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作 者:邢娟娟 XING Juanjuan(Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000,China)
机构地区:[1]郑州大学第一附属医院口腔颌面外科,郑州450000
出 处:《中国中西医结合儿科学》2020年第3期271-273,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine
摘 要:目的分析郑州市部分城区初中生群体颞下颌关节紊乱病(TMD)的致病危险因素。方法选取本院2016年8月至2019年8月收治的1800例TMD初中生患儿设为观察组,同时期进行常规体检的1800例健康初中生设为对照组。比较两组初中生群体可能致病危险因素与TMD的关系。结果两组初中生群体有经常熬夜习惯对照组为44.44%(800/1800),观察组为47.22%(850/1800);学习压力对照组为58.06%(1045/1800),观察组为61.22%(1102/1800);咀嚼硬物对照组为51.94%(935/1800),观察组为54.56%(982/1800);颌面部外伤史对照组为19.78%(356/1800),观察组为21.94%(395/1800);差异无统计学意义(P>0.05)。具有夜磨牙或紧咬牙对照组为36.22%(652/1800),观察组为41.44%(746/1800);偏侧咀嚼习惯对照组为51.78%(932/1800),观察组为57.11%(1028/1800);正畸治疗史对照组为20.00%(360/1800),观察组为25.11%(452/1800);观察组明显多于对照组,差异有统计学意义(P<0.05)。两组初中生群体焦虑自评量表(SAS)与抑郁自评量表(SDS)评分比较,观察组比对照组更高,差异具有统计学意义(P<0.05)。结论TMD致病危险因素较多,具有偏侧咀嚼习惯、正畸治疗史、夜磨牙或紧咬牙、焦虑与抑郁症状的初中生群体更容易患TMD。Objective To analyze the risk factors of temporomandibular disorder(TMD)in middle school students in some urban areas of Zhengzhou.Methods Totally 1800 middle school students with TMD who were admitted to the hospital between August 2016 and August 2019 were selected as the observation group.Meanwhile,1800 healthy middle school students who completed routine physical examination during the same period were selected as the control group.The relationship between the possible risk factors and TMD in middle school students was analyzed.Results There were no statistically significant differences in the following items between the control group and observation group:the proportions of students often staying up late(44.44%vs.47.22%),with study pressure(58.06%vs.61.22%),chewing hard objects(51.94%vs.54.56%),and with history of maxillofacial injury(19.78%vs.21.94%)(P>0.05).The proportions of students with bruxism or tooth clinching,unilateral chewing and history of orthodontic treatment in the control group(36.22%,51.78%,20.00%)were significantly lower than those in the observation group(41.44%,57.11%,25.11%)(P<0.05).The self-rating anxiety scale(SAS)scores and self-rating depression scale(SDS)scores of the observation group were higher than those of the control group(P<0.05).Conclusion There are many risk factors for TMD,and junior high school students with unilateral chewing habits,history of orthodontic treatment,bruxism or tooth clinching,anxiety and depression symptoms are more prone to having TMD.
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