复发性阿弗他口腔溃疡：我们知道患者用什么来治疗溃疡吗？

Recurrent aphthous stomatitis: do we know what patients are using to treat the ulcers?

机构信息

Department of Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Periodontology, Faculty of Dentistry, University of Jordan, Amman, Jordan.

出版信息

J Altern Complement Med. 2010 Jun;16(6):651-5. doi: 10.1089/acm.2009.0555.

DOI:10.1089/acm.2009.0555

PMID:20569032

Abstract

OBJECTIVES

The objectives of this study were to determine prevalence and types of treatments used by patients with recurrent aphthous stomatitis (RAS), and to study the sources of information about treatments used.

METHODS

The study was a cross-sectional survey. The participants were 530 students who had a history of RAS and were studying at the University of Jordan, Amman.

RESULTS

Of the 530 patients, 267 (50.4%) have attempted treatment of RAS. Of those who treated RAS, 86 (32.2%) have used alternative treatments (ATs). Topical anaesthetics/analgesics, antiseptic mouthwashes, and topical steroids represented 84.5% of the conventional medicines used. Of those who used ATs, 34 (39.5%) used tahini, 21 (24.4%) used salt/salt and warm water mouthrinse, and 7 (8.1%) used lemon/lemon salt. The tendency to treat RAS or not was not significantly affected by sociodemographic variables, but ATs were more significantly used by students living in rural areas. Relatives were the most frequently cited source of information about treatment (44.6%), followed by medical practitioners (22.9%), and only 9.4% sought treatment advice from dentists. Interestingly, 7% of the ATs were recommended by health care providers and 38.7% of the conventional treatments were recommended by non-health-care providers including 15 cases of topical steroids.

CONCLUSIONS

This survey revealed a high prevalence of ATs use among Jordanian patients with RAS. There is a need to educate patients with RAS on the treatment options available to reduce their distress and to improve their quality of life. Health care providers such as medical practitioners and pharmacists are frequently consulted by patients with oral lesions, so they should provide patients with better education in the diagnosis and treatment of oral diseases. Randomized clinical trials are needed to examine the potential usefulness of the commonly used ATs in this study such as tahini/sesame oil in the treatment of RAS.

摘要

目的

本研究旨在确定复发性阿弗他口炎（RAS）患者使用的治疗方法的流行程度和类型，并研究治疗方法的信息来源。

方法

本研究为横断面调查。参与者为 530 名在约旦安曼的约旦大学就读并患有 RAS 病史的学生。

结果

在 530 名患者中，有 267 名（50.4%）尝试过治疗 RAS。在接受 RAS 治疗的患者中，有 86 名（32.2%）使用了替代疗法（ATs）。局部麻醉剂/镇痛药、防腐漱口液和局部类固醇占使用的常规药物的 84.5%。在使用 ATs 的患者中，34 名（39.5%）使用芝麻酱，21 名（24.4%）使用盐/盐水漱口，7 名（8.1%）使用柠檬/柠檬盐。是否治疗 RAS 的倾向不受社会人口统计学变量的显著影响，但居住在农村地区的学生更倾向于使用 ATs。亲属是最常被引用的治疗信息来源（44.6%），其次是医疗从业者（22.9%），只有 9.4%向牙医寻求治疗建议。有趣的是，7%的 ATs 是由医疗保健提供者推荐的，38.7%的常规治疗是由非医疗保健提供者推荐的，包括 15 例局部类固醇。

结论

本调查显示，约旦 RAS 患者使用替代疗法的比例较高。需要教育 RAS 患者可用的治疗选择，以减轻他们的痛苦并提高他们的生活质量。口腔病变患者经常咨询医疗从业者和药剂师等医疗保健提供者，因此他们应在口腔疾病的诊断和治疗方面为患者提供更好的教育。需要进行随机临床试验，以检查本研究中常用的替代疗法（如芝麻酱/芝麻油）在治疗 RAS 方面的潜在用途。