磨牙症咬肌肌电动的分析研究.pdfVIP

磨牙症咬肌肌电活动的分析研究 摘 要 目的：应用肌电图针电极研究磨牙症患者的咀嚼肌肌电特征；对肌电图峰值电位及肌电波 形进行分析研究，探讨磨牙症对咬肌功能的影响；通过正常人与磨牙症患者最大紧咬牙时 咬肌肌电表现的差异，对磨牙症患者的病因研究及临床治疗起指导作用。 方法：采用调研筛查的方法，选择研究对象。抽取适合纳入标准的磨牙症患者和正常人各 15例分别作为实验组和对照组。应用同心针电极，观察和记录实验组与对照组在牙尖交错 位最大紧咬牙时咬肌肌电幅值及肌电图形。对各组双侧咬肌肌电幅值和咬肌不对称指数进 行统计分析；对两组间咬肌肌电幅值和肌电波形的差异进行对比研究。 结果：两组在紧咬牙时的肌电波形都有出现单相、双相及多相，其中实验组多相占 15%， 较正常组高，单相占 10%较正常组低；在最大紧咬牙时实验组咬肌肌电幅值明显低于正常 组，经独立样本 t 检验，其差别有统计学意义；两组左右侧肌电幅值的差别进行配对 t 检 验，结果没有统计学意义。实验组咬肌的不对称指数虽较正常组略高，但差别没有统计学 意义。 结论：实验组咬肌肌电幅值明显减低，可见长期磨牙或紧咬牙，咬肌处于过度收缩状态， 肌功能受损、收缩力下降，导致牙尖交错位最大紧咬牙时咬肌呈低电位。两组双侧咬肌不 对称指数无差异，说明磨牙症患者左右侧咬肌的肌张力趋于平衡，考虑磨牙症属于双侧磨 牙运动。肌电图仪针电极能够更客观、真实、准确地反应出咀嚼肌肌功能的详细情况，通 过对磨牙症患者进行肌电检查，可以如实反应其肌电状态，准确指导临床治疗。 关键词：磨牙症；咬肌；肌电图；针电极 山西医科大学硕士论文 Analysis of masseter EMG activity in patients with bruxism Abstract Objective: To study the characteristics of electromyogram (EMG) of masticatory muscle in patients with bruxism. Investigateing bruxism’s impact towards masseter muscle function through analyzing the summit potential of EMG and myoelectricity waves. Then comparing the difference of masseter muscle’s myoelectricity during clenching in patients with bruxism group and asymptomatic group , which will provide guiding significance for clinical research and treatment in patients with bruxism. Methods: Fifteen patients with bruxism and fifteen asymptomatic subjects were applied questionnaire investigation. EMG data (myoelectricity value and graphs) was recorded by placing concentric needle electrodes on masseters （MM ）during maximal voluntary clenching in intercuspal position . The myoelectricity value and masseter asymmetry index of each side is compared in experiment group and control group. Then compare myoelectricity