目的:本病例对照研究旨在比较颞下颌关节紊乱病(TMD)患者和健康对照者的口腔健康相关生活质量(OHRQoL),考虑慢性疼痛分级量表(GCPS)评分,疼痛持续时间,心理障碍和人口学特征。
方法:共招募75例TMD患者和75例健康对照。使用简短版本的口腔健康影响概况(OHIP-14)来评估OHRQoL。使用一般健康问卷28(GHQ-28)评估心理社会损害。颞下颌关节紊乱病研究诊断标准(RDC/TMD)轴I和II也用于患者诊断和收集GCPS评分,疼痛持续时间,年龄和性别。独立样本t检验,采用Pearson卡方检验和多元logistic和线性回归模型进行统计分析。
结果:患者的平均年龄为34.3±12.4岁。在TMD组中观察到6:1的男女比例。TMD组和对照组之间OHIP的患病率和严重程度有显着差异(分别为66.7%vs12.0%和18.0vs9.2)。根据TMD组OHIP患病率的多元逻辑回归和OHIP严重程度的多元线性回归,GCPS评分和疼痛持续时间,其次是心理障碍,是OHRQoL最重要的预测因子。
结论:TMD对OHRQoL产生负面影响,特别是有心理障碍的患者。同时,年龄和性别似乎没有严重影响。因此,提高TMD患者的生活质量需要重视慢性疼痛管理和保持良好的心理健康。
OBJECTIVE: This
case-control study aimed to compare patients with temporomandibular disorders (TMD) and healthy controls in terms of oral health-related quality of life (OHRQoL) considering Graded Chronic Pain Scale (GCPS) scores, pain duration, psychological impairment and demographic characteristics.
METHODS: A total of 75 patients with TMD and 75 healthy controls were recruited. The short version of Oral Health Impact Profile (OHIP-14) was administered for evaluating the OHRQoL. Psychosocial impairments were assessed using the General Health Questionnaire-28 (GHQ-28). The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) axis I and II were also used for patient diagnosis and collecting GCPS scores, pain duration, age and gender. Independent-sample t tests, Pearson\'s chi-square tests and multiple logistic and linear regression models were applied for statistical analysis.
RESULTS: The mean age of the patients was 34.3±12.4 years. A female-to-male ratio of 6:1 was seen in the TMD group. The prevalence and severity of the OHIP were significantly different between the TMD and control groups (66.7% vs 12.0% and 18.0 vs 9.2, respectively). According to multiple logistic regression for OHIP prevalence and multiple linear regression for OHIP severity in the TMD group, GCPS scores and pain duration, followed by psychological impairment, were the most important predictors of the OHRQoL.
CONCLUSIONS: TMD negatively affected the OHRQoL, particularly in patients with psychological impairments. Meanwhile, age and gender did not seem to have a serious effect. Hence, promoting the quality of life of patients with TMD requires emphasis on chronic pain management and maintaining good mental health.