华西口腔医学杂志2025，Vol.43Issue(2)：269-274,6.DOI:10.7518/hxkq.2025.2024321
温度骤降敏感的颞下颌关节紊乱综合征患者的临床特点初步分析
A preliminary analysis of the clinical characteristics of patients with temperature-sensitive temporomandibular joint disorder syndrome
摘要
Abstract
Objective This study aims to analyze the clinical symptoms and imaging manifestations in patients with temporomandibular disorder syndrome(TMD),who are sensitive to sudden temperature drop.Methods One hundred and nineteen patients with TMD who attended the Department of Stomatology of the First Medical Center of Chinese People's Liberation Army General Hospital from December 2022 to December 2023 were included,including 44 males and 75 females,with a mean age of 32.4±13.7 years. The questionnaire was used to determine whether they were sensitive to temperature drop,and the TMD patients were di-vided into a temperature plunge-sensitive group and a temperature drop insensitive group. The clinical symptoms and im-aging manifestations of patients in the two groups were observed. SPSS 25.0 was used for statistical analysis. Results There was no statistically significant difference between the gender and age of patients in the temperature plunge-sensi-tive group (50 patients) and the insensitivity group (69 patients) (P>0.05). The percentage of patients with pain was slightly higher in the temperature plunge-sensitive group[86.0％ (43/50)]than in the insensitive group[68.1％ (47/69)],and the difference was statistically significant (χ2=5.031,P=0.025),while the differences in joint murmur and mouth opening limitation between the two groups were not statistically significant. A total of 238 lateral joints were detected in both groups,the percentage of osteoarthropathic imaging changes was significantly higher in the temperature plunge-sen-sitive group[82.0％ (82/100)]than in the insensitive group[53.6％ (74/138)](χ2=20.675,P<0.001). Magnetic imaging showed that the percentage of joint effusion was higher in patients in the temperature plunge-sensitive group[66.0％ (33/50)]than in the insensitive group[42.0％ (29/69)],and the difference was statistically significant (χ2=5.602,P=0.018). Conclusion TMD patients with maxillofacial pain symptoms,joint effusions,and abnormal imaging of osteoarticular structures are more likely to be sensitive to sudden temperature drops.关键词
颞下颌关节紊乱综合征/温度骤降/锥形线束计算机体层摄影术/磁共振成像Key words
temporomandibular joint disorder syndrome/plunge in temperature/cone-beam computed tomography/magnetic resonance imaging分类
医药卫生引用本文复制引用
胡一帆,马博文,翟孝庭,徐鑫宇,王一涵,李鸿波,胡敏,刘洪臣,姜华..温度骤降敏感的颞下颌关节紊乱综合征患者的临床特点初步分析[J].华西口腔医学杂志,2025,43(2):269-274,6.基金项目
National Key Research and Development Plan(2023YFC3605600) （2023YFC3605600）
Science and Technology Nova Cross Project of Beijing(20220484208) 国家重点研发计划(2023YFC3605600) （20220484208）
北京市科技新星交叉项目(202204-84208) （202204-84208）
