口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (10): 1078-1081.DOI: 10.13701/j.cnki.kqyxyj.2017.10.015

• 临床研究论著 • 上一篇    下一篇

某市戒毒人员的颞下颌关节紊乱病流行病学特点分析

孙东亮1，叶涛1，苗辉2*，于世宾1*   

  1. 1. 军事口腔医学国家重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病国际联合研究中心,第四军医大学口腔医院解剖生理学教研室 陕西 西安 710032,
    2. 军事口腔医学国家重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病国际联合研究中心,第四军医大学口腔医院牙周病科 陕西 西安 710032
  • 收稿日期:2017-04-25 出版日期:2017-10-20 发布日期:2017-10-24
  • 通讯作者: 苗辉,E-mail:miao84776093@163.com,于世宾,E-mail:yushibin@fmmu.edu.cn
  • 作者简介:孙东亮(1985~ ),男,河北唐山人,硕士在读,住院医师,主要从事毒品对口腔疾病影响方面的研究。
  • 基金资助:
    国家自然科学基金面上项目(编号:81371166)陕西省国家科技合作项目(编号:2014KW21-02)

Analysis of Epidemiological Characteristics of Temporomandibular Disorders in Drug Addicts

SUN Dong-liang1, YE Tao1, MIAO Hui2*, YU Shi-bin1*   

  1. 1. Department of Anatomy and Physiology, State Key Laboratory of Millitary Stomatology, National Clinical Research Center for Oral Diseases, Shanxi Key Laboratory of Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, China;
    2. Department of Periodontology, State Key Laboratory of Millitary Stomatology, National Clinical Research Center for Oral Diseases, Shanxi Key Laboratory of Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, China.
  • Received:2017-04-25 Online:2017-10-20 Published:2017-10-24

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摘要： 目的:调查戒毒人员的颞下颌关节紊乱病(temporomandibular disorders, TMD)发病特点,并分析其可能的危险因素。方法:对某市强制戒毒中心的199名吸毒人员进行TMD相关的问卷调查及专科检查。结果:1)57.79%的戒毒人员自述在过去3个月内出现过弹响、颌面部疼痛及下颌运动障碍等TMD症状,其中颌面部疼痛发病率高达42.72%;2)40.70%的戒毒人员存在TMD阳性体征,其中关节杂音28.14%、开闭口型异常13.57%、颌面部压痛/运动痛10.55%;3)吸毒时间长短与TMD症状、体征之间未见紧密联系,但存在紧张焦虑、紧咬牙者自述TMD症状及颌面部疼痛发生的几率显著增高(P<0.05)。结论:作为一种多病因疾病,TMD与吸毒之间没有直接的联系,但与吸毒相关的紧张焦虑、紧咬牙可能是TMD的危险因素。

关键词: 毒品, 颞下颌关节紊乱病, 流行病学, 疼痛

Abstract: Objective: To investigate the characteristics of temporomandibular disorders (TMD) and analyze the potential risk factors for TMD in drug addicts. Methods: TMD related questionnaire survey and professional examination were conducted among 199 drug addicts in a compulsory detoxification center in one Chinese city. Results: 1)Joint noise, maxillofacial pain, and mandibular movement disorders were involved in 57.79% of the drug addicts during the past 3 months, and incidence of maxillofacial pain reached up to 42.72%; 2) 40.70% of the drug users had positive signs of TMD, with joint noise in 28.14%, mandibular movement disorders in 13.57%, and maxillofacial tenderness / pain during movement in 10.55%; 3) There was no close relationship between the duration of drug abuse and TMD symptoms and/or signs, but the incidence of TMD symptoms and maxillofacial pain was significantly higher in drug addicts with tension/anxiety and teeth clenching (P<0.05). Conclusion: As a multifactorial disease, there is no direct relation between TMD and drug abuse, but drug abuse related anxiety and clenching may be the risk factors of TMD.

Key words: Drugs, Temporomandibular disorders, Epidemiology , Pain

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