College of Public Health and Health Professions, Department of Behavioral Science and Community Health, University of Florida, Gainesville, FL 32610, USA.
J Public Health Dent. 2010 Spring;70(2):85-92. doi: 10.1111/j.1752-7325.2009.00147.x.
This study tested the hypothesis that persons with orofacial pain and comorbid adult-onset diabetes will experience greater functional and emotional impact than persons experiencing orofacial pain without diabetes.
A random-digit dialing sampling procedure was used for a disproportionate probability sample of 10,341 persons who were screened for orofacial pain in the past 6 months and diabetes. This paper reports on 1,767 individuals reporting toothache pain and 877 reporting painful oral sores. A structured telephone interview assessed diabetes history, orofacial pain characteristics, oral health-care behaviors, and emotional and functional impacts of orofacial pain.
The 6-month point prevalence was 16.8 percent for toothache pain, 8.9 percent for painful oral sores, and 9.6 percent for adult-onset diabetes. Individuals with comorbid orofacial pain and adult-onset diabetes differed significantly on many of the pain characteristics and health behaviors compared with nondiabetic sufferers of orofacial pain. Diabetics were more likely than nondiabetics to have pain every day, to suffer negative emotions associated with pain, to experience disruption of daily activities and sleep, to make an emergency room visit for orofacial pain, and to report the current need for a pain-related health-care visit.
Although diabetes is well known to be associated with neuropathic pain, these results indicate that the experience of nociceptive pain is exacerbated by diabetes. Findings have significance for the subjective experience of oral pain, dental-care outcomes, and health-related quality of life associated with oral-health outcomes among individuals with diabetes.
本研究旨在验证以下假设，即患有口面疼痛和合并成人发病型糖尿病的个体与不伴糖尿病的口面疼痛患者相比，将经历更大的功能和情感影响。
采用随机数字拨号抽样程序，对过去 6 个月内接受口面疼痛和糖尿病筛查的 10341 人进行了不成比例的概率抽样。本文报告了 1767 名报告牙痛和 877 名报告口腔疼痛性溃疡的个体。一项结构化电话访谈评估了糖尿病史、口面疼痛特征、口腔保健行为以及口面疼痛的情感和功能影响。
6 个月时的牙痛患病率为 16.8%，口腔疼痛性溃疡患病率为 8.9%，成人发病型糖尿病患病率为 9.6%。与不伴糖尿病的口面疼痛患者相比，合并口面疼痛和成人发病型糖尿病的个体在许多疼痛特征和健康行为方面存在显著差异。与非糖尿病患者相比，糖尿病患者更有可能每天都感到疼痛，更有可能经历与疼痛相关的负面情绪，更有可能干扰日常活动和睡眠，更有可能因口面疼痛而前往急诊室就诊，并且更有可能报告当前需要与疼痛相关的医疗保健就诊。
尽管糖尿病与神经病理性疼痛密切相关，但这些结果表明，疼痛的发生与糖尿病有关。这些发现对口面疼痛的主观体验、牙科治疗结局以及与糖尿病患者口腔健康结局相关的健康相关生活质量具有重要意义。
