不同类型磨牙症与心理社会相关因素相关性的调查  

Survey on psychosocial factors of and the relationship between temporomandibular joint symptoms with different kinds of bruxism

作　　者：刘芳[1] 逯文华[1] 刘姝雅[1] 牛凯宇 贾静[1] LIU Fang LU Wen-hua LIU Shu-ya NIU Kai-yu JIA Jing.(Department of Stomatology, General Hospital of Armed Police Force, Beijing 100039, China)

机构地区：[1]武警总医院口腔科,硕士生北京100039

出　　处：《口腔颌面修复学杂志》2017年第3期143-146,共4页Chinese Journal of Prosthodontics

基　　金：北京市科技计划(项目编号:Z131100006813005)

摘　　要：目的:调查分析影响不同类型磨牙症发生的社会心理因素及不同类型磨牙症的颞下颌关节症状发生状况。方法:选取452名患者作为研究对象,征得其同意并签署知情同意书后,发放社会人口学信息调查表和初级保健精神障碍患者健康问卷的抑郁分量表等调查问卷,所得数据用SPSS17.0进行统计分析。结果:焦虑、吸烟是白天磨牙症发生的危险因素,独生子女是白天磨牙症发生的保护因素;抑郁、危机知觉、咖啡是夜磨牙症发生的危险因素;白天磨牙症组出现颞下颌关节疼痛、面部疼痛、关节绞锁或开口困难症状的比例显著高于非磨牙症组(P<0.05),夜磨牙症组出现颞下颌关节疼痛症状的比例显著高于非磨牙症组(P<0.05)。结论:焦虑、吸烟是白天磨牙症发生的危险因素,独生子女是白天磨牙症发生的保护因素;抑郁、危机知觉、咖啡是夜磨牙症发生的危险因素;白天磨牙症患者发生颞下颌关节疼痛、面部疼痛、关节绞锁或开口困难的比例较高,夜磨牙症患者发生颞下颌关节疼痛的比例较高。Objective： To investigate the social and psychological factors affecting different kinds of bruxism and the occurrence of temporomandibular joint symptoms in bruxism patients. Methods： 452 patients were selected for the study, and informed consent, sociodemographic information questionnaires and Patient Health Questionnaire-9 and other question- naires were obtained, the data were analyzed with SPSS17.0. Results： Anxiety and smoking were risk factors for the occur- rence of awake bruxism, the only child was the protective factor for the occurrence of awake bruxism, depression, crisis consciousness and coffee were risk factors for the occurrence of sleep bruxism. The awake bruxism group had significantly higher percentage of the occurrence of TMJ pain, facial pain, joint locking or opening difficulty than normal control group （P〈0.05）, sleep bruxism group＇s proportion of the occurrence of TMJ pain is significantly higher than that in normal con- trol group （P〈0.05）. Conclusions： Anxiety and smoking were risk factors for the occurrence of awake bruxism, and the only child was the protective factor for the occurrence of awake bruxism. Depression, crisis consciousness and coffee were risk factors for the occurrence of sleep bruxism, awake bruxism had a higher proportion of the occurrence of TMJ pain, facial pain, joint locking or opening, and sleep bruxism had a higher proportion of the occurrence of TMJ pain.

关 键 词：白天磨牙 夜磨牙 心理社会因素 颞下颌关节 

分 类 号：R781.9[医药卫生—口腔医学]