部疾病患者的疼痛,功能和生活质量 患有不同盘位的患者
Yi-Jun Li1,2, Sophie Lau Rui Han1,2, Zi-Ang Xu1,2
1State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Chengdu, Sichuan, China.
Journal of oral rehabilitation
|September 21, 2024
概括
椎疾病 (TMD) 患有无减小的盘位移 (DDwoR) 患者经历的疼痛和功能限制最多. 焦虑和抑郁症显著影响TMD功能障碍和生活质量.
科学领域:
- 牙科 牙科是指牙科的专业.
- 放射学 放射学是一门学科.
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 关节 (TMJ) 盘位置,疼痛,功能和生活质量之间的相关性仍然存在争议.
- 有限的研究使用磁共振成像 (MRI) 来评估关节盘的位置及其临床影响.
研究的目的:
- 评估疼痛,下功能,和生活质量在关节疾病 (TMDs) 患者有不同的关节盘位置使用MRI.
- 调查这些临床参数和不同圆盘位置之间的关系.
主要方法:
- 335名参与者接受了MRI,将盘位分为正常定位 (NP),减少的盘位移 (DDwR) 和没有减少的盘位移 (DDwoR).
- 患者填写了评估疼痛 (NRS),功能 (JFLS-8),焦虑 (GAD-7),抑郁 (PHQ-9) 和口腔健康影响 (OHIP-TMD) 的验证问卷.
主要成果:
- 与NP和DDwR组相比,DDwoR组表现出明显更高的疼痛,功能限制和更差的生活质量.
- 患有DDwoR的患者报告说,,打哈欠,疼痛和心理不适的难度增加.
- 多变量回归确定了年龄,女性性别,DDwoR诊断,GAD-7和PHQ-9分数作为功能限制和生活质量降低的重要预测因素.
结论:
- 不减少的盘位移 (DDwoR) 与最严重的疼痛,功能障碍和TMD患者的生活质量下降有关.
- 一部分正常盘位 (NP) 的患者也报告了慢性疼痛.
- 身体疼痛,心理困扰和困难是最常见的报告障碍,特别是在焦虑和抑郁症的女性中.
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