| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 211.56 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: A Doença Pulmonar Obstrutiva Crónica é uma das principais causas de morbilidade e mortalidade, sendo a Ventilação Mecânica Não Invasiva (VMNI) um meio de intervenção. Tendo em conta a biomecânica da Articulação esta intervenção pode originar Disfunção Temporomandibular (DTM). Objetivo: Verificar a prevalência de DTM, avaliar a severidade de DTM associada ao número de horas/anos de utilização de VMNI, e a severidade de DTM em função do tipo de interface e modo ventilatório em doentes com patologia obstrutiva. Metodologia: Estudo transversal constituído por 49 doentes com patologia obstrutiva. Foi aplicado o Questionário Anamnésico de Fonseca. Para o tratamento dos dados utilizou-se o coeficiente de Correlação de Spearman e o teste de Mann-Whitney com α=0.05. Resultados: Relativamente à severidade de DTM constatou-se que 15 indivíduos apresentavam DTM leve. Verificou-se uma associação positiva estatisticamente significativa entre o número de horas/anos de VMNI (r=0,422; p=0,01) e uma diferença estatisticamente significativa entre a severidade de DTM e modo ventilatório (p=0,018). Conclusão: A maioria dos doentes apresentava DTM leve, e verificou-se uma associação positiva entre o número de horas e de anos de utilização de VMNI.
ABSTRACT: Introduction – Chronic obstructive pulmonary disease is one of the main causes of morbidity and mortality, and non-invasive mechanical ventilation (NIMV) is a means of intervention. Taking into account the biomechanics of the Articulation this intervention can cause temporomandibular dysfunction (TMD). Objective – To verify the prevalence of TMD in individuals with chronic obstructive pulmonary disease. Secondarily, it was intended to assess the severity of TMD associated with the number of hours/years of NIMV use, the type of interface and the ventilatory mode in these patients. Methods – A cross-sectional study consisting of 49 patients with obstructive pathology. The Fonseca Anamnestic Questionnaire was applied. For the data treatment, the Spearman Correlation coefficient and the Mann-Whitney test with α=0.05 were used. Results – Regarding the severity of TMD, it was verified that 15 individuals had light TMD. There was a statistically significant positive association between the number of hours/years of NIV use (r=0.422, p=0.01) and a statistically significant difference between the severity of TMD and ventilatory mode (p=0.018). Regarding the severity of TMD as a function of the type of interface (p=0.833), it was found that there were no statistically significant differences. Conclusion – It was concluded that the majority of patients with chronic obstructive pulmonary disease had TMD and were classified as mild TMD. There was a positive association between the number of hours and years of use of NIV in these patients.
ABSTRACT: Introduction – Chronic obstructive pulmonary disease is one of the main causes of morbidity and mortality, and non-invasive mechanical ventilation (NIMV) is a means of intervention. Taking into account the biomechanics of the Articulation this intervention can cause temporomandibular dysfunction (TMD). Objective – To verify the prevalence of TMD in individuals with chronic obstructive pulmonary disease. Secondarily, it was intended to assess the severity of TMD associated with the number of hours/years of NIMV use, the type of interface and the ventilatory mode in these patients. Methods – A cross-sectional study consisting of 49 patients with obstructive pathology. The Fonseca Anamnestic Questionnaire was applied. For the data treatment, the Spearman Correlation coefficient and the Mann-Whitney test with α=0.05 were used. Results – Regarding the severity of TMD, it was verified that 15 individuals had light TMD. There was a statistically significant positive association between the number of hours/years of NIV use (r=0.422, p=0.01) and a statistically significant difference between the severity of TMD and ventilatory mode (p=0.018). Regarding the severity of TMD as a function of the type of interface (p=0.833), it was found that there were no statistically significant differences. Conclusion – It was concluded that the majority of patients with chronic obstructive pulmonary disease had TMD and were classified as mild TMD. There was a positive association between the number of hours and years of use of NIV in these patients.
Description
Keywords
Disfunção temporomandibular Doença pulmonar obstrutiva crónica Interface Ventilação mecânica não invasiva Temporomandibular dysfunction Chronic obstructive pulmonary disease Interface Non-invasive mechanical ventilation
Citation
Pinto AR, Venâncio JP, Silva N, Simões A, Chaves P, Lopes S. Ventilação mecânica não invasiva e a severidade na disfunção temporomandibular em portadores de doença pulmonar obstrutiva crónica. Saúde & Tecnologia. 2019;(21):45-50.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa