[논문]성별에 따른 측두하악장애 환자의 긴장성 두통 양상

고석호; 강수경; 어규식; 홍정표; 전양현

[국내논문] 성별에 따른 측두하악장애 환자의 긴장성 두통 양상
Evaluation of Temporomandibular Disorders with Tension-Type Headache by Gender 원문보기

대한구강내과학회지 = Korean journal of oral medicine, v.34 no.3 = no.76, 2009년, pp.303 - 316

고석호 (경희대학교 치의학전문대학원 구강내과학교실) , 강수경 (경희대학교 치의학전문대학원 구강내과학교실) , 어규식 (경희대학교 치의학전문대학원 구강내과학교실) , 홍정표 (경희대학교 치의학전문대학원 구강내과학교실) , 전양현 (경희대학교 치의학전문대학원 구강내과학교실)

초록
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본 연구는 긴장성 두통이 있는 측두하악장애 환자의 성별에 따른 양상을 평가하기 위하여 시행되었다. 경희대학교 치과대학 병원 구강내과에 내원한 환자 중 긴장성 두통을 동반하거나 동반하지 않은 측두하악장애 환자를 대상으로 연구가 시행되었다. 긴장성 두통을 동반한 측두하악장애 환자 60명을 실험군, 긴장성 두통을 동반하지 않는 측두하악장애 환자 111명을 대조군으로 하여 통증의 질과 강도, 양측성 유무 그리고 일상생활에서의 증감 유무 등을 관찰하고 통계 처리하여 다음과 같은 결과를 얻었다. 1. 긴장성 두통이 없는 측두하악장애 환자에서 통증의 질은 성별 차이가 있었지만(p=0.04), 긴장성 두통이 있는 측두하악장애 환자에서는 성별 차이가 없었다. 2. 긴장성 두통이 없는 측두하악장애 환자에서 통증의 강도는 성별 차이가 없었고, 긴장성 두통이 있는 측두하악장애 환자에서도 성별 차이가 없었다. 3. 긴장성 두통이 없는 측두하악장애 환자에서 통증의 양측성 유무는 성별 차이가 없었고, 긴장성 두통이 있는 측두하악장애 환자에서도 성별 차이는 없었다. 4. 긴장성 두통이 없는 측두하악장애 환자에서 일상생활에 따른 통증의 증가 유무는 성별 차이가 없었고, 긴장성 두통이 있는 측두하악장애 환자에서도 성별 차이가 없었다. 따라서, 긴장성 두통이 없는 측두하악장애 환자의 통증의 질에서는 성별 차이가 있었지만 긴장성 두통이 있는 경우에는 성별 차이가 없었기 때문에 긴장성 두통이 있는 환자를 진료할 때는 남성과 여성이 비슷한 통증의 질을 가지고 있음을 고려해야 한다.

Abstract ▼ AI-Helper

This study was designed to evaluate the Temporomandibular Disorders(TMD) with Tension-Type Headache(TTH) by gender. Patients with TMD and/or TTH visited the Department of Oral Medicine, Kyung Hee University Dental Hospital were recruited to this study. Experimental group(n=60) is composed of TMD with TTH and control group(n=111) is composed of TMD without TTH. Evaluation list was pain quality, pain intensity, pain laterality, pain increase by routine physical activity and then it was analyzed statistically. The results were as follows ; 1. In the control group, pain quality was significantly different by gender(p=0.04). But, in the experimental group, pain quality was not significantly different by gender. 2. In the control group, pain intensity was not significantly different by gender. And, in the experimental group, pain intensity was not significantly different by gender. 3. In the control group, pain laterality was not significantly different by gender. And, in the experimental group, pain laterality was not significantly different by gender. 4. In the control group, pain increase by routine physical activity was not significantly different by gender. And, in the experimental group, pain increase by routine physical activity was not significantly different by gender. Therefore, it is considered that not temporomandibular disorder patients with tension-type headache but temporomandibular disorder patients without tension-type headache was influenced by gender in the pain quality.

주제어

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가설 설정

2. In the control group, pain intensity was not significantly different by gender. And, in the experimental group, pain intensity was not significantly different by gender.
3. In the control group, pain laterality was not significantly different by gender. And, in the experimental group, pain laterality was not significantly different by gender.

제안 방법

Therefore, this study has been initiated in order to examine the ways in which tension-type headaches are shown in patients with temporomandibular disorders by gender, and to eventually discover the interrelation between temporomandibular disorders and tension-type headaches.
This study used ordinary dental examination records, temporomandibular disorder examination records, and additional survey results for basic information including the patient's gender, chief complaint, and onset of pain, as well as detailed information including pain quality, intensity, laterality, and increase by routine physical activities.

대상 데이터

It was shown that the average age with the most tension-type headache in women was clearly greater than that of men. In this study, the control group consisted of 67 men (60.4%) and 44 women (39.6%); the average age was 23.8. On the other hand, the experimental group consisted of 45 men (75%) and 15 women (25%), with the average age of 23.

데이터처리

Data from the aforementioned process were analyzed through descriptive statistics(%), the significance test using a significance level of 0.05, and crosstabulation analysis in other words Pearson’s Chi-square test.

성능/효과

1. In the control group, pain quality was significantly different by gender(p=0.04). But, in the experimental group, pain quality was not significantly different by gender.
4. In the control group, pain increase by routine physical activity was not significantly different by gender. And, in the experimental group, pain increase by routine physical activity was not significantly different by gender.
456). Therefore, although women tend to be more sensitive among tension-type headache patients without temporomandibular disorder, this study concluded that there is no significant difference by gender among temporomandibular disorder patients with tension-type headache.
639). Therefore, this study concluded that in terms of pain laterality, there is no significant difference by gender among temporomandibular disorder patients with or without tension-type headache.
816). Thus, this study concluded that in terms of pain intensity, there is no significant difference by gender among temporomandibular disorder patients with or without tension-type headache.

후속연구

Thus, temporomandibular disorder patients with tension-type headache must be treated differently from those without tension-type headache, considering the fact that the patients' pain quality is significantly different by gender. Additional and continuous research will be necessary on this matter.

참고문헌 (20)

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