J Oral Facial Pain Headache. 2019 Fall;33(4):399–407. doi: 10.11607/ofph.2213. Epub 2019 Jun 24.
To study the possible associations of various clinically assessed painful signs of temporomandibular disorders (TMD) with the presence of migraine using a large population-based dataset.
The data were taken from the nationally representative Health 2000 Survey (BRIF8901). The sample consisted of 5,876 adults (age range 30 to 97 years, mean ± standard deviation 52.5 ± 14.8), 5,378 nonmigraineurs and 498 migraineurs. The study participants answered questions concerning migraine presence, migraine frequency, and migraine medication consumption during a home interview. They also underwent a clinical TMD examination.
Based on the multivariate regression models, painful muscular TMD, but not joint-related TMD, was associated with the presence of migraine (odds ratio [OR] = 1.58; 95% confidence interval [CI] = 1.23 to 2.04; P < .01). Migraine with TMD was associated with increased migraine frequency (daily or a few attacks within a week) (OR = 1.93; 95% CI = 1.27 to 2.93; P < .01) and higher migraine medication consumption (OR = 2.37; 95% CI = 1.43 to 3.92; P < .01).
According to the results of this study, muscle-related TMD pain is associated with the presence of migraine. Additionally, migraine along with painful TMD signs is associated with increased migraine frequency and migraine medication consumption.
利用大型基于人群的数据集，研究各种临床评估的颞下颌关节紊乱（TMD）疼痛体征与偏头痛存在之间的可能关联。
数据来自全国代表性的健康 2000 调查（BRIF8901）。样本由 5876 名成年人（年龄 30 至 97 岁，平均±标准差 52.5±14.8）组成，包括 5378 名非偏头痛患者和 498 名偏头痛患者。研究参与者在家庭访谈中回答了有关偏头痛存在、偏头痛频率和偏头痛药物使用的问题。他们还接受了临床 TMD 检查。
基于多变量回归模型，肌肉相关的 TMD 疼痛，但不是关节相关的 TMD 疼痛，与偏头痛的存在相关（比值比[OR] = 1.58；95%置信区间[CI] = 1.23 至 2.04；P <.01）。TMD 相关的偏头痛与偏头痛频率增加（每天或一周内几次发作）（OR = 1.93；95%CI = 1.27 至 2.93；P <.01）和更高的偏头痛药物使用（OR = 2.37；95%CI = 1.43 至 3.92；P <.01）相关。
根据这项研究的结果，与肌肉相关的 TMD 疼痛与偏头痛的存在相关。此外，伴有疼痛 TMD 迹象的偏头痛与偏头痛频率增加和偏头痛药物使用增加相关。
