心理因素与颞下颌关节紊乱病症状表现的相关性研究  

Study on the influence of psychological factors in developing manifestations of temporomandibular disorders

作　　者：杨娴睿[1] 宋颖[2] 张希[3] 徐浩[3] 史宗道[4] 潘剑[4] 

机构地区：[1]四川大学华西口腔医学院正畸科,四川成都610041 [2]四川大学华西口腔医学院牙体牙髓病科,四川成都610041 [3]四川大学华西公共卫生学院,四川成都610041 [4]四川大学华西口腔医院口腔颌面外科,四川成都610041

出　　处：《上海口腔医学》2014年第4期460-464,共5页Shanghai Journal of Stomatology

基　　金：四川大学三大计划校级项目(20120243)~~

摘　　要：目的:探讨焦虑和抑郁是否为罹患颞下颌关节紊乱病(TMD)的危险因素。方法:病例组为临床TMD患者,对照组为无TMD症状的健康人,采用焦虑症状自评量表(SAS)和抑郁症状自评量表(SDS)对心理因素进行评估。同时记录是否存在其他混杂因素,如习惯咬硬物、偏侧咀嚼、叩齿、夜磨牙、拔牙史等。采用Stata 11.0软件包对数据进行统计学分析。结果:共纳入200例样本,每组各100例,病例组SAS评分、SDS评分均显著高于对照组(P<0.05)。对不同严重程度焦虑倾向、抑郁倾向的OR进行趋势检验,均具有统计学意义。但logistic回归分析显示,患颞下颌关节紊乱病的危险因素中,仅焦虑倾向与偏侧咀嚼具有统计学意义(P<0.05)。结论:焦虑倾向与抑郁倾向为TMD相关的重要危险因素,随着其严重程度的增加,患TMD的危险性也增加。在混杂因素偏侧咀嚼存在时,只有焦虑倾向仍然是TMD的危险因素。PURPOSE： To determine whether psychological factors be a risk of temporomandibular disorders（TMDs） or not. METHODS： A case-control study was carried out in 100 patients with TMD and 100 controls without TMD. A selfrating anxiety scale（SAS） and self-rating depression scale（SDS） were used as the instruments to evaluate tendencies of anxiety and depression. The suspected confounding factors such as habit of eating hard food, chewing on one side,knocking teeth, night bruxism and history of extraction of teeth were also recorded. The data were analyzed by using Stata11.0 software package to estimate risk strength of the psychological factors and confounding factors in occurrence of TMD.The cut point of significance was set up at 0.05. RESULTS： The mean scores of SAS and SDS of TMD group were significantly higher than those of control group（P0.05）.The trend tests of OR in SAS and SDS were both reaching to a significant level. The logistic analysis showed that only SAS and lateral chewing are significant risk factors of TMD（P0.05）. CONCLUSIONS： Tendencies of anxiety and depression are the significant risk factors related to TMD. However,when confounding factor such as chewing on one side exists, only tendency of anxiety remains a significant risk of TMD.

关 键 词：颞下颌关节紊乱病 焦虑 抑郁 

分 类 号：R782.6[医药卫生—口腔医学]