COVID-19对部部疾病的影响
Marika Ramishvili1, Gia Gobadze1, Giorgi Menabde1
1Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia.
概括
在患有关节疾病 (TMD) 的人群中,COVID-19感染显著增加了平均和最高的面部疼痛水平. 然而,感染并没有显著改变这些患者的日常活动干扰或慢性疼痛状态.
科学领域:
- 口腔和牙和面部医学
- 疼痛研究 疼痛研究
- 传染病流行病学 传染病流行病学
背景情况:
- 部疾病 (TMD) 是由心理,生物机械和神经肌肉因素影响的复杂疾病.
- 流行病相关的压力和焦虑可能会加剧TMD和口腔面部疼痛.
- 冠状病毒感染对TMD的直接影响需要调查.
研究的目的:
- 为了确定COVID-19感染是否直接影响关节疾病和口腔面部疼痛.
- 为了比较TMD患者COVID-19感染前后的疼痛水平和功能干扰.
主要方法:
- 150名参与者被分为健康 (I组) 和先前存在的TMD投诉 (II组).
- 第二组完成了TMD症状问卷和等级慢性疼痛量表,在COVID-19感染前 (T1) 和感染后 (T2).
- 所有参与者都使用了疼痛查器和患者健康问卷.
主要成果:
- 从T1到T2的II组观察到平均疼痛 (p=0.022) 和最高面部疼痛 (p=0.043) 的显著增加.
- 在干扰日常活动,娱乐活动或工作能力方面没有发现统计学意义上的差异.
- 对T1和T2来说,慢性疼痛状态仍然是I级,压力水平在各组之间没有显著差异.
结论:
- COVID-19 感染可以直接加剧现有的关节障碍,特别是增加疼痛强度.
- 虽然疼痛水平上升,但对日常生活和工作的功能影响可能不会在感染后立即显著改变.
- 需要进一步的研究来了解COVID-19对TMD和口腔面部疼痛的长期影响.
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