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200 例 HIV+/AIDS 伊朗患者口腔黏膜病变及相关因素的流行情况。

Prevalence of oral mucosal lesions and related factors in 200 HIV+/AIDS Iranian patients.

机构信息

Department of Oral Medicine, Dental Branch of Tehran, Islamic Azad University, Tehran, Iran.

出版信息

J Oral Pathol Med. 2011 Sep;40(8):659-64. doi: 10.1111/j.1600-0714.2011.01013.x. Epub 2011 Feb 22.

Abstract

BACKGROUND

Human immunodeficiency virus infection is a worldwide problem, which affects both developed and developing countries the same. Oral lesions related to this disease are important because they affect the patient's quality of life. In developed countries, these lesions are well classified, but fewer reports on this subject are available in developing countries. Regarding the wide range of oral lesions and lack of solid status in Iran, this study has been performed on the prevalence of oral mucosal lesions and related factors in human immunodeficiency virus positive/acquired immune deficiency syndrome patients referred to behavioural disease management centres of Shahid Beheshti University in 2008-2009, Tehran.

METHODS

This descriptive cross-sectional study was performed by means of observations, clinical examination, completing questionnaire and also evaluating the 200 patients' medical records to find oral mucosal lesions. Sampling was made by sequential method and after recording the finding a SPSS (version 16) software, and ordinal regression, Fisher and k^2 tests were used to analyse the results.

RESULTS

One hundred and forty-nine of 200 human immunodeficiency virus positive/acquired immune deficiency syndrome patients (193 men and 7 women) had oral lesions (74.5%). Oral candidiasis (22%), linear gingival erythema (16.55%) and lymphadenopathy (13.5%) were the most common lesions.

CONCLUSION

With respect to the resulted prevalence in this study (74.5%), early detection of oral lesions must be emphasized on the diagnosis and early management of human immunodeficiency virus positive/acquired immune deficiency syndrome patients.

摘要

背景

人类免疫缺陷病毒感染是一个全球性问题,影响着发达国家和发展中国家。与这种疾病相关的口腔病变很重要,因为它们会影响患者的生活质量。在发达国家,这些病变分类明确,但发展中国家关于此类病变的报道较少。鉴于口腔病变范围广泛,伊朗情况也不稳定,因此本研究于 2008-2009 年对德黑兰沙希德·贝赫什提大学行为疾病管理中心的人类免疫缺陷病毒阳性/获得性免疫缺陷综合征患者的口腔黏膜病变及相关因素进行了描述性横断面研究。

方法

本研究采用观察、临床检查、问卷调查以及评估 200 名患者病历的方式来发现口腔黏膜病变。采用序贯抽样法,对 200 名人类免疫缺陷病毒阳性/获得性免疫缺陷综合征患者进行了研究,使用 SPSS(版本 16)软件对结果进行了记录和分析,并采用有序回归、Fisher 和卡方检验进行了分析。

结果

在 200 名人类免疫缺陷病毒阳性/获得性免疫缺陷综合征患者中(193 名男性,7 名女性),有 149 名(74.5%)患者出现了口腔病变。最常见的病变为口腔念珠菌病(22%)、线性牙龈红斑(16.55%)和淋巴结病(13.5%)。

结论

鉴于本研究的结果(74.5%),必须强调早期发现口腔病变,以便对人类免疫缺陷病毒阳性/获得性免疫缺陷综合征患者进行早期诊断和管理。

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