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J Periodontal Res:口腔健康相关的生活质量检测与侵袭性和慢性牙周炎之间的联系

2020-04-02 lishiting MedSci原创

有证据显示,牙周炎对个体的生活质量存在一定的负面影响,并且随着疾病的严重程度增加而影响增加。这篇研究的目的是为了评估生活质量与不同的严重程度以及牙周炎的类型(侵袭性和慢性)之间的关系,并与健康对照组相

有证据显示,牙周炎对个体的生活质量存在一定的负面影响,并且随着疾病的严重程度增加而影响增加。这篇研究的目的是为了评估生活质量与不同的严重程度以及牙周炎的类型(侵袭性和慢性)之间的关系,并与健康对照组相比较。

研究将471名受试者按照1999 Consensus Classification牙周炎的诊断标准分为慢性牙周炎(CP), 侵袭性牙周炎(AgP)和牙周健康。使用OHIP-14调查问卷评估受试者与口腔健康相关的生活质量。结果包含:偶然出现口腔影响、相当经常或非常经常(OFOVO也是FOVO)的发生率、OHIP-14整体和结构域评分。采用Logistic和linear regression analyses检验评估牙周诊断和生活质量结果、修正过的吸烟、年龄、种族和人体质量指数之间的联系。

结果显示,与53.8%的牙周健康对照相比,有超过90%的牙周炎患者至少有1次偶然口腔影响、相当经常或非常经常(OFOVO)经历(P < .001)。调节协变量后,牙周炎组和牙周健康对照组之间的OHIP-14结果评分(P < .001)以及所有交叉OHIP-14结构域评分(P < .005)均存在显著性差异。因这些差异明显高于测量误差,所以它们具有一定的临床意义。在校正分析过程中,与OHIP-14评分比较时,AgP和CP之间未见明显差异。

结论:牙周炎患者的生活质量明显低于牙周健康个体,并且具有临床差异。与CP患者相比,AgP患者整体具有更差的OHRQoL,但是这些中等程度并富含深意的差异可以通过校正过程得以解释。

原始出处:

Jennifer Fuller, Nikos Donos, et al. Association of Oral Health-Related Quality of Life Measures With Aggressive and Chronic Periodontitis. J Periodontal Res., 2020 Mar 31[Online ahead of print]

 

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    2021-01-05 feather89
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    2020-04-04 sunyl07
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