在患有关节疾病的患者中,疼痛症状与两点歧视值有关
Yi-Fei Long1, Yun-Hao Zheng1, Yi-Hang Fu1
1Department of Orthodontics, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, Sichuan, China.
Clinical oral investigations
|April 25, 2024
概括
带有疼痛症状的关节障碍 (TMD) 患者表现出减少的口腔面部触觉敏度. 两点歧视 (2-PD) 测试显示,在特定的面部区域,疼痛强度和2-PD之间存在显著的关联,这表明其潜在的诊断价值.
科学领域:
- 神经科学和感官感知
- 口腔和牙和面部医学
背景情况:
- 关节疾病 (TMD) 涵盖了一系列影响关节和肌肉的疾病.
- 了解TMD患者的感觉特征,如触觉敏度,对于诊断和管理至关重要.
研究的目的:
- 研究TMD患者的口腔两点歧视 (2-PD) 测试结果和疼痛症状之间的关系.
- 探索与心理因素和人口统计学变量潜在的关联.
主要方法:
- 这项研究招募了193名被诊断患有TMD的患者.
- 耳鼻面部2-PD是在关节 (TMJ) 及关节,关节,下关节和关节区域进行测量.
- 记录了疼痛强度 (VAS-M,VAS-C) 和心理状态;进行了统计分析.
主要成果:
- 与疼痛相关的TMD (PT) 患者在TMJ,肌和部区域表现出显著更高的2-PD值,表明触觉敏度降低.
- 疼痛强度得分 (VAS-M,VAS-C) 与TMJ,肌和部区域的2-PD测量有显著的相关性.
- 在这个队列中,没有发现年龄,性别和心理因素与口腔面部2-PD有关.
结论:
- 通过2-PD测试评估的口面触觉敏度与TMD患者的疼痛症状有显著的相关性.
- 2-PD测试显示了作为一个补充诊断工具的潜力,用于区分与疼痛相关的TMDs.
- 需要进一步研究 TMD 中触感变化和疼痛之间的潜在机制.
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