) was studied in orthodontic patients before orthodontic treatment.Methods: The functional examination of the masticatory system was made with Helkimo index in 88 young patients with general malocclusion.Results: According to the dysfunction index, 50 percent of the patients was free of anamnestic dysfunction, and 44.32% and 5.68% of the patients had a mild and a severe anamnestic dysfunction respectively, 32.95 percent of patients was free of clinical dysfunction, and 51.14% and 14.77% of patients had a mild and a moderate clinical dysfunction respectively, only 1.14 percent of patients had a severe clinical dysfunction. The dysfunction of masticatory muscles and sounds of temporomandibular joint were most common in the signs and symptoms of TMJDs.Conclusion: There were no significant differences in the distribution of Ai and Di in different gender and between Angle's Class Ⅰ and Ⅱ malocclusion, and there was a relationship between Ai and Di.

关 键 词：错HE Helkimo指数 颞下颌关节紊乱 

分 类 号：R783.5[医药卫生—口腔医学] R782.63[医药卫生—临床医学]