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口腔灼口综合征患者的口腔健康相关生活质量及其相关因素。

Oral health-related quality of life and associated factors in patients with burning mouth syndrome.

机构信息

Department of Dental Hygiene, Yonsei University Graduate School, Seoul, Korea.

Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea.

出版信息

J Oral Rehabil. 2021 Feb;48(2):150-159. doi: 10.1111/joor.13110. Epub 2020 Oct 21.

Abstract

OBJECTIVE

The purpose of this study was to assess oral health-related quality of life (OHRQoL) in patients with burning mouth syndrome (BMS) and to identify clinical factors associated with OHRQoL.

METHODS

Fifty-seven patients with BMS (56.4 ± 10.7 years) participated in the study. Patients underwent oral examination, laboratory tests, psychological evaluation, measurement of salivary flow rates and evaluation of clinical characteristics using a BMS questionnaire. The OHRQoL of patients was assessed using the Oral Health Impact Profile-14 (OHIP-14).

RESULTS

The OHIP-14 score for patients with BMS was 38.6 ± 12.8. Patients had higher scores for the psychological discomfort and physical pain dimensions of the OHIP-14. The intensity of taste disturbance or xerostomia symptoms (β = 0.464, P < .001), worry about symptoms (β = 0.307, P = .020), and results of psychological evaluation (β = 0.311, P = .026) were significantly associated with OHIP-14 score. Multiple linear regression showed that the intensity of taste disturbance or xerostomia symptoms was significantly associated with decreased OHRQoL (β = 0.637, P = .026).

CONCLUSIONS

This study suggests that severity of taste disturbance or xerostomia is an important factor that influences OHRQoL in patients with BMS.

摘要

目的

本研究旨在评估灼口综合征(BMS)患者的口腔健康相关生活质量(OHRQoL),并确定与 OHRQoL 相关的临床因素。

方法

本研究纳入了 57 名 BMS 患者(56.4±10.7 岁)。患者接受了口腔检查、实验室检查、心理评估、唾液流率测量以及使用 BMS 问卷评估临床特征。采用口腔健康影响量表-14(OHIP-14)评估患者的 OHRQoL。

结果

BMS 患者的 OHIP-14 评分为 38.6±12.8。患者在 OHIP-14 的心理不适和身体疼痛维度上的得分较高。味觉障碍或口干症状的强度(β=0.464,P<.001)、对症状的担忧(β=0.307,P=.020)以及心理评估结果(β=0.311,P=.026)与 OHIP-14 评分显著相关。多元线性回归显示,味觉障碍或口干症状的强度与 OHRQoL 下降显著相关(β=0.637,P=.026)。

结论

本研究表明,味觉障碍或口干的严重程度是影响 BMS 患者 OHRQoL 的重要因素。

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