失眠作为关疾病的危险因素:全国性基于人口的队列研究
Heon-Young Kim1, Jung-Hyun Park2, Gwang Hyun Leem3
1Department of Oral and Maxillofacial Surgery, Ewha Womans University Medical Center, Seoul, Republic of Korea.
BMC oral health
|November 16, 2025
概括
失眠显著增加了患上关节疾病 (TMD) 的风险. 这项研究发现,在被诊断为失眠的个体中,TMD的风险增加了36%,这凸显了睡眠评估在TMD护理中的重要性.
科学领域:
- 口腔和牙和面部医学
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 部疾病 (TMD) 是影响生活质量的普遍情况.
- 失眠越来越多地被认为是各种健康问题的潜在因素.
研究的目的:
- 调查临床诊断的失眠与随后发展TMD的风险之间的关联.
- 利用全国医疗保险数据进行大规模的流行病学分析.
主要方法:
- 一项回顾性队列研究,使用2011-2019年韩国国家健康保险服务 (NHIS) 数据.
- 倾向得分匹配创造了具有和没有失眠的平衡群体 (n=20,813与n=62,439).
- 考克斯的比例危险模型和卡普兰-梅尔分析评估了TMD发病率.
主要成果:
- 失眠与显著更高的TMD发病率相关 (每1000人年6.46对4.48).
- 失眠独立预测TMD风险增加36% (HR=1.36;95% CI:1.25-1.49),即使经过对共变量进行调整.
- 卡普兰-梅尔分析证实,失眠队列中的TMD累积发病率较高 (p < 0.001).
结论:
- 临床诊断的失眠与患TMD的风险增加有关.
- 虽然由于数据库的局限性,因果关系尚未被证明,但研究结果表明将睡眠障碍评估纳入TMD评估.
- 建议进行进一步的前性研究,以证实这种联系,并探索综合护理的好处.
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