类风湿性关节炎患者颞下颌关节紊乱症诊断中Helkimo和颅下颌指数的分析
Analysis of helkimo and craniomandibular indexes for temporomandibular disorder diagnosis on rheumatoid arthritis patients.
作者信息
da Cunha Suzana C, Nogueira Ricardo Viana Bessa, Duarte Angela Pinto, Vasconcelos Belmiro Cavalcanti do Egito, Almeida Renata de Albuquerque Cavalcanti
机构信息
Dentistry School of Pernambuco, Brazil.
出版信息
Braz J Otorhinolaryngol. 2007 Jan-Feb;73(1):19-26. doi: 10.1016/s1808-8694(15)31117-4.
AIM
The aim of this study was to evaluate the use of two indexes (Helkimo and Craniomandibular) for the diagnosis of temporomandibular disorder (TMD) in patients with Rheumatoid Arthritis (RA).
PATIENTS AND METHODS
The sample was composed of 80 patients divided into two groups: patients with RA and patients without RA. In both groups the two indexes were used. For TMD diagnosis, the following signs and symptoms were evaluated: TMJ pain, limited mouth opening and joint sounds.
RESULTS
Results showed that of the RA patients, 87.1% were females and 12.9% were males. Among the patients without RA, 70% were females and 30% were males. The age of these RA patients ranged between 24 and 78 years. Among patients without RA, the age of the patients ranged between 22 and 72 years. It was observed that the prevalence of TMD was higher in the group with RA (98.6%-Helkimo and 87.1%-Craniomandibular) when compared to the group without the disorder (80%-Helkimo and 50%-Craniomandibular).
CONCLUSION
In summary, one could conclude that both indexes are capable to diagnose temporomandibular disorders in RA patients, although the Helkimo index is less accurate.
目的
本研究旨在评估两种指标（赫尔基莫指数和颅下颌指数）在类风湿关节炎（RA）患者颞下颌关节紊乱病（TMD）诊断中的应用。
患者与方法
样本由80名患者组成，分为两组：RA患者和非RA患者。两组均使用这两种指标。对于TMD诊断，评估以下体征和症状：颞下颌关节疼痛、张口受限和关节弹响。
结果
结果显示，RA患者中，87.1%为女性，12.9%为男性。在非RA患者中，70%为女性，30%为男性。这些RA患者的年龄在24岁至78岁之间。在非RA患者中，患者年龄在22岁至72岁之间。观察到，与无该疾病组（赫尔基莫指数80%，颅下颌指数50%）相比，RA组中TMD的患病率更高（赫尔基莫指数98.6%，颅下颌指数87.1%）。
结论
总之，可以得出结论，两种指标均能够诊断RA患者的颞下颌关节紊乱病，尽管赫尔基莫指数的准确性较低。
Zotero 插件