大学生颞下颌关节紊乱病与心理因素相关性的研究  

A study on the relationship between temporomandibular disorders and psychological factors of university student

作　　者：胡哲文[1] 吉恺[2] 刘超[1] 张宝萍[1] 林雪芬[1] 汲平[3] 

机构地区：[1]山东大学口腔医院修复科,硕士生山东250012 [2]山东大学医学院,本科生山东250012 [3]山东大学口腔医院修复科山东省口腔生物医学重点实验室,主任主任医师教授山东250012

出　　处：《口腔颌面修复学杂志》2011年第3期178-180,共3页Chinese Journal of Prosthodontics

摘　　要：目的:探讨大学生中颞下颌关节紊乱病(TMD)与心理因素的关系。方法:以在校大学生为目标人群,选取400例作为研究对象,进行初步筛查,再从中选出TMD患者和正常人各30例进行对照研究,对所得数据进行统计学分析。结果:大学生TMD患病率56.68%(212/374)。病例组和对照组90项症状自评量表(SCL-90)的总均分存在统计学差异。病例组与对照组之间的颞肌咬合电位,咬肌咬合电位,咬肌静息电位存在统计学差异,颞肌静息电位有差异但无统计学意义。病例组与对照组之间的明尼苏达多项人格量表(MMPI)在Hs(疑病)、Pd(精神病态)、Pt(精神衰弱)、Sc(精神分裂)、Ma(躁狂)、MAS(外显性焦虑)方面的测试结果存在统计学意义,而其他测试项目则未见明显差异。结论:大学生颞下颌关节紊乱病与心理因素具有一定的相关性。Objective： To study the association between temporomandibular disorders（TMD） and psychological factors in college students.Methods： 400 college students were selected as study subjects.30 TMD patients and 30 controlled subjects in them were studied.Analysed the data by statistical methods.Results： The TMD morbidity in college students was 56.68%（212/374）.The total average of SCL-90 of case group was significantly higher than control group.The biting potential of temporal muscles and masseter muscles,the resting potential of masseter muscles were significantly different.There was no obvious deference in resting potential of temporal muscles.The items of MMPI,Hs,Pd,Pt,Sc,Ma,MAS were significantly different in these two groups,but not the others.Conclusion： TMD is related to psychological factors in college student.

关 键 词：颞下颌关节紊乱病 肌电 心理因素 

分 类 号：R783[医药卫生—口腔医学]