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(OLP)的临床形式是否会影响口腔健康相关生活质量(OHRQoL)?

Does the Clinical Form of (OLP) Influence the Oral Health-Related Quality of Life (OHRQoL)?

机构信息

Department of Cranio-Maxillofacial Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Building W 30, D-48149 Münster, Germany.

出版信息

Int J Environ Res Public Health. 2020 Sep 11;17(18):6633. doi: 10.3390/ijerph17186633.

Abstract

(1) Background: The aim of the study was to investigate the oral health-related quality of life (OHRQoL) of patients with (OLP) and to evaluate differences between the various clinical forms of OLP. Specifically, the differences in OHRQoL, physical pain levels and eating restriction were assessed; (2) Methods: One hundred and twelve patients with clinical and histological features of OLP from the Department of Cranio-Maxillofacial Surgery of the Münster University Hospital participated in this prospective study. OHRQoL was analysed by using the German short version of the Oral Health Impact Profile (OHIP-14). Physical pain levels and restriction in eating were rated on visual analogue scales (VAS). The statistical analysis was performed using the Mann-Whitney U-Test and the chi-squared test with a significance level at = 0.05; (3) Results: Group 1 consisted of patients with reticular OLP ( = 50) and group 2 of patients with atrophic, erosive-ulcerative or bullous OLP ( = 62). The average OHIP-14 score was 13.54 points and differed significantly between the two groups. There were significant differences in the domains "physical pain", "psychological discomfort", "physical disability" and "social disability". The VAS "physical pain" score and "restriction in eating" score varied significantly between the clinical forms. Positive correlations were found between the OHIP-14 total scores and the VAS scores; (4) Conclusion: The OHRQoL is significantly limited in patients with OLP; especially, patients with erosive-ulcerative OLP are affected.

摘要

(1)背景:本研究旨在调查口腔扁平苔藓(OLP)患者的口腔健康相关生活质量(OHRQoL),并评估不同临床类型的 OLP 之间的差异。具体而言,评估了 OHRQoL、身体疼痛程度和饮食限制的差异;(2)方法:来自明斯特大学医院颅颌面外科的 112 名具有 OLP 临床和组织学特征的患者参加了这项前瞻性研究。使用德国口腔健康影响简表(OHIP-14)的简短版本分析 OHRQoL。使用视觉模拟量表(VAS)评估身体疼痛程度和饮食限制。使用曼-惠特尼 U 检验和卡方检验进行统计分析,显著性水平为 = 0.05;(3)结果:第 1 组由网状 OLP 患者组成( = 50),第 2 组由萎缩性、糜烂性溃疡或大疱性 OLP 患者组成( = 62)。OHIP-14 平均得分为 13.54 分,两组之间差异显著。在“身体疼痛”、“心理不适”、“身体残疾”和“社会残疾”等领域存在显著差异。VAS“身体疼痛”评分和“饮食限制”评分在临床形式之间存在显著差异。OHIP-14 总分与 VAS 评分之间存在正相关;(4)结论:OLP 患者的 OHRQoL 受到显著限制;特别是糜烂性溃疡性 OLP 患者受到影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeff/7559187/bb1a30943188/ijerph-17-06633-g001.jpg

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