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饮食失调患者的疼痛与颞下颌关节紊乱症

Pain and temporomandibular disorders in patients with eating disorders.

作者信息

Souza Samanta Pereira, Antequerdds Reynaldo, Aratangy Eduardo Wagner, Siqueira Silvia Regina Dowgan Tesseroli, Cordás Táki Athanássios, Siqueira José Tadeu Tesseroli

机构信息

Universidade de São Paulo - USP, Medical School, Psychiatric Institute, São Paulo, SP, Brazil.

Universidade de São Paulo - USP, Medical School, Department of Neurology, São Paulo, SP, Brazil.

出版信息

Braz Oral Res. 2018 Jun 7;32:e51. doi: 10.1590/1807-3107bor-2018.vol32.0051.

DOI:10.1590/1807-3107bor-2018.vol32.0051
PMID:29898020
Abstract

Orofacial pain and temporomandibular dysfunction may cause chronic facial pain, which may interfere with the emotional state and food intake of patients with eating disorders (ED), such as anorexia nervosa (AN) and bulimia nervosa (BN). Sixty-four patients were assigned to four groups: Group A (AN - restricting subtype): 07; Group B (AN - purging subtype ): 19; Group C (BN): 16; and Group D (control): 22. Complaints of pain are more prevalent in individuals with eating disorders (p<0.004). There are differences between the presence of myofascial pain and the number of hospitalizations (p = 0.046) and the presence of sore throat (p=0.05). There was a higher prevalence of masticatory myofascial pain and complaints of pain in other parts of the body in ED patients; however, there was no difference between ED subgroups. There was no difference in the number of self-induced vomiting between ED patients with and without myofascial pain.

摘要

口面部疼痛和颞下颌功能障碍可能导致慢性面部疼痛,这可能会干扰神经性厌食症(AN)和神经性贪食症(BN)等饮食失调(ED)患者的情绪状态和食物摄入。64名患者被分为四组:A组(AN-限制型亚型):7例;B组(AN-清除型亚型):19例;C组(BN):16例;D组(对照组):22例。疼痛主诉在饮食失调患者中更为普遍(p<0.004)。肌筋膜疼痛的存在与住院次数(p = 0.046)以及喉咙痛的存在(p=0.05)之间存在差异。饮食失调患者咀嚼肌筋膜疼痛和身体其他部位疼痛主诉的患病率较高;然而,饮食失调亚组之间没有差异。有和没有肌筋膜疼痛的饮食失调患者之间自我催吐的次数没有差异。

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