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苏莱曼尼亚市皮拉米尔牙科专科就诊患者复发性阿弗他溃疡经历的患病率。

Prevalence of recurrent aphthous ulceration experience in patients attending Piramird dental speciality in Sulaimani City.

作者信息

Abdullah Mustafa J

机构信息

B.D.S., M.Sc.Oral Medicine, Assistant lecturer in the Oral Medicine Clinic of the school of dentistry, University of Sulaimani, Kurdistan region, Iraq.

出版信息

J Clin Exp Dent. 2013 Apr 1;5(2):e89-94. doi: 10.4317/jced.51042.

Abstract

OBJECTIVE

The aim of this study is to report the prevalence and risk factors of recurrent aphthous ulceration (RAU) in patients attending Piramird dental speciality for seeking dental treatment.

STUDY DESIGN

A cross-sectional survey was carried out among patients (n=1100) who were visiting the department of oral medicine at Piramird dental speciality center in Sulaimani from December 2011-February 2012. The age range of the patients were between 10-79 years, with mean age of (34.27±14.14). 446 (44.6%) of participants were males and 554 (55.4%) were females, with male/female ratios of 0.80:1. All individuals had to answer specific questions including personal data (age, sex), level of education, occupation and smoking habit; etc. Additional questions were related to the risk factors that might be related to the condition. Chi Square test was used to analyze the data.

RESULT

The life time prevalence of RAU experience was 28.2% (n=282). It was highly significantly more common among females (31.76%) (p<0.004). The most commonly affected age group was 20-29 years (36.28%). The highest prevalence of RAU experience was seen among mere students (36.8%); Among non smokers there were highly significantly more patients with RAU experience (30%) than in heavy smoker patients (12.22%), (p=0.000). 34.4% of patients had family history of RAU. Lips and buccal mucosae were the commonest sites of ulcerations (73.10%), and the major risk factor was stress (43.3%).

CONCLUSION

This study has provided information about the epidemiologic aspects of recurrent aphthous ulceration, Based on the finding of this study, RAU is a common, recurrent painful oral ulceration. This study point to the importance of a thorough history taking to identify the patient's main risk factors to get preventive measures, therefore treatment will be tailored for each patient accordingly. And the author concluded that stress was the major risk factor, thus, stress-management interventions suggested to be beneficial in reducing RAU recurrence episodes. Key words:Recurrent aphthous ulceration, prevalence, stress.

摘要

目的

本研究旨在报告在Piramird牙科专科医院寻求牙科治疗的患者中复发性阿弗他溃疡(RAU)的患病率及危险因素。

研究设计

于2011年12月至2012年2月在苏莱曼尼亚Piramird牙科专科医院口腔医学科就诊的患者(n = 1100)中开展了一项横断面调查。患者年龄范围在10至79岁之间,平均年龄为(34.27±14.14)。446名(44.6%)参与者为男性,554名(55.4%)为女性,男女比例为0.80:1。所有个体都必须回答特定问题,包括个人数据(年龄、性别)、教育程度、职业和吸烟习惯等。其他问题与可能与该疾病相关的危险因素有关。采用卡方检验分析数据。

结果

RAU经历的终生患病率为28.2%(n = 282)。在女性中更为常见(31.76%),差异具有高度统计学意义(p < 0.004)。最常受累的年龄组为20至29岁(36.28%)。RAU经历的患病率在单纯学生中最高(36.8%);在非吸烟者中,有RAU经历的患者(30%)比重度吸烟者患者(12.22%)多得多,差异具有高度统计学意义(p = 0.000)。34.4%的患者有RAU家族史。嘴唇和颊黏膜是最常见的溃疡部位(73.10%),主要危险因素是压力(43.3%)。

结论

本研究提供了有关复发性阿弗他溃疡流行病学方面的信息。基于本研究结果,RAU是一种常见的、复发性疼痛性口腔溃疡。本研究指出了全面了解病史以识别患者主要危险因素从而采取预防措施的重要性,因此将为每位患者量身定制治疗方案。作者得出结论,压力是主要危险因素,因此,压力管理干预措施可能有助于减少RAU复发次数。关键词:复发性阿弗他溃疡、患病率、压力

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