颞下颌关节紊乱指数临床应用评价  

Study on the use of temporomandibular joint dysfunction index in temporomandibular disorders

作　　者：傅开元[1] 马绪臣[1] 张震康[2] 周彦恒[3] 田岳红 赵燕平[4] 

机构地区：[1]北京大学口腔医学院颞下颌关节病及口颌面痛诊治中心,100081 [2]北京大学口腔医学院口腔颌面外科,100081 [3]北京大学口腔医学院正畸科,100081 [4]北京大学口腔医学院放射科,100081

出　　处：《中华口腔医学杂志》2002年第5期330-332,共3页Chinese Journal of Stomatology

摘　　要：目的　探讨如何采用客观定量的方法评价颞下颌关节功能障碍程度和颞下颌关节紊乱病 (temporomandibulardisorders ,TMD)的治疗效果。方法　分别采用Fricton颞下颌关节紊乱指数和Helkimo临床检查功能障碍指数 ,定量计算每例患者 (共 60例 )的颞下颌关节紊乱指数 ,评价不同检查者获得的各项指数的一致性 ,并应用Fricton颞下颌关节紊乱指数定量评价TMD急性不可复性盘前移位的临床治疗效果。结果　①不同检查者获得的各项Fricton紊乱指数值相近 ;②Fricton紊乱指数可明确反映TMD急性不可复性盘前移位治疗后临床功能的改善。结论　评价TMD功能障碍程度或评价TMD治疗效果宜避免使用非客观的、描述性的报告 ,Fricton紊乱指数是一方便且有效的客观定量指标。Objective To study the methodological techniques in measuring the severity of temporomandibulr disorders (TMD) and in evaluating the effectiveness of therapies in clinic. Methods Both Fricton′s Craniomandibular Index (CMI) and Helkimo′s Clinical Dysfunction Index were calculated from 60 TMD patients. Inter rater reliability was tested to assess the consistency in use between different examiners. Fricton′s CMI was used to assess the clinical improvement after accepting a treatment in 21 TMD patients diagnosed as acute disk displacement without reduction. Results Correlation Coefficient for inter rater reliability in two groups was 0 879 and 0 939 respectively for Fricton′s CMI and 0 744 and 0 838 for Helkimo Clinical Dysfunction Index. Fricton′s TMJ dysfunction index was decreased from 0 337 to 0 021 ( P < 0 001) and Fricton′s CMI was decreased from 0 185 to 0 011 ( P < 0 001) after the treatment in 21 TMD patients with disk displacement without reduction Conclusions To avoid using subjective and descriptive report in assessment of the severity of TMD and the effectiveness of therapies, Fricton′s CMI is recommended as an objective criteria which is simple in clinical use, and ease in scoring.

关 键 词：颞下颌关节紊乱指数 Fricton颞下颌关节紊乱指数 颞下颌关节障碍 TMD Helkimo临床检查功能障碍指数 

分 类 号：R782.6[医药卫生—口腔医学]