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口腔扁平苔藓患者焦虑抑郁情况分析

Analysis of Anxiety and Depression Condition in the Oral Lichen Planus Patients

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【作者】 黎春晖宋萍萍谭丹黄思源聂敏海

【Author】 LI Chun-hui;SONG Ping-ping;TAN Dan;Department of Oral Medicine, the Affilicated Hospital of Stomatology of Luzhou Medical College;

【机构】 泸州医学院附属口腔医院口腔内科泸州医学院附属口腔医院口腔预防科

【摘要】 目的调查口腔扁平苔藓(OLP)患者的焦虑抑郁情况。方法选取2012年1月—2013年10月在泸州医学院附属口腔医院口腔内科门诊经临床确诊为OLP的患者120例作为试验组,根据OLP病损类型将患者再分为糜烂组(77例)和非糜烂组(43例);从同期在本科就诊患者的陪伴者中选取自愿参与调查的健康志愿者80例作为对照组。采用医院焦虑抑郁量表(HADS),以计分的方式评定受试者的焦虑抑郁水平并进行比较。结果试验组焦虑抑郁发生率为76.7%(92/120),高于对照组的13.8%(11/80),差异有统计学意义(χ2=9.21,P<0.05)。试验组医院焦虑抑郁量表抑郁分表(HADS-D)与医院焦虑抑郁量表焦虑分表(HADS-A)平均得分均高于对照组,差异有统计学意义(t=3.70、3.49,P<0.05)。糜烂组HADS-D与HADS-A的平均得分均高于非糜烂组,差异有统计学意义(t=2.71、2.12,P<0.05)。结论 OLP患者存在焦虑抑郁情绪,糜烂型OLP患者比非糜烂型OLP患者焦虑及抑郁程度明显偏高。

【Abstract】 Objective To investigate the condition of anxiety and depression in oral lichen planus( OLP) patients.Methods 120 patients who were diagnosed as OLP by the Department of Oral Medicine of the Affilicated Hospital of Stomatology of Luzhou Medical College from January 2012 to October 2013 were included in the text group. Divided the 120 patients into groups of erosive and non-erosive according to the types of OLP lesion. 80 healthy volunteers who accompanied the patients in the same department and at the same time were included in the control group. Used Hospital Anxiety Depression Scale( HADS)to evaluate and compare the level of anxiety and depression of the object of the study. Results The test group of anxiety and depression incidence was 76. 7%( 92 /120),higher than that of the control group 13. 8%( 11 /80),the difference between the two groups was significant( χ2= 9. 21,P < 0. 05). The average scores of the test group were higher than the control group in Hospital Anxiety Depression Scale for depression( HADS-D) and Hospital Anxiety Depression Scale for anxiety( HADS-A),the difference was significant( t = 3. 70,3. 49,P < 0. 05). The average scores of erosion group were higher than non-erosive group in HADS-D and HADS-A,the difference was significant( t = 2. 71,2. 12,P < 0. 05). Conclusion There is obviously anxiety and depression in OLP patients. The degree of anxiety and depression of erosive OLP patients is obviously higher than non-erosive OLP patients.

【关键词】 扁平苔藓,口腔焦虑抑郁
【Key words】 Lichen planus,oralAnxietyDepression
【基金】 四川省卫生厅资助项目(110383)
  • 【文献出处】 中国全科医学 ,Chinese General Practice , 编辑部邮箱 ,2014年35期
  • 【分类号】R781.5
  • 【被引频次】7
  • 【下载频次】201
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