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原发性干燥综合征患者的口腔健康和口腔健康相关生活质量。

Oral Health and Oral Health-Related Quality of Life in Patients with Primary Sjögren's Syndrome.

机构信息

Department of Dentistry, Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia.

Department of Medical Statistics and Informatics, Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia.

出版信息

Medicina (Kaunas). 2023 Feb 27;59(3):473. doi: 10.3390/medicina59030473.

Abstract

: Oral disorders, frequently observed in patients with primary Sjögren's syndrome, can profoundly affect patients' daily lives and well-being, as oral health represents a fundamental part of general health. Saliva plays an essential part in maintaining and protecting oral health, so the decrease in its quantity and quality leads to chronic oral discomfort alongside a broad spectrum of problems. The objective of the present study was to evaluate the oral health of patients with primary Sjögren's syndrome and establish its effect on the different domains of their oral health-related quality of life (OHRQoL). : The research was designed as an observational case-control study with prospective data collection. Eighty patients, divided into two groups based on their oral status, participated in the study. All subjects underwent a complete oral examination. The OHRQoL was assessed using the Oral Health Impact Profile-14 (OHIP-14). : The most prevalent oral manifestation was exfoliative cheilitis, while 30% of subjects complained of chewing and swallowing difficulties. The OHIP-14 summary score was significantly higher in the patients with oral lesions (26.0 (5.0) vs. 17.0 (4.0), respectively; < 0.001). Oral manifestations, systemic involvement, medication, and periodontal indexes were significantly associated with OHIP-14 scores. : Patients with oral alterations had a substantially decreased OHRQoL. These findings emphasize the importance of oral diseases for patients' well-being. Therefore, it is essential for dentists to be included in the multidisciplinary teams managing primary Sjögren's syndrome, as improving patients' oral status would lead to better oral health and enhanced OHRQoL.

摘要

口腔障碍在原发性干燥综合征患者中较为常见,可严重影响患者的日常生活和健康,因为口腔健康是整体健康的重要组成部分。唾液在维持和保护口腔健康方面起着至关重要的作用,因此其数量和质量的下降会导致慢性口腔不适,并引发广泛的问题。本研究旨在评估原发性干燥综合征患者的口腔健康状况,并确定其对患者口腔健康相关生活质量(OHRQoL)不同领域的影响。

该研究设计为一项前瞻性观察性病例对照研究。80 名患者根据其口腔状况分为两组,参与了这项研究。所有受试者均接受了全面的口腔检查。使用口腔健康影响简表-14(OHIP-14)评估 OHRQoL。

最常见的口腔表现是剥脱性唇炎,而 30%的患者主诉咀嚼和吞咽困难。有口腔病变的患者的 OHIP-14 综合评分明显更高(分别为 26.0(5.0)和 17.0(4.0);<0.001)。口腔表现、全身受累、药物治疗和牙周指数与 OHIP-14 评分显著相关。

有口腔改变的患者的 OHRQoL 显著降低。这些发现强调了口腔疾病对患者幸福感的重要性。因此,牙医必须纳入原发性干燥综合征的多学科团队管理中,因为改善患者的口腔状况将有助于改善口腔健康和提高 OHRQoL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cea/10051520/9859da77dc81/medicina-59-00473-g001.jpg

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