门诊常见口腔粘膜病病种分析调查

发布时间：2018-02-20 04:19

本文关键词： 口腔粘膜病调查分析统计学　出处：《青岛大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:探讨门诊常见口腔黏膜病的流行病学特点及发病相关因素。方法:收集2015年1月至2015年8月在口腔粘膜病科门诊确诊的粘膜病人共831例。采用自制量表详细填写患者的性别、年龄、诊断、全身疾病等临床资料,统计临床资料。对口腔扁平苔藓(OLP)、复发性阿弗他溃疡(RAU)、萎缩性舌炎三类患者,采用焦虑自评量表(SAS)进行评价,运用SPSS软件19.0进行统计学分析,比较各因素间差异有无统计学意义。结果:共统计口腔粘膜病26种,其中患病率居前三位的病种是口腔扁平苔藓(29.48%)、复发性阿弗他溃疡(17.69%)和萎缩性舌炎(16.49%)。在老年人群中患病率居前三位的病种是口腔扁平苔藓(33.97%)、萎缩性舌炎(21.37%)和真菌性口炎(9.92%);发病相关危险因素统计分析发现口腔扁平苔藓(OLP)、复发性阿弗他溃疡(RAU)、萎缩性舌炎患者相关的系统疾病分别为:心血管疾病、消化道疾病及贫血;吸烟组口腔扁平苔藓糜烂型发生显著高于非吸烟组(P=0.0270.05),饮酒组口腔扁平苔藓糜烂型发生显著高于非饮酒组(P=0.0310.05),睡眠较差组口腔扁平苔藓糜烂型发生显著高于正常组(P=0.0270.05)。口腔扁平苔藓、复发性阿弗他溃疡、萎缩性舌炎三组患者的SAS平均得分分别为46.79±8.20、42.47±7.58和37.05±7.46。经t检验口腔扁平苔癣糜烂组的SAS得分显著高于非糜烂组(t=7.921,P0.05)。结论:口腔黏膜科门诊就诊的患者中口腔扁平苔藓患者所占的比例最高,其中以非糜烂型居多。患病率居前三位的病种由高到低依次是口腔扁平苔藓、复发性阿弗他溃疡和萎缩性舌炎。老年人口中患病率居前三位的病种由高到低依次是口腔扁平苔藓、萎缩性舌炎和真菌性口炎。焦虑与口腔扁平苔藓、复发性阿弗他溃疡的发病呈正相关;抽烟、喝酒、焦虑、睡眠与口腔扁平苔藓的糜烂发作呈正相关。
[Abstract]:Objective: to investigate the epidemiological characteristics and related factors of common oral mucosal diseases in outpatients. Methods: 831 patients with oral mucosal diseases diagnosed in outpatient clinic from January 2015 to August 2015 were collected. Fill in the gender of the patient, Age, diagnosis, systemic diseases and other clinical data, statistical data. Three types of patients with oral lichen planus, recurrent aphthous ulcer, atrophic glossitis, were evaluated by self-rating anxiety scale (SAS). SPSS software 19.0 was used to carry out statistical analysis and to compare the differences between the factors. Results: 26 kinds of oral mucosal diseases were counted. Among them, the first three diseases are oral lichen planus 29.48m, recurrent aphthous ulcer 17.69) and atrophic glossitis 16.49.The top three diseases in the elderly population are oral lichen planus 33.97m, atrophic glossitis 21.37g) and fungous. Statistics and analysis of risk factors related to the development of oral lichen planus showed that the related systemic diseases in patients with oral lichen planus, recurrent aphthous ulcer, and atrophic glossitis were as follows: cardiovascular disease. Digestive tract diseases and anemia; The incidence of oral lichen planus erosion in smoking group was significantly higher than that in non-smoking group, the incidence of oral lichen planus type in drinking group was significantly higher than that in non-drinking group, and the occurrence of oral lichen planus type in poor sleep group was significantly higher than that in normal group. Recurrent aphthous ulcer, The average scores of SAS in atrophic glossitis group were 46.79 卤8.2042.47 卤7.58 and 37.05 卤7.46.The SAS score of the atrophic lichen planus group was significantly higher than that of the non-erosive group. Conclusion: the oral lichen planus patients in the outpatient clinic of oral mucosal department have oral lichen planus. The highest proportion of people, Among them, non-erosive type is the most common. Oral lichen planus (OLP) is the most common disease in the top three diseases. Recurrent aphthous ulcer and atrophic glossitis. Among the three most prevalent diseases in the elderly population, the highest and lowest were oral lichen planus, atrophic glossitis and fungal stomatitis, anxiety and oral lichen planus. There was a positive correlation between recurrent aphthous ulcer and smoking, drinking, anxiety, sleep and oral lichen planus.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R781.5

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