患有过度白天嗜睡的关节障碍患者出现更强的疼痛强度和 reduced 功能
Xin Xiong1,2, Chu-Qiao Xiao3, Yi-Chun Yang4
1State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.
Journal of oral rehabilitation
|December 15, 2023
概括
在关节疾病 (TMD) 患者中,过度的白天嗜睡 (EDS) 与下功能和疼痛的恶化有关. 解决睡眠质量问题可能会改善TMD治疗结果,特别是与疼痛相关的亚型.
科学领域:
- 口腔和牙和面部医学
- 睡眠医学 睡眠医学
- 疼痛管理 疼痛管理
背景情况:
- 睡眠障碍经常与关节障碍 (TMD) 相关.
- 专门研究过度白天嗜睡 (EDS) 及其对TMD患者功能影响的研究是有限的.
- 了解这种关系对于全面的TMD患者护理至关重要.
研究的目的:
- 调查过度白天嗜睡 (EDS) 对被诊断患有TMD的个体疼痛水平和功能的影响.
- 确定EDS与功能障碍的严重程度和疼痛强度之间的特定关联.
主要方法:
- 一组338名TMD患者使用爱普沃思睡眠度量表 (ESS) 进行评估,以确定EDS.
- 使用功能限制量表 (JFLS-8),用视觉模拟量表 (VAS) 评估疼痛强度.
- 焦虑和抑郁分别使用GAD-7和PHQ-9进行测量,诊断包括与疼痛相关的TMD (PT),关节内TMD (IT) 和联合TMD (CT).
主要成果:
- 与非EDS患者相比,EDS患者报告了明显更严重的功能障碍,更高的疼痛强度和更大的抑郁症状.
- 多变量分析显示,EDS,女性性别和高焦虑分数独立地与增加的功能限制有关.
- EDS显示与与疼痛相关的TMD (PT) 有着显著的关联.
结论:
- 过度的白天嗜睡 (EDS) 与与疼痛相关的TMD (PT) 密切相关,尽管因果关系需要进一步调查.
- 旨在改善睡眠质量的干预措施应考虑在TMD患者的管理中,特别是那些具有PT亚型的患者.
- 需要进一步的研究来确认EDS和PT之间的因果关系.
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