Bailey D R
University of Medicine and Dentistry of New Jersey.
Cranio. 1990 Apr;8(2):174-82. doi: 10.1080/08869634.1990.11678312.
An association exists between bruxism, tension headache, and sleep disorders, particularly sleep apnea, in the craniomandibular dysfunction patient. Understanding the relationship of these three entities provides the clinician with valuable information that enhances one's ability to make a differential diagnosis. A review of sleep disorders is presented so that a clearer understanding of them can be gained, with emphasis on obstructive sleep apnea. Current theories regarding bruxism, morning headache, and sleep disorders relate closely to altered muscle activity, altered breathing and fluctuation in oxygen saturation levels, which in turn can contribute to a patient's complaints of various types of facial pain.
在颅下颌功能紊乱患者中,磨牙症、紧张性头痛和睡眠障碍(尤其是睡眠呼吸暂停)之间存在关联。了解这三种情况之间的关系,能为临床医生提供有价值的信息,增强其进行鉴别诊断的能力。本文对睡眠障碍进行综述,以便更清楚地了解这些障碍,重点是阻塞性睡眠呼吸暂停。目前关于磨牙症、晨起头痛和睡眠障碍的理论与肌肉活动改变、呼吸改变以及血氧饱和度波动密切相关,而这些反过来又可能导致患者出现各种面部疼痛症状。