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造血干细胞移植患者口腔黏膜炎及接受低水平激光治疗的专业口腔护理相关的生活质量:一项前瞻性观察研究。

Quality of life related to oral mucositis of patients undergoing haematopoietic stem cell transplantation and receiving specialised oral care with low-level laser therapy: a prospective observational study.

作者信息

Bezinelli L M, Eduardo F P, Neves V D, Correa L, Lopes R M G, Michel-Crosato E, Hamerschlak N, Biazevic M G H

机构信息

Dentistry School, Universidade de São Paulo (FOUSP), São Paulo, Brazil.

Department of Hematopoietic Stem Cell Transplantation, Hospital Israelita Albert Einstein (HIAE), São Paulo, Brazil.

出版信息

Eur J Cancer Care (Engl). 2016 Jul;25(4):668-74. doi: 10.1111/ecc.12344. Epub 2015 Jun 18.

Abstract

Oral mucositis is a painful condition that occurs in 80% of patients who undergo haematopoietic stem cell transplantation (HSCT). Our objective was to determine the impact of mucositis on quality of life (QoL) of patients subjected to HSCT treated with low-level laser therapy (LLLT). Patients were evaluated: (1) on the first day of treatment; (2) 5 days after autologous or 8 days after allogeneic transplantation; (3) once bone marrow had integrated; and (4) 30 days after discharge. Clinical evaluation was performed using the World Health Organization criteria; oral health QoL was measured using the Oral Health Impact Profile (OHIP-14); and mucositis symptoms with the Patient-Reported Oral Mucositis Symptom (PROMS) scale. The higher the score, the lower the patient's QoL. The OHIP-14 responses showed that at D + 5/D + 8, all domains had the highest scores, while at times 1 and 4, the scores were lower. In the PROMS scale, all domains scored worst at time 2, and the differences between the scores at the four times were statistically significant. The study has shown that QoL improves over time in patients undergoing LLLT therapy for mucositis prevention.

摘要

口腔黏膜炎是一种疼痛性病症,发生于80%接受造血干细胞移植(HSCT)的患者中。我们的目的是确定黏膜炎对接受低强度激光疗法(LLLT)治疗的HSCT患者生活质量(QoL)的影响。对患者进行了如下评估:(1)治疗第一天;(2)自体移植后5天或异体移植后8天;(3)骨髓植入后;以及(4)出院后30天。使用世界卫生组织标准进行临床评估;使用口腔健康影响程度量表(OHIP-14)测量口腔健康相关生活质量;使用患者报告的口腔黏膜炎症状(PROMS)量表评估黏膜炎症状。分数越高,患者的生活质量越低。OHIP-14的结果显示,在D + 5/D + 8时,所有领域的得分最高,而在第1次和第4次评估时,得分较低。在PROMS量表中,所有领域在第2次评估时得分最差,四次评估得分之间的差异具有统计学意义。该研究表明,接受LLLT疗法预防黏膜炎的患者的生活质量会随着时间推移而改善。

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