新疆大学生颞下颌关节紊乱病相关因素的Logistic回归分析

›› 2015, Vol. 35 ›› Issue (10): 874-877.

新疆大学生颞下颌关节紊乱病相关因素的Logistic回归分析

赵晓敏¹,包旭英¹,龚忠诚²,林兆全²

1. 新疆乌鲁木齐市口腔医院
2. 新疆医科大学第一附属医院颌面外科

收稿日期:2015-04-15 修回日期:2015-06-03 出版日期:2015-10-28 发布日期:2015-10-27
通讯作者: 龚忠诚 E-mail:gump0904@yahoo.com.cn
基金资助:
PLLA/PDLA三维支架与滑膜间充质干细胞/软骨细胞构建颞下颌关节盘的研究

Logistic regression analysis of temporomandibular disorders in young people in Xinjiang

Received:2015-04-15 Revised:2015-06-03 Online:2015-10-28 Published:2015-10-27

摘要/Abstract

摘要： 目的　探讨新疆大学生颞下颌关节紊乱病患病率及其相关的发病因素。方法　对新疆医科大学812名在读医学生使用Helkimo指数进行分析颞下颌关节紊乱病的患病情况调查。相关因素进行Logistic回归分析。结果　颞下颌关节紊乱病的患病率占39.50%。咬合关系中前牙深覆牙合及反牙合,不良习惯中的偏侧咀嚼，夜磨牙为主要危险因素，增加TMD患病的风险。结论　错牙合畸形与牙合应力疲劳与颞下颌关节紊乱病的发生有关。

关键词: 颞下颌关节紊乱病 , 牙合因素, Logistic 回归分析

Abstract: Objective To investigate the prevalence and identify the possible clinical risk factors associated with the temporomandibular disorders (TMD) in young people in Xinjiang. Methods A sample of 812 medical students was randomly selected from Xinjiang Medical University. The prevalence of TMD was analyzed by Helkimo index, and the possible risk factors associated with the disease were identified by logistic regression analysis. Results The prevalence of TMD was 39.50% in this population. Malocclusion, chewing-side preference and bruxism were the main risk factors which increased the possible occurrence of TMD . Conclusion Malocclusion and occlusal stress fatigue were related to the formation of temporomandibular disorders.

Key words: Temporomandibular joint disorders, Occlusal factors, Logistic regression analysis

中图分类号:

R782.63

赵晓敏包旭英龚忠诚林兆全. 新疆大学生颞下颌关节紊乱病相关因素的Logistic回归分析[J]. , 2015, 35(10): 874-877.

参考文献

[1]张震康,俞光岩.腔颌面外科学[M].北京,北京大学医学出版社,2007:393-407
[2]Helkimo M.Epidemiological surveys of dysfunction of the masticatory system. In: Zarb GA,Carlsson GE,eds.Temporomandibular joint function and dysfunction[M].Copenhagen:Munksgaard,1979:175-192
[3]Helkimo M.Studies on function and dysfunction of the masticatory systemⅡ.Index for anamnestic and clinical dysfuction and occlusal state[J].. Swed Dent J,1974,67:101-121
[4] 邱蔚六.口腔颌面外科学[M]．6版．北京：人民卫生出版社，2008：324-335
[5]胡敏,毕长青,周丹,等.安氏Ⅲ类错牙合正畸前后颞下颌关节形态变化的研究[J].现代口腔医学杂志,2000,14(5):317-319
[6]Akerman S,Kopp S,Rohlin M.Macroscopic and microscopic appearance of radiological findings in temporomandibular joint from elderly individualsAn autopsy study[J]..Int J Oral Maxillofacial Surgery,1988,17(1):58-63
[7]Petrikowski CG,Grace MGA,Ontario T.Age and gender differences in temporomandibular joint radiographic findings before orthodontic treatment in adolescents[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endo,1999,87(3):380-385
[8]邓雨萌,傅民魁.少年儿童颞颌关节紊乱综合征患者正畸前后牙合接触点变化的研究[J].中华口腔医学杂志,1994,29(1):20-23
[9]Williamson E.Temporomandibular dysfunction in Pretreatment adolescent patients[J].AM J Orthod,1997,72:429-
[10] 薛飞,王美青,李晓峰,等.颢下颌关节紊乱病与正畸病人错牙合情况比较.牙体牙髓牙周病学杂志[J].2007,17(6):348-350
[11]王美青．现代牙合学[Ｍ].北京：人民卫生出版社,2006:142-157
[12]罗颂椒．当代实用口腔正畸技术与理论[M].北京：中国人民科技出版社,1998:350
[13]罗宗赉,易新竹,彭忠倩.青年中颞颌关节紊乱综合症发病情况的调查分析[J].华西口腔医学杂志,1985,3(1):52-54
[14]马建民.对适龄入伍青年颞下颌关节紊乱的调查分析.中华流行病学杂志[J].1996,17(3):386-387
[15]邓燕,严明,李振春.1637名医学院学生颞颌关节功能紊乱综合征的流行病学调查[J].口腔医学,1990,10(5):134-136
[16]张永福,汪建中,神田重信,等.江西人群1005名颜下领关节紊乱病的流行病学调查[J].江西医学院学报,1999,39(2):85-90