颞下颌关节疼痛患者的感觉及运动功能的研究

›› 2018, Vol. 9 ›› Issue (1): 24-27.

颞下颌关节疼痛患者的感觉及运动功能的研究

陈一楠¹,周薇娜¹,王琛²,张静露¹

1. 南京医科大学附属口腔医院
2. 江苏省口腔医院

收稿日期:2018-01-08 修回日期:2018-03-09 出版日期:2018-03-25 发布日期:2018-04-04
通讯作者: 张静露 E-mail:zhjllym@gmail.com
基金资助:
口腔颌面部遗传性疾病和发育畸形及软组织缺损;口颌面部感觉功能定量研究

Study on somatosensory and jaw function of patients with temporomandibular joint pain

Received:2018-01-08 Revised:2018-03-09 Online:2018-03-25 Published:2018-04-04

摘要/Abstract

摘要： 目的：探讨颞下颌关节（TMJ）疼痛患者感觉和运动功能的特征。方法：选择单侧TMJ疼痛患者与性别、年龄匹配的正常者各20名，测量并比较两组受试者的视觉模拟疼痛评分（VAS）、开口度（OR）、双侧TMJ的机械疼痛阈值（MPT）和压力疼痛阈值（PPT）。结果：病人组VAS值显著高于对照组（P<0.001），病人组开口度显著小于对照组（P<0.001）。患者TMJ疼痛侧MPT、PPT均小于对照组同侧（P<0.05）。病人组TMJ疼痛侧与无痛侧之间的MPT及PPT均存在统计学差异（P<0.05）。结论：TMJ疼痛患者对疼痛感觉较敏感，运动功能下降。

Abstract: Objective：To explore the difference of somatosensory and jaw function between patients with unilateral temporomandibular joint (TMJ) pain and normal subjects by quantitative sensory test and opening ranges. Methods：20 patients suffering from unilateral TMJ pain and 20 healthy controls were enrolled in this study. Visual analogue scale (VAS)，opening ranges (OR) and mechanical pain threshold (MPT), pressure pain threshold (PPT) on both TMJ were measured and compared. Results：VAS of patients were higher than that of controls (P<0.001), but opening ranges were all smaller than controls (P<0.001). Both MPTs and PPTs of pain side of the patients were lower than ipilateral side of controls (P<0.05). MPTs and PPTs were also lower in pain side than those in contralateral side of TMJ in patients (P<0.05). Conclusions：TMJ pain patients demonstrated high sensitivity and limitation of jaw motion .

中图分类号:

R782.63

陈一楠周薇娜王琛张静露. 颞下颌关节疼痛患者的感觉及运动功能的研究[J]. , 2018, 9(1): 24-27.

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