重庆地区中青年颞下颌关节紊乱病疼痛的主要诱因分析

发布时间：2018-03-18 07:54

本文选题：颞下颌关节紊乱病疼痛　切入点：中青年患者　出处：《重庆医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：结合临床相关病历统计,对重庆地区中青年患者颞下颌关节紊乱病疼痛的常见诱因进行统计学分析,为颞下颌关节紊乱病疼痛的诊断,治疗及预防提供临床参考资料。方法：本次研究对象为2013年9月～2014年9月期间在重庆医科大学附属口腔医院就诊的重庆地区患有颞下颌关节紊乱病的中青年患者(年龄为20岁-30岁),从中随机抽取100人,统计其临床相关病例和专科检查结果,并记录患者是否受偏侧咀嚼、夜磨牙、错颌畸形、精神因素、社会经济学地位、紧咬牙、大张口、温度变化、咬硬物等因素影响。对颞下颌关节紊乱病疼痛的相关诱因进行统计分析,采用X2检验和二分类的logistic回归分析,了解各种诱因与颞下颌关节紊乱病疼痛之间的相关性。结果：本研究表明,偏侧咀嚼(P0.001),夜磨牙(P=0.009),精神因素(P=0.001)与颞下颌关节紊乱病疼痛密切相关。颞下颌关节紊乱病疼痛与偏侧咀嚼的相关性最大(OR=6.334, 95%CI=2.284-17.565),其次为精神因素(OR=4.330,95%CI=1.232.15.216),最后为夜磨牙(OR=3.370,95％CI=1.041.10.907)。在有偏侧咀嚼习惯的患者中,关节疼痛(P=0.040)或肌筋膜疼痛(P=0.044)症状的出现均与偏侧咀嚼有关,而且非咀嚼惯用侧关节疼痛和肌筋膜疼痛的患者较多,具有统计学意义。结论：重庆地区中青年患者颞下颌关节紊乱病疼痛的主要诱因为偏侧咀嚼习惯、夜磨牙和精神因素。颞下颌关节紊乱病的各项因素相互作用,目前尚不清楚各因素与颞下颌关节紊乱病疼痛的因果关系。
[Abstract]:Objective: to analyze the common causes of temporomandibular joint disorder (TMJ) pain in young and middle-aged patients in Chongqing, and to make a diagnosis of temporomandibular joint disorder (TMJ) pain. Methods: from September 2013 to September 2014, the subjects of this study were young and middle-aged patients with temporomandibular joint disorders in Chongqing from September 2013 to September 2014. (between 20 and 30 years of age, 100 people were randomly selected from the middle. The clinical related cases and the results of special examinations were counted, and whether the patients suffered from unilateral mastication, night molars, malocclusion, mental factors, social economic status, clenching teeth, large mouth opening, temperature change were recorded. Statistical analysis of the related inducement of temporomandibular joint disorder pain, using X2 test and logistic regression analysis of two classification, To understand the correlation between various triggers and pain in temporomandibular disorders. Results: this study shows that. The relationship between the pain of temporomandibular joint disorder and the pain of temporomandibular joint disorder is the highest: OR6.334,95CII 2.284-17.565, followed by the mental factor OR4.33095CII 1.232.15.216, and finally the or37095CII 1.041.10.9070.The mental factor OR4.33095CII 1.232.15.216and finally the or3.37095CII 1.041.10.907 are found to be closely related to the pain of temporomandibular joint disorder (temporomandibular joint disorder), and the relationship between the pain of temporomandibular joint disorder and unilateral mastication is the highest (OR6.334,95284-17.565). Among patients with unilateral chewing habits, The occurrence of joint pain (P0. 040) or myofascial pain (P0. 044) was associated with unilateral mastication, and there were more patients with non masticatory side joint pain and myofascial pain. Conclusion: the main causes of temporomandibular joint disorder pain in young and middle-aged patients in Chongqing are unilateral mastication habits, night molars and mental factors, and the interaction of various factors of temporomandibular joint disorder. The causal relationship between the factors and temporomandibular joint disorder pain is unclear.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R782.6

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