Ferrari R, Schrader H, Obelieniene D
Norwegian University of Science and Technology, Faculty of Medicine and Department of Neurology, University Hospital, Trondheim.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Jun;87(6):653-7. doi: 10.1016/s1079-2104(99)70155-1.
The purpose of this study was to ascertain the prevalence of symptoms of temporomandibular disorders in whiplash victims in Lithuania and compare it with the prevalence in otherwise healthy control subjects.
In a controlled historical cohort study in Lithuania, we asked each of 210 victims of vehicular rear-end collisions (at 14-27 months after the accident) to report the presence and frequency of a number of temporomandibular disorder symptoms. The results were compared with those for an age-matched and gender-matched control group, sampled randomly from the local population.
In the accident group, 2.4% of subjects (4/165) reported jaw pain for 1 day or more per month; this compared with 3.3% of the controls (6/180). One (0.6%) of the accident victims and 2 (1.1%) of the controls had daily jaw pain. In both groups there was a low prevalence of jaw sounds, pain in or near the ear(s), jaw locking, tinnitus, and facial pain.
Unlike whiplash claimants in many Western societies, Lithuanian accident victims do not appear to report the chronic symptoms of temporomandibular disorders despite their acute whiplash injuries.
本研究旨在确定立陶宛鞭打伤患者颞下颌关节紊乱症症状的患病率,并与健康对照受试者的患病率进行比较。
在立陶宛进行的一项对照历史队列研究中,我们询问了210名车辆追尾碰撞受害者(事故发生后14 - 27个月),让他们报告一系列颞下颌关节紊乱症症状的出现情况和频率。将结果与从当地人群中随机抽取的年龄和性别匹配的对照组进行比较。
在事故组中,2.4%的受试者(4/165)报告每月有1天或更长时间的颌部疼痛;对照组这一比例为3.3%(6/180)。事故受害者中有1人(0.6%)和对照组中有2人(1.1%)每天都有颌部疼痛。两组中颌部弹响、耳部或其附近疼痛、颌部绞锁、耳鸣和面部疼痛的患病率均较低。
与许多西方社会的鞭打伤索赔者不同,立陶宛事故受害者尽管遭受了急性鞭打伤,但似乎并未报告颞下颌关节紊乱症的慢性症状。