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目的应用颞下颌关节紊乱病研究诊断标准(RDC/TMD)中文版评估我国颞下颌关节紊乱病(TMD)患者的轴Ⅱ诊断。方法选择2011年6—11月在中山大学附属口腔医院就诊的142例TMD患者,使用RDC/TMD中文版对其进行调查,分析这些患者轴Ⅱ诊断。结果共收回有效量表133份,量表的完成率为93.7%,其中男38例,女95例,男女比例1∶2.5。患者年龄高发于18~44岁。67.7%的患者接受过大学文化教育,84.2%的患者月收入在5000元以下。32.3%的患者存在中到重度抑郁症状;31.6%的患者存在非特异性生理症状(包含疼痛);33.8%的患者存在非特异性生理症状(除外疼痛);TMD主要影响颌骨的咀嚼、吃硬食物和打呵欠等功能;不同人口统计学条件下的抑郁、非特异性生理症状得分差异无统计学意义(P>0.05);抑郁症状与非特异性生理症状相关性分析显示,二者呈正相关(P<0.05)。结论 TMD患者存在不同程度抑郁症状和非特异性生理症状;TMD主要影响颌骨的咀嚼、吃硬食物和打呵欠等功能;TMD患者的抑郁症状与非特异性生理症状呈正相关关系。
Objective To evaluate the diagnosis of axis Ⅱ in patients with temporomandibular disorder (TMD) by using the Chinese version of the Diagnostic Criteria for the Diagnosis of Temporomandibular Joint Disorder (RDC / TMD). Methods A total of 142 patients with TMD who were treated at Affiliated Stomatological Hospital of Sun Yat-sen University from June to November in 2011 were investigated by RDC / TMD Chinese version and the diagnosis of shaft Ⅱ was analyzed. Results A total of 133 valid questionnaires were retrieved. The completion rate was 93.7%, including 38 males and 95 females, with a ratio of 1: 2.5. Patients with high age at 18 to 44 years old. 67.7% of patients received college education, 84.2% of patients with monthly income of 5,000 yuan. 32.3% patients had moderate to severe depressive symptoms; 31.6% patients had nonspecific physiological symptoms (including pain); 33.8% patients had nonspecific physiological symptoms (except pain); TMD mainly affected jaw chewing, eating hard foods (P <0.05). The correlation between depressive symptoms and nonspecific physical symptoms showed that there was a positive correlation between depression and nonspecific physical symptoms (P <0.05), and there was no significant difference between depression and nonspecific physical symptoms under different demographic conditions 0.05). Conclusion TMD patients have depressive symptoms and nonspecific physiological symptoms to varying degrees. TMD mainly affects the mandibular chewing, eating hard foods and yawning. There is a positive correlation between depressive symptoms and nonspecific physical symptoms in TMD patients.