Khatun S, Huq M Z, Islam M A, Uddin M W, Asaduzzaman M, Hossain M M
Department of Oral & Maxilla Facial Surgery, BSMMU, Shahbagh, Dhaka, Bangladesh.
Mymensingh Med J. 2012 Apr;21(2):281-5.
The purpose of the present study was to investigate two years clinical outcome of patients having myofacial pain dysfunction syndrome (MPDS). A total of 50 patients (male: 15, Female: 35, age: raged from 20 to 65 years) were included for this study. Clinical diagnosis for the assessment of anxiety and depression of each patient was performed by Hospital anxiety and depression (HAD) scale. Patients were then received either one of the following treatments: Occlusion correction only (n=14), Muscle Relaxant + anti-depressant drug (n=26), Physiotherapy + antidepressant drug + muscle relaxant (n=6) and Appliance + muscle relaxant (n= 4). Following two years observation, it was revealed that the treatment was apparently successful in 95% case; only 5% case was not successful due to their irregular visit. It can be concluded that MPDS is not primarily related to occlusal factors and a complex psycho physiological mechanism is involved in this type of pain problems.
本研究的目的是调查患有肌筋膜疼痛功能障碍综合征（MPDS）患者的两年临床结果。本研究共纳入50例患者（男性15例，女性35例，年龄在20至65岁之间）。采用医院焦虑抑郁量表（HAD）对每位患者的焦虑和抑郁情况进行临床诊断评估。然后，患者接受以下治疗之一：仅进行咬合矫正（n = 14）、肌肉松弛剂 + 抗抑郁药（n = 26）、物理治疗 + 抗抑郁药 + 肌肉松弛剂（n = 6）以及矫治器 + 肌肉松弛剂（n = 4）。经过两年的观察发现，95%的病例治疗明显成功；仅5%的病例因不定期就诊而未成功。可以得出结论，MPDS并非主要与咬合因素相关，这类疼痛问题涉及复杂的心理生理机制。
