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口腔鳞状细胞癌治疗患者的牙关紧闭症患病率及其对口腔健康相关生活质量的影响。

Prevalence of Trismus and Its Impact on Oral Health-Related Quality of Life in Patients Treated for Oral Squamous Cell Carcinoma.

机构信息

Department of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur, Maharashtra, India.

Department of Dentistry, Indira Gandhi Government Medical College & Hospital, Nagpur, Maharashtra State, India.

出版信息

Asian Pac J Cancer Prev. 2021 Aug 1;22(8):2437-2444. doi: 10.31557/APJCP.2021.22.8.2437.

Abstract

Oral squamous cell carcinoma, one of the most common malignancies, has a poor prognosis due to impairment in oral functions secondary to treatment. Trismus one of the major causes of impairment of oral function. The present study investigated the prevalence of trismus and its impact on oral health-related quality of life (OHRQoL) in patients treated for oral squamous cell carcinoma (OSCC). The maximum inter-incisal mouth opening of hundred OSCC patients was recorded at post-treatment and 3 months post-treatment. OHRQoL questionnaire (OHIP-14) was intervened to assess the OHRQoL of patients post-treatment and 3 months follow-up, with emphasis on correlation with grades of trismus. The prevalence of trismus was 16% pre-treatment, 72% post-treatment, and 62% at 3 months after treatment. The overall OHIP-14 scores indicated that patients with trismus reported greater impairment of OHRQoL than those without trismus at the end of treatment and 3 months follow-up. At the end of treatment, patients with severe trismus demonstrated a higher mean OHIP-14 score (23.47 ±3.34) than those with moderate (17.72 ±2.83) and mild trismus (12.66 ±3.84) with statistically significant differences (p <0.001). Equivalent results were obtained at 3 months follow-up period. Patients with trismus suffer greater impairment of OHRQoL. The findings demand the need of identifying risk factors for developing trismus and early institution of newer/modified treatment approaches for better OHRQoL in OSCC survivors.
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摘要

口腔鳞状细胞癌是最常见的恶性肿瘤之一,由于治疗后口腔功能受损,预后较差。张口困难是口腔功能受损的主要原因之一。本研究调查了接受口腔鳞状细胞癌(OSCC)治疗的患者中张口困难的患病率及其对口腔健康相关生活质量(OHRQoL)的影响。在治疗后和治疗后 3 个月记录了 100 名 OSCC 患者的最大切牙间开口。在治疗后和 3 个月随访时,通过口腔健康影响程度量表(OHIP-14)干预评估患者的 OHRQoL,并强调与张口困难程度的相关性。治疗前张口困难的患病率为 16%,治疗后为 72%,治疗后 3 个月为 62%。总体 OHIP-14 评分表明,治疗结束时和 3 个月随访时,有张口困难的患者报告的 OHRQoL 受损程度大于无张口困难的患者。治疗结束时,严重张口困难患者的平均 OHIP-14 评分(23.47 ±3.34)高于中度张口困难(17.72 ±2.83)和轻度张口困难(12.66 ±3.84),差异具有统计学意义(p <0.001)。在 3 个月随访期间也得到了类似的结果。有张口困难的患者 OHRQoL 受损更大。这些发现要求我们需要确定发生张口困难的风险因素,并尽早采用新的/改良的治疗方法,以提高 OSCC 幸存者的 OHRQoL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2605/8629467/c7c1bcd7629c/APJCP-22-2437-g001.jpg

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