口腔扁平苔藓患者C型行为特征分析

发布时间：2018-06-06 19:49

本文选题：口腔扁平苔藓 + C型行为　；参考：《北京大学学报(医学版)》2017年01期

【摘要】：目的:探讨口腔扁平苔藓(oral lichen planus,OLP)与C型行为特征的关系,以期为临床预防、治疗和心理干预提供依据。方法:采用C型行为量表对北京大学口腔医院黏膜科已确诊的符合纳入标准的OLP患者(85例)及非OLP(85例)进行调查,量表包含焦虑(anxiety)、抑郁(depression)、愤怒(anger)、愤怒内向(anger toward inside,anger-in)、愤怒外向(anger toward outside,anger-out)、理智(reasoning)、控制(domination)、乐观(optimism)、社会支持(social support)9个分项,将OLP组与对照组之间的各项得分进行计算并进行统计学分析,并将患者的各项C型行为特征得分按照性别、病损网纹-糜烂-溃疡分型、病程长短等分组,分别进行统计、对比。结果:85例OLP患者中,女性多于男性,OLP最常好发的部位为颊部,非糜烂型患者多于糜烂型患者。C型行为量表中,OLP组与对照组的焦虑、抑郁、愤怒、乐观得分分别为(43.01±7.47)与(37.94±8.70)、(44.02±7.61)与(39.58±7.35)、(21.56±5.26)与(18.12±5.39)、(22.15±4.00)与(24.05±3.23),差异有统计学意义(P0.05);其中女性患者与对照组女性在焦虑、抑郁、愤怒、理智、控制、乐观得分分别为(43.21±6.97)与(37.20±8.68)、(44.29±7.54)与(39.33±7.33)、(21.64±5.09)与(17.64±5.28)、(39.12±5.66)与(41.23±4.71)、(16.29±3.95)与(17.85±3.69)、(22.05±4.12)与(24.20±3.12),差异有统计学意义(P0.05);男性患者各项得分与对照组男性差异无统计学意义。糜烂型OLP患者愤怒得分(22.94±5.26)高于非糜烂型OLP患者(20.60±5.03),差异有统计学意义(P0.05)。病程越长,OLP患者抑郁和愤怒的倾向越明显,乐观得分越低。患病时间3年以上患者的外向愤怒得分(17.36±3.35)高于患病3年以内(包含3年)的患者(15.19±3.99),差异具有统计学意义(P0.05)。结论:OLP患者的焦虑、抑郁、愤怒、低乐观等C行行为特征明显,在OLP的诊治过程中应关注患者的心理变化,可以此为依据进一步制定相应的干预措施。
[Abstract]:Objective: to investigate the relationship between oral lichen planus and type C behavior in oral lichen planus (OLP) in order to provide evidence for clinical prevention, treatment and psychological intervention. Methods: a total of 85 OLP patients (including 85 OLP patients and 85 non-OLPNs) who had been diagnosed by the Department of Mucosal Medicine of Peking University Stomatology Hospital were investigated with Type C behavior scale. The scale included 9 sub-items: anxiety, depression, anger, extroversion, rational reasoning, control of dominance, optimism, social support for social support. The scores of OLP and control group were calculated and statistically analyzed. The scores of C-type behavior were divided into three groups according to sex, type of lesion reticular-erosion-ulcer, duration of disease, and so on. Results among 85 OLP patients with OLP, the most common occurrences of OLP were in female than in male, and the anxiety, depression and anger in OLP group and control group were higher in non-erosive patients than in erosive patients. The optimistic scores were 43.01 卤7.47) and 37.94 卤8.70 (44.02 卤7.61) and 39.58 卤7.35 (21.56 卤5.26) and 18.12 卤5.39 (22.15 卤4.00) and 24.05 卤3.23 (P < 0.05), respectively. The optimistic scores were 43.21 卤6.97) and 37.20 卤8.68 (44.29 卤7.54) and 39.33 卤7.33 (21.64 卤5.09) and 17.64 卤5.28 (39.12 卤5.66) and 41.23 卤4.71 (16.29 卤3.95) and 17.85 卤3.69 (22.05 卤4.12) and 24.20 卤3.12 (P 0.05), respectively. The score of anger in erosive OLP patients (22.94 卤5.26) was higher than that in non-erosive OLP patients (20.60 卤5.03), and the difference was statistically significant (P 0.05). The longer the course of OLP, the greater the tendency of depression and anger, and the lower the score of optimism. The score of extroverted anger was 17.36 卤3.35 in patients with more than 3 years of illness, and 15.19 卤3.99 in patients within 3 years of illness (including 3 years). The difference was statistically significant (P 0.05). Conclusion anxiety, depression, anger, low optimism and other C-line behavioral characteristics of patients with OLP are obvious. The psychological changes of patients should be paid attention to during the diagnosis and treatment of OLP, which can be taken as the basis for further formulation of corresponding intervention measures.
【作者单位】：北京大学口腔医学院·口腔医院修复科;北京大学口腔医学院·口腔医院正畸科;北京大学口腔医学院·口腔医院种植科口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室;北京大学基础医学院药理学系;北京大学口腔医学院·口腔医院黏膜科口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室;
【分类号】：R781.5

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