磨牙症患者局部与广泛颞下颌关节紊乱疼痛对睡眠参数的影响：单夜多导睡眠图研究
Effects of localized versus widespread TMD pain on sleep parameters in patients with bruxism: A single-night polysomnographic study.
作者信息
de Siqueira José Tadeu Tesseroli, Camparis Cinara Maria, de Siqueira Silvia Regina Dowgan Tesseroli, Teixeira Manoel Jacobsen, Bittencourt Lia, Tufik Sérgio
机构信息
Orofacial Pain Team of Dentistry, Division of Hospital das Clínicas, Medical School of Universidade de São Paulo (USP), Brazil; Pain Center of Neurology, Department of Medical School of Universidade de São Paulo (USP), Brazil.
Araraquara Dentistry School, Universidade Estadual Paulista (UNESP), Brazil.
出版信息
Arch Oral Biol. 2017 Apr;76:36-41. doi: 10.1016/j.archoralbio.2016.06.027. Epub 2017 Jan 16.
OBJECTIVE
The purpose of this study was to investigate whether the presence of concomitant widespread pain could influence the polysomnographic characteristics of patients with Sleep Bruxism(SB) and chronic masticatory muscle pain(TMD).
METHODS
20 SB/TMD patients (17 women and 3 men) were evaluated according to the RDC/TMD questionnaire; and were divided into two groups according to the absence (Group A) or presence (Group B) of widespread pain. They were evaluated in a one night polysomnography paradigm.
RESULTS
Group B had lower sleep efficiency (p=0.034) and higher mean age (p=0.000) than Group A. Self-reported orofacial pain complaints, clinical and emotional aspects (RDC/TMD Axis I and II), and SB PSG parameters were similar in both groups; all patients had masticatory myofascial pain and the pain characteristics were bilateral location (95.0%) and tightness/pressure quality (70.0%).
CONCLUSIONS
At a single-night PSG, SB/TMD patients with widespread pain presented lower PSG sleep efficiency and higher mean age.
目的
本研究旨在调查是否存在伴随的广泛性疼痛会影响磨牙症（SB）和慢性咀嚼肌疼痛（颞下颌关节紊乱病，TMD）患者的多导睡眠图特征。
方法
根据RDC/TMD问卷对20名SB/TMD患者（17名女性和3名男性）进行评估；并根据是否存在广泛性疼痛分为两组（A组）无广泛性疼痛，（B组）有广泛性疼痛。对他们进行了一晚的多导睡眠图监测。
结果
B组的睡眠效率低于A组（p = 0.034），平均年龄高于A组（p = 0.000）。两组患者自我报告的口面部疼痛主诉、临床和情绪方面（RDC/TMD轴I和轴II）以及SB多导睡眠图参数相似；所有患者均有咀嚼肌筋膜疼痛，疼痛特征为双侧部位（95.0%）和紧绷/压迫性质（70.0%）。
结论
在一晚的多导睡眠图监测中，伴有广泛性疼痛的SB/TMD患者的多导睡眠图睡眠效率较低，平均年龄较高。
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