Su Naichuan, Liu Yan, Yang Xianrui, Shen Jiefei, Wang Hang
State Key Laboratory of Oral Disease, West China Hospital of Stomatology, Sichuan University.
J Oral Sci. 2016;58(4):483-490. doi: 10.2334/josnusd.16-0224.
We evaluated the correlation between oral health-related quality of life (OHRQoL) and the Helkimo clinical dysfunction index (HDI) in patients with temporomandibular joint osteoarthritis (TMJ OA). Clinical data and scores for the Chinese version of the 14-item Oral Health Impact Profile (OHIP-C14) were recorded and analyzed for 541 patients with TMJ OA. Each patient was assigned an HDI score of 1 to 25, which was used to classify severity into three categories. OHRQoL was assessed by using OHIP-C14 score, which ranged from 0 to 56. Both HDI score and severity were significantly correlated with total OHIP-C14 score (P < 0.001 for both comparisons). The scores for all HDI domains except function impairment (P = 0.205) were significantly correlated with OHIP-C14 score. The scores for all seven OHIP-C14 domains were significantly correlated with HDI score and severity. Several correlations between OHIP-C14 domains and HDI domain scores were significant. HDI score and severity were correlated with OHIP-C14 score in TMJ OA patients. As compared with function-related domains, pain-related HDI domains were more strongly inversely related to OHRQoL.(J Oral Sci 58, 483-490, 2016).
我们评估了颞下颌关节骨关节炎(TMJ OA)患者的口腔健康相关生活质量(OHRQoL)与赫尔基莫临床功能障碍指数(HDI)之间的相关性。记录并分析了541例TMJ OA患者的临床数据以及中文版14项口腔健康影响量表(OHIP-C14)的得分。为每位患者指定了1至25的HDI评分,该评分用于将严重程度分为三类。通过使用OHIP-C14评分评估OHRQoL,该评分范围为0至56。HDI评分和严重程度均与OHIP-C14总分显著相关(两项比较的P均<0.001)。除功能障碍外,所有HDI领域的评分(P = 0.205)均与OHIP-C14评分显著相关。OHIP-C14的所有七个领域的评分均与HDI评分和严重程度显著相关。OHIP-C14领域与HDI领域评分之间的几种相关性具有显著性。在TMJ OA患者中,HDI评分和严重程度与OHIP-C14评分相关。与功能相关领域相比,与疼痛相关的HDI领域与OHRQoL的负相关性更强。(《口腔科学杂志》58卷,483 - 490页,2016年)