灼口综合征患者心理及口腔健康相关生活质量分析(1)
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[摘要]目的：初步研究灼口综合征患者心理状态及口腔健康相关生活质量。方法：选择在深圳市第五人民医院口腔科门诊就诊的43例BMS患者以及性别年龄相匹配的43例非BMS就诊患者作为对照组，进行医院焦虑抑郁量表(HADS)，口腔健康影响程度量表(OHIP-14中文版)、人口统计学一般项目表的调查。结果：灼口综合征患者的OHIP-14的分值中位数是21.25，明显高于一般就诊患者(中位数11.20)。且在功能限制，生理性疼痛、心理不适和心理障碍等领域影响程度最大。HADS与OHIP-14分值间的相关系数为rs=0.265，rs=0.271。结论：灼口综合征很大程度上影响了患者的口腔健康相关生活质量，心理分析可以明确患者是否有心理障碍及其类型和程度，从而为临床治疗方案的制定提供帮助。
[关键词]灼口综合征；口腔健康相关生活质量；焦虑；抑郁
[中图分类号]R781 [文献标识码]A [文章编号]1008-6455(2012)01-0107-03
Study on oral health related quality of life and psychological problems of BMS patients
YE Ping1,GENG Yi-jie2,YU Qing-chan1
(1.Department of Stomotology,The Fifth People's Hospital of Shenzhen,Shenzhen 518001,Guangdong,China;2. Shenzhen Center for Disease Control and Prevention)
Abstract: Objective The purpose of this study was to evaluate oral health-related quality of life (OHRQoL) and the psychological burden of disease on BMS patients. Methods The 43 outpatients suffered from Burning Mouth Syndrome (January 2009 to November 2010) coming to the Department of Stomatology of the Fifth People's Hospital of Shenzhen were asked to complete oral health-specific questionnaires (Chinese version of Oral Health Impact Profile,OHIP-14), Hospital Anxiety and Depression Scale(HADS),and sociodemographic was collected. Results A median value of 11.20 were observed for general patients subjects,while BMS patients has a median value of 21.25. BMS patients were significantly suffered in the domain of psychological discomfort, psychological disability,physical pain,functions limitation.A relationship between OHRQoL and Burning Mouth Syndrome was observed (rs=0.265，rs=0.271). Conclusion Administration of specific questionnaires provides a detailed picture of the impact of BMS on patients,which adds information that may be useful in clinical practice.
Key words:burning mouth syndrome;oral health raleted quality of life;anxiety;depression
灼口综合征(burning mouth syndrome,BMS)是发生在口腔粘膜的烧灼样疼痛，不伴临床病损及特征性的组织学改变，常伴随口干、味觉改变，头痛、情感变化(压抑、焦虑、易怒)。该疾病在一般人群中的发病率为0.7%～4.6%[1]，据研究报道，在美国每年约有130万成年人遭受该病的困扰，其中大多数为绝经后女性。由于该疾病除局部烧灼样疼痛外常伴随焦虑等精神症状 ......
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