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下牙槽神经感觉障碍患者的临床观察

Clinical observation of patients with inferior alveolar nerve sensory disturbance.

作者信息

Batbold Dulguun, Kobayashi Akiko, Kumagai Junya, Yamaguchi Satoshi, Yoda Tetsuya

机构信息

Maxillofacial Surgery, Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Mongolian National University of Medical Sciences.

出版信息

J Oral Sci. 2020;62(1):112-118. doi: 10.2334/josnusd.19-0441.

Abstract

Fifty-four patients diagnosed with paresthesia on one side of the lower lip or skin in the chin area, were examined by multiple sensory tests and assessed self-reported subjective symptoms and the psychological state through questionnaires. Additionally, they were followed over time. Each sensory test threshold was evaluated and classified according to the individual way of scoring system, and the average sensory score (ASS) was used to analyze the correlation between self-reported symptoms and psychological state. On the second visit, all sensory test results had improved. The ASS was positively correlated with the pain questionnaire on the first visit; however, it did not correlate with psychological state or personality. There was a positive correlation between neuroticism and anxiety scores. The index of change (IC) of the ASS over time did not correlate with the IC of patients' self-reported symptoms or mental state. The IC of ASS data improved in all patients, but self-reported subjective symptoms did not show signs of improvement in all patients. When patients were divided into two groups according to age or sex, older females showed significantly more improvement than younger males on the psychological test.

摘要

对54例被诊断为下唇一侧或下巴区域皮肤感觉异常的患者进行了多项感觉测试,并通过问卷调查评估了自我报告的主观症状和心理状态。此外,对他们进行了长期随访。根据个体评分系统对每个感觉测试阈值进行评估和分类,并使用平均感觉评分(ASS)来分析自我报告症状与心理状态之间的相关性。在第二次就诊时,所有感觉测试结果均有所改善。第一次就诊时ASS与疼痛问卷呈正相关;然而,它与心理状态或性格无关。神经质与焦虑评分之间存在正相关。ASS随时间的变化指数(IC)与患者自我报告症状或精神状态的IC无关。所有患者的ASS数据IC均有所改善,但并非所有患者的自我报告主观症状都有改善迹象。当根据年龄或性别将患者分为两组时,老年女性在心理测试中的改善明显多于年轻男性。

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