109例颞下颌关节紊乱病相关因素分析  

Investigation of related risk factors of temporomandibular disorders in 109 patients

作　　者：胡欣欣[1] 朱耀旻[1] 何柳婷[1] 顾颖[1] 梁志刚[1] 郑苍尚[1] 

机构地区：[1]深圳市第二人民医院深圳大学第一附属医院口腔科,广东深圳518000

出　　处：《上海口腔医学》2017年第2期213-216,共4页Shanghai Journal of Stomatology

基　　金：深圳市卫生和计划生育系统科研项目(201501017);深圳市科技创新项目(JCYJ20150330102401098)

摘　　要：目的 :探讨颞下颌关节紊乱病的相关危险因素,为临床预防提供帮助。方法 :将2016年1月—2016年6月就诊于深圳市第二人民医院口腔科,并被诊断为颞下颌关节紊乱病者109例纳入病例组,随机抽取109名正常人作为对照组,进行问卷调查。使用SPSS 22.0软件包中的逻辑回归分析模型对调查结果进行统计学分析。结果:病例组中女性患者占76.1%,20~29岁年龄组患者最多,占44%。病例组中有夜磨牙或紧咬牙习惯、偏侧咀嚼习惯、颌面部外伤史的人数比例显著高于对照组(P<0.05);经常熬夜、工作生活压力大、咀嚼硬物、有正畸治疗史的人数比例在病例组与对照组间无显著差异(P>0.05)。结论:年轻女性为颞下颌关节紊乱病的高发人群;夜磨牙或紧咬牙习惯、偏侧咀嚼习惯、颌面部外伤史可能是颞下颌关节紊乱病的重要危险因素;未见经常熬夜、工作生活压力大、咀嚼硬物、正畸治疗史与颞下颌关节紊乱病明显相关。PURPOSE： To investigate the related risk factors of temporomandibular disorders （TMD）, and to provide evidences for clinical prevention. METHODS： One hundred and nine TMD patients were included in the study as case group, while 109 people with no TMJ symptoms and signs were selected randomly as control group. All subjects fulfilled questionaires. Logistics regression analysis was used to analyze the data with SPSS 22.0 software package. RESULTS： Females patients were more common than males, with 20-29 age group accounting for 44%. The proportions of patients with habits of bruxism or clenching, unilateral mastication and maxillofacial injure history were significantly greater than those of control group （P〈0.05）. The proportions of patients with life stress and habits of stay-up late, chewing hard food and orthodontic treatment history showed no significant difference compared with the control group （P 〉0.05）. CONCLUSIONS： TMD has a higher prevalence in female than in male, with a peak incidence in 20-29 age group. Habits of bruxism or clenching, unilateral mastication and maxillofacial injury history may be risk factors of TMD, while life stress, habits of stay-up late, chewing hard food and orthodontic treatments show no significant correlation with TMD.

关 键 词：颞下颌关节紊乱病 影响因素 预防 

分 类 号：R782.6[医药卫生—口腔医学]