乌鲁木齐市大学生颞下颌关节紊乱病的流行病学调查分析

摘要

目的：了解乌鲁木齐市大学生颞下颌关节紊乱病（TMD）的患病情况及口腔卫生保健意识，为针对性进行TMD教育及口腔保健预防工作提供理论依据。方法：对1223名乌鲁木齐市大学生进行颞下颌关节、口腔检查后根据Helkimo指数进行分析，包括既往及临床检查功能紊乱指数，评估TMD与民族、性别、学校、年级的关系，以及主要症状和不良习惯等。结果：患病率为51.10%，TMD的患病率在学校、民族间差异有统计学意义（P＜0.05）；精神心理因素、大张口与TMD的发生呈正相关（P＜0.01）；在TMD症状中，关节弹响发生率最高（69.12%）；大学生对口腔卫生保健、TMD认知水平较低。结论：精神因素是TMD发生的决定因素,有必要提高大学生对TMD及口腔卫生保健的认知。%Objective To study the prevalence of temporomandibular disorders (TMD) and awareness of oral health among undergraduates in Urumqi is to provide theoretical basis for TMD education and prevention of orally health care.Methods A sample of 1223 students was randomly selected from ifve universities in Urumqi.The subjects were adopted temporomandibular and oral inspection .we take analysis to the result according Helkimo that comprised history and clinical examination dysfunction index. To evaluate the relationship between TMD and nationality, gender, school, grade, and the main symptoms and bad habits.Results The morbility rate of TMD was 51.10%,and the difference of morbility between universities and nations (P<0.05)had statistically significant. Psychological factor and opening of the jaw were positively related to the TMD(P<0.01). Clicking of joint has higher prevalence in TMD symptoms.The college students’ knowledge of TMD and oral health was poor.Conclusion Mental factor is the decisive factor in the occurrence of TMD .It is necessary to improve the cognition of college students on TMD and oral health care.