睡眠质量与颞下颌关节紊乱相关性的横断面研究OA
A cross-sectional study of the correlation between sleep quality and temporomandibular joint disorders
目的:通过横断面研究评估中国人群颞下颌关节紊乱(TMD)的患病率,并探讨其与睡眠障碍的关联性.方法:纳入 411 名受试者,通过中文版FAI量表、PSQI量表及PHQ-4量表收集TMD、睡眠障碍及心理状态数据.采用卡方检验、Spearman相关性分析及Logistic回归模型评估变量间关联,并通过分层分析和交互作用检验探讨潜在混杂因素的影响.结果:TMD及睡眠障碍患病率分别为 32.8%和 60.3%.睡眠障碍与TMD呈显著正相关(r=0.207,P<0.05),且睡眠障碍者患TMD的风险是非睡眠障碍者的 2.6 倍[OR=2.60,95%CI(1.7,4.1)].分层分析显示,睡眠障碍是疼痛相关TMD(PT)的危险因素[OR=1.80,95%CI(1.2,2.7)],而非关节内TMD(IT)的危险因素.结论:睡眠障碍者相对于非睡眠障碍者有更高的TMD尤其是PT的患病风险.
Objective:To evaluate the prevalence of temporomandibular disorders(TMD)and investigate its associa-tion with sleep disorders in Chinese adults.Methods:A cross-sectional study of 411 participants was conducted using valida-ted Chinese versions of the FAI,PSQI,and PHQ-4 scales to assess TMD,sleep quality,and psychological status.Statistical analyses included chi-square tests,Spearman's correlation,logistic regression,and stratified interaction analyses.Results:The prevalence rates of TMD and sleep disorders were 32.8%and 60.3%,respectively.Sleep disorders exhibited a signifi-cant positive correlation with TMD(r=0.207,P<0.05).Participants with sleep disorders had a 2.6-fold increased risk of TMD[OR=2.6,95%CI(1.7,4.1)]and were independently associated with pain-related TMD[PT;OR=1.8,95%CI(1.2,2.7)],but not with intra-articular TMD(IT).Conclusion:Sleep disorders are strongly linked to elevated TMD risk,particu-larly PT,in Chinese adults.
沈勇斌;黄丽云;黄毅斌;张彦君;黄委珍;邓丽
第九〇九医院/厦门大学附属东南医院五官科口腔门诊 福建 漳州 363000第九〇九医院/厦门大学附属东南医院五官科口腔门诊 福建 漳州 363000第九〇九医院/厦门大学附属东南医院五官科口腔门诊 福建 漳州 363000第九〇九医院/厦门大学附属东南医院五官科口腔门诊 福建 漳州 363000第九〇九医院/厦门大学附属东南医院五官科口腔门诊 福建 漳州 363000第九〇九医院/厦门大学附属东南医院五官科口腔门诊 福建 漳州 363000
医药卫生
颞下颌关节紊乱睡眠障碍抑郁焦虑
Temporomandibular joint disordersSleep disorderDepressionAnxiety
《临床口腔医学杂志》 2025 (10)
611-615,5
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