Abstract:

Abstract： Objective To assess the axis Ⅱ diagnosis of TMD patients in China who seek treatment for TMD using Research Diagnostic Criteria for TMD （RDC/TMD）. Methods Clinical data of the TMD patients were collected using the RDC/TMD. Results A total of 142 TMD patients were surveyed and examined clinically. There were 133 valid scales involving 9 with missing data．There were 38 men and 95 women with the ratio of 1：2.5. Patients suffered from TMD were commonly seen at the age between 18 and 44， and 67.7% of TMD patients received college education； the income of 84.2% TMD patients were below 5000yuan. The axis diagnosis indicated that there were psychological distress and psychosocial dysfunction in TMD patients with no statistical significance among different demography situation （P > 0.05）. The TMD patients’ depressive symptoms were clearly associated with widespread non-speci?c physical symptoms even when pain items were excluded from the calculation to reduce the effects of pain co-morbidity （P < 0.05）.Conclusion There are psychological distress and psychosocial dysfunction in TMD patients. The TMD patients’ depressive symptoms are clearly associated with widespread non-speci?c physical symptoms even when pain items are excluded from the calculation to reduce the effects of pain co-morbidity.

摘要：

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。

关键词: 颞下颌关节紊乱病, 颞下颌关节紊乱病研究诊断标准, 轴Ⅱ, 临床应用