口腔医学 ›› 2025, Vol. 45 ›› Issue (7): 525-528.doi: 10.13591/j.cnki.kqyx.2025.07.008

• 基础与临床研究 • 上一篇    下一篇

颞下颌关节紊乱病患者滑液中Asporin水平分析

张磊, 卜海伟, 徐天宇, 张明旭, 牛萍, 霍峰, 刘锐()   

  1. 承德医学院附属医院口腔科,河北承德(067000)
  • 收稿日期:2024-09-11 出版日期:2025-07-28 发布日期:2025-07-24
  • 通讯作者: 刘 锐 E-mail:liurui1977001206@163.com
  • 基金资助:
    河北省医学科学研究重点课题计划(20240886)

Analysis of synovial fluid Asporin levels in patients with temporomandibular joint disorders

ZHANG Lei, BU Haiwei, XU Tianyu, ZHANG Mingxu, NIU Ping, HUO Feng, LIU Rui()   

  1. Department of Stomatology, The Affiliated Hospital of Chengde Medical College, Chengde 067000, China
  • Received:2024-09-11 Online:2025-07-28 Published:2025-07-24

摘要:

目的 探讨颞下颌关节紊乱病(temporomandibular joint disorders,TMD)患者关节滑液中无孢蛋白(Asporin)水平的变化及其临床意义。方法 随机入选2021年1月至2023年12月因激发性疼痛及张口受限于承德医学院附属医院口腔科就诊的TMD患者48例作为TMD组,同时选取健康志愿者48例作为对照组。采用酶联免疫吸附实验(ELISA)法检测两组关节滑液中Asporin水平,比较两组滑液Asporin水平的差异,并分析其与TMD临床症状的相关性。结果 TMD组滑液Asporin水平显著高于对照组,差异有统计学意义(P<0.05)。滑液中Asporin水平与TMD患者的疼痛程度呈正相关(Rs=0.825,P<0.001),与张口度呈负相关(Rs=-0.945,P<0.001)。结论 TMD患者滑液中Asporin水平明显升高,TMD患者滑液中Asporin水平与TMD临床症状具有相关性,为TMD诊断和病情评估提供依据。

关键词: 颞下颌关节紊乱病, Asporin, 酶联免疫吸附试验, 生物学标志物

Abstract:

Objective To investigate the changes and clinical significance of synovial fluid Asporin level in patients with temporomandibular joint disorders (TMD). Methods A total of 48 TMD patients who were treated in our hospital from January 2021 to December 2023 due to irritant pain and mouth opening limitation were randomly selected as the observation group, and 48 healthy volunteers were selected as the control group. The synovial fluid Asporin levels of the two groups were detected by enzyme-linked immunosorbent assay (ELISA). The difference of synovial fluid Asporin levels between the two groups was compared. The correlation between the synovial fluid Asporin levels and the clinical symptoms of TMD was analyzed. Results The synovial fluid Asporin level in the experimental group was significantly higher than that in the control group (P<0.05). The synovial fluid Asporin level was positively correlated with the pain degree of TMD patients (Rs=0.825, P<0.001), negatively correlated with the degree of mouth opening (Rs=-0.945, P<0.001). Conclusion The level of Asporin in synovial fluid of TMD patients was significantly increased. The level of Asporin in synovial fluid of TMD patients is correlated with the clinical symptoms of TMD, which provides a basis for the diagnosis and evaluation of TMD.

Key words: temporomandibular joint disorder, Asporin, immunosorbent assay (ELISA), biological marker

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