The relationship between headache and symptoms of temporomandibular disorder in the general population
The relationship between headache and symptoms of temporomandibular disorder in the general population
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DOI：
10.1016/s0300-5712(00)00042-7
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发表时间：
2001-02-01
影响因子：
4.4
通讯作者：
Radaelli, G
中科院分区：
文献类型：
--
作者：
Ciancaglini, R;Radaelli, G
目标。在一般人群中描述头痛与颞下颌紊乱（TMD）症状之间的关系，并评估是否存在与头痛相关的特定症状。1995年对意大利北部塞格莱大都会社区483名成人进行的个人访谈调查。过去一年头痛的总患病率为21.2%。颞下颌症状的患病率为54.3%。头痛在女性中的发生率明显高于男性（26.5% vs 15.4%），并且在患有头痛的受试者中发生率高于没有头痛的受试者。TMD症状（27.4% vs 15.2%）。在症状中，颞下颌疼痛、颞下颌关节声音和下颌运动疼痛与单变量分析的头痛相关。校正混杂变量后，多元logistic回归证实头痛与颞下颌疼痛有显著关系（OR 1.83, 95% CI, 1.07-3.15）。在一般成人人群中，头痛与TMD症状之间存在关联。因此，对于无法解释的头痛患者，即使没有慢性疾病和颞下颌紊乱的机械症状，也应考虑对口颌系统进行功能评估。2001爱思唯尔科学有限公司版权所有。
Objectives. To describe the relationship between headache and symptoms of temporomandibular disorder (TMD) in a general population, and to assess whether there are specific symptoms associated with headache.Methods. A personal interview survey conducted in 1995 on 483 adult subjects from the metropolitan community of Segrate, northern Italy.Results. The overall prevalence of headache in the past year was 21.2%. The prevalence of temporomandibular symptoms was 54.3%. Headache occurred significantly more in females than males (26.5 vs 15.4%), and in subjects with, rather than without. symptoms of TMD (27.4 vs 15.2%). Among symptoms, temporomandibular pain, temporomandibular joint sounds, and pain on movements of the jaw were associated with headache using a univariate analysis. After adjustment for confounding variables, a multiple logistic regression confirmed a significant relationship of headache with temporomandibular pain (OR 1.83, 95% CI, 1.07-3.15).Conclusions. In the general adult population there is an association between headache and symptoms of TMD. A functional evaluation of the stomatognathic system should be therefore considered in subjects with unexplained headache, even if chronic conditions and mechanical symptoms of temporomandibular disorder are absent. (C) 2001 Elsevier Science Ltd. All rights reserved.