新疆地区维吾尔族及汉族大学生颞下颌关节紊乱与心理因素的相关性  

Correlation between temporomandibular disorders and psychological factors in Uygur and Han university students in Xinjiang

作　　者：张欣[1] 龚忠诚[2] 迪丽努尔·阿吉[1] 哈力丹·伊明 吴泽钰 冯瑶[1] 热比古丽·阿卜来提 侯文平[1] 

机构地区：[1]新疆医科大学第一附属医院口腔修复科,乌鲁木齐830000 [2]新疆医科大学第一附属医院口腔颌面外科,乌鲁木齐830000 [3]新疆医科大学口腔医学院,乌鲁木齐830000

出　　处：《中华实用诊断与治疗杂志》2016年第4期369-371,共3页Journal of Chinese Practical Diagnosis and Therapy

基　　金：国家自然科学基金(31260229);新疆维吾尔自治区青年科技创新人才培养工程项目(2014721046)

摘　　要：目的探讨新疆地区维吾尔族（维族）和汉族大学生颞下颌关节紊乱症（temporomandibular disorders,TMD）发生情况,分析焦虑、抑郁等心理因素与TMD的相关性。方法对489例维族及汉族大学生进行颞下颌关节检查,填写一般情况调查问卷、心理焦虑状况量表（self-rating anxiety scale,SAS）和心理抑郁状况量表（self-rating depression scale,SDS）,并进行相关分析。结果未发生TMD者228例（对照组）,确诊TMD患者261例（TMD组）,TMD发生率为53.4%,男性发生率（46.8%）低于女性（58.7%）（P〈0.05）,汉族（51.0%）与维族（58.4%）TMD发生率比较差异无统计学意义（P〉0.05）;TMD组SAS评分[（45.71±10.70）分]、SDS评分[（48.83±10.04）分]高于对照组[（38.15±7.40）、（41.13±7.96）分],差异有统计学意义（P〈0.01）;（3）logistic回归分析显示,焦虑（OR=3.43,95%CI：1.89～6.22,P=0.000）、抑郁（OR=3.96,95%CI：2.06～7.62,P=0.000）和偏侧咀嚼（OR=1.71,95%CI：1.16～2.54,P=0.007）是TMD发生的危险因素。结论新疆地区大学生TMD发病率高,女性多见,维、汉族发病率无差异;焦虑、抑郁倾向等心理因素是TMD发生的危险相关因素。Objective To analyze the correlation of psychological factors as anxiety and depression with temporomandibular disorders（TMD）by investigating the occurrence and development of TMD in Uygur and Han university students in Xinjiang.Methods Totally 489 university students received temporomandibular joint examination and filled in the questionnaire,self-rating anxiety scale（SAS）and self-rating depression scale（SDS）for correlative analysis.Results In 489 students,228 were not found TMD（control group）and 261（53.4%）were diagnosed with TMD（TMD group）.The incidence in males（46.8%）was significantly lower than that in females（58.7%）（P0.05）.There was no significant difference in the incidence of TMD between Uygur（58.4%）and Han（51.0%）students（P0.05）.SAS score（45.71±10.70）and SDS score（48.83±10.04）in TMD group were significantly higher than those in control group（38.15±7.40,41.13±7.96）（P〈0.01）.The logistic analysis showed that anxiety（OR=3.43,95%CI：1.89 to 6.22,P=0.000）,depression（OR=3.96,95%CI：2.06 to 7.62,P=0.000）and lateral chewing（OR=1.71,95%CI：1.16 to 2.54,P=0.007）were the risk factors for TMD.Conclusion The incidence of TMD is high in Xinjiang university students.TMD is more commonly found in females.There is no significant difference in the incidence between Uygur and Han university students.Depression and anxiety are the risk factors for TMD.

关 键 词：颞下颌关节紊乱 焦虑 抑郁 

分 类 号：R782.6[医药卫生—口腔医学]