在患有慢性疼痛性关节障碍的患者中发现隔膜功能障碍:一个病例对照研究
Yaqing Zheng1,2, Yonghui Chen1, Yifeng Li1
1Department of Stomatology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, 363000, China.
Heliyon
|July 18, 2024
概括
与对照人群相比,患有慢性疼痛部疾病 (TMD) 的患者表现出膜功能受损和心理健康状况较差. 这表明隔膜功能障碍可能与痛苦的TMD有关.
科学领域:
- 医学研究 医学研究
- 生理学 生理学 生理学
- 疼痛管理 疼痛管理
背景情况:
- 关节障碍 (TMD) 是一种由慢性面部疼痛为特征的疾病.
- 呼吸道肌肉功能,特别是腹膜在TMD病理生理学中的作用尚不清楚.
- 已知心理因素会影响TMD的疼痛感知和慢性.
研究的目的:
- 与健康个体相比,研究慢性疼痛TMD患者的隔膜功能.
- 在TMD患者中探索隔膜收缩性,心理状态 (抑郁,焦虑) 和疼痛特征之间的关系.
主要方法:
- 一项涉及23名慢性疼痛TMD患者和22名健康对照者的病例控制研究.
- TMD的诊断遵循了关节疾病的诊断标准.
- 使用B模式超声波测量隔膜厚度和收缩性,超声波器对组分配失明.
主要成果:
- TMD患者报告了抑郁症,焦虑症和身体症状的得分明显更高.
- 在TMD患者中,疼痛干扰与抑郁症和身体症状有显著的相关性.
- 与对照组相比,双边隔膜收缩性在TMD患者中显著降低.
- 在TMD患者中观察到左侧和右侧隔膜收缩性之间缺乏相关性,与对照组不同.
结论:
- 慢性疼痛的TMD与较差的心理状态有关,包括抑郁和焦虑.
- 在TMD患者中观察到双边隔膜收缩性降低和左右隔膜运动不一致.
- 这些发现表明,隔膜功能障碍与慢性疼痛TMD的发展或维持之间存在潜在的相关性.
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