口腔扁平苔藓伴糖尿病患者精神心理相关因素研究

发布时间：2018-05-06 23:13

本文选题：糖尿病 + 口腔扁平苔藓　；参考：《青岛大学》2015年硕士论文

【摘要】：目的:探讨口腔扁平苔藓(OLP)伴糖尿病(DM)患者精神心理因素与口腔扁平苔藓病损程度之间的相关性。为临床治疗提供新的思路。方法:口腔扁平苔藓伴糖尿病患者84例分为A、B两组,A组糜烂型口腔扁平苔藓伴糖尿病37例和B组非糜烂型口腔扁平苔藓伴糖尿病47例。采用症状自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对OLP伴DM患者进行问卷调查,记录患者一般情况及临床数据及SAD、SDS、SCL-90得分情况。应用SPSS统计软件对OLP伴DM者的一般情况及焦虑抑郁程度进行分析。结果:在年龄、病程方面,A组糜烂型OLP伴DM与B组非糜烂型OLP伴DM无显著性差异(P0.05)。在性别和抑郁程度方面,A组与B组患者存在显著性差异(P0.05);女性病变及抑郁程度高于男性。所有患者OLP病变程度与抑郁SDS得分存在显著性差异(P=0.010),且随着抑郁程度的增高,A组所占的比例增高;在血糖的数值和抑郁SDS得分方面,A组糜烂型OLP伴DM具有相关性(P=0.031),相关系数为0.164,A组血糖和抑郁SDS得分呈正相关;在血糖的数值和抑郁SDS得分方面,B组非糜烂型OLP伴DM具有相关性(P=0.049),相关系数为0.358,B组血糖和抑郁SDS得分呈正相关。结论:焦虑、抑郁与口腔扁平苔藓伴糖尿病的口腔扁平苔藓发生有关。焦虑、抑郁症状的严重程度与口腔扁平苔藓伴糖尿病的血糖浓度相关。口腔扁平苔鲜伴糖尿伴糖尿病患者在进行常规口腔扁平苔藓与糖尿病治疗的同时,应配合一定的心理治疗。
[Abstract]:Objective: to investigate the relationship between mental and psychological factors and the degree of oral lichen planus (OLP) with diabetes mellitus (DM). To provide new ideas for clinical treatment. Methods: Eighty-four patients with oral lichen planus complicated with diabetes were divided into two groups: group A (n = 37) and group B (n = 47): erosive oral lichen planus (n = 37) and non-erosive oral lichen planus (n = 47). SCL-90, SDS and SAS were used to investigate OLP patients with DM. The general and clinical data were recorded and the scores of SDSL-90 were recorded. SPSS statistical software was used to analyze the general situation and anxiety and depression of OLP patients with DM. Results: there was no significant difference in age and course of disease between group A (erosive OLP with DM) and group B (non-erosive OLP with DM) (P 0.05). There was a significant difference between group A and group B in terms of gender and degree of depression (P0.05), and the degree of depressive and pathological changes in females was higher than that in males. There was a significant difference between the degree of OLP lesion and the SDS score of depression in all patients, and the proportion of group A increased with the increase of the degree of depression. In terms of blood glucose and SDS score of depression, there was a positive correlation between blood glucose and depressed SDS score in group A with erosive OLP and DM, the correlation coefficient was 0.164A group (P = 0.031), and there was a positive correlation between blood glucose and depression SDS score in group A (P < 0.05). There was a positive correlation between blood glucose and SDS score of depression in group B with non-erosive OLP and DM, and the correlation coefficient was 0.358B and the score of SDS was positively correlated with depression. Conclusion: anxiety and depression are associated with oral lichen planus with diabetes mellitus. The severity of anxiety and depression is associated with glucose levels in oral lichen planus with diabetes. Oral flat fur with diabetes mellitus and oral lichen planus should be treated with psychological therapy.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R781.5;R587.1

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