摘要
目的 分析我国颞下颌关节紊乱病（TMD）患者的诊断分类情况。方法 使用本课题组前期建立的颞下颌关节紊乱病研究诊断标准（RDC/TMD）中文版对TMD患者进行调查,根据调查结果对TMD患者进行诊断分类,包括第一组肌病类;第二组关节盘移位类;第三组关节痛、关节炎、关节病类。结果 共有142例TMD患者完成调查,有效量表133份,量表的完成率为93.7%,其中男38例,女95例,男女比例1 ∶ 2.5。患者年龄高发于18 - 44岁,67.7%的研究对象接受过大学文化教育,84.2%研究对象月收入在5000元以下。133份有效量表中121例符合RDC/TMD轴Ⅰ分类,第一组患病率为16.5%;第二组左、右侧颞下颌关节患病率分别为37.2%和27.3%,以可复性盘前移位最常见;第三组左、右侧颞下颌关节患病率分别为43.0%和38.9%,以关节痛最常见。结论 我国TMD患者中以可复性盘前移位和关节痛最常见。
Objective The study aimed to assess the distribution of temporomandibular disorders （TMD） sub-types in Chinese people seeking treatment for TMD. Methods Clinical data of the TMD patients were collected and analyzed by using the Research Diagnostic Criteria for TMD （RDC/TMD）. Three sub-types of TMD （Group 1, muscle disorders; Group 2, disc displacements and Group 3, arthralgia, arthritis, arthrosis） were measured. Results A total of 142 TMD patients were surveyed and examined clinically. There were 133 valid scales and 9 missed. In this study 38 men and 95 women with the ratio of 1 ∶ 2.5 were involved. Patients suffered from TMD were commonly found in the age between 18 and 44. 67.7% of TMD patients received college education, and 84.2% TMD patients＇ monthly income were below 5000 yuan. The results of the axis I diagnosis indicated that the prevalence of Group 1 was 16.5%. In Group 2, the incidence of disc displacement in the left temporomandibular joint was 37.2% and in the right 27.3%. The disc displacement with reduction was particularly common. The prevalence of Group 3 was 43.0% in the left temporomandibular joint and 38.9% in the right. The arthralgia was common in patients of this group. Conclusions Disc displacement with reduction and arthralgia were more common in these TMD patients.
出处
《中华口腔医学研究杂志（电子版）》
CAS
2014年第1期31-33,共3页
Chinese Journal of Stomatological Research(Electronic Edition)
基金
卫生部部属(管)医院2010-2012年度临床学科重点项目(构建颞下颌关节紊乱病个性化调压治疗新体系)
中山大学临床医学研究5010计划(2007050)
关键词
颞下颌关节紊乱病
颞下颌关节紊乱病研究诊断标准
轴Ⅰ
临床应用
Temporomandibular disorders
Research diagnostic criteria for temporomandibulardisorders
Axis Ⅰ
Clinical assessment
