本文關(guān)鍵詞： 口腔粘膜病 調(diào)查分析 統(tǒng)計(jì)學(xué)　出處：《青島大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探討門診常見口腔黏膜病的流行病學(xué)特點(diǎn)及發(fā)病相關(guān)因素。方法:收集2015年1月至2015年8月在口腔粘膜病科門診確診的粘膜病人共831例。采用自制量表詳細(xì)填寫患者的性別、年齡、診斷、全身疾病等臨床資料,統(tǒng)計(jì)臨床資料。對(duì)口腔扁平苔蘚(OLP)、復(fù)發(fā)性阿弗他潰瘍(RAU)、萎縮性舌炎三類患者,采用焦慮自評(píng)量表(SAS)進(jìn)行評(píng)價(jià),運(yùn)用SPSS軟件19.0進(jìn)行統(tǒng)計(jì)學(xué)分析,比較各因素間差異有無統(tǒng)計(jì)學(xué)意義。結(jié)果:共統(tǒng)計(jì)口腔粘膜病26種,其中患病率居前三位的病種是口腔扁平苔蘚(29.48%)、復(fù)發(fā)性阿弗他潰瘍(17.69%)和萎縮性舌炎(16.49%)。在老年人群中患病率居前三位的病種是口腔扁平苔蘚(33.97%)、萎縮性舌炎(21.37%)和真菌性口炎(9.92%);發(fā)病相關(guān)危險(xiǎn)因素統(tǒng)計(jì)分析發(fā)現(xiàn)口腔扁平苔蘚(OLP)、復(fù)發(fā)性阿弗他潰瘍(RAU)、萎縮性舌炎患者相關(guān)的系統(tǒng)疾病分別為:心血管疾病、消化道疾病及貧血;吸煙組口腔扁平苔蘚糜爛型發(fā)生顯著高于非吸煙組(P=0.0270.05),飲酒組口腔扁平苔蘚糜爛型發(fā)生顯著高于非飲酒組(P=0.0310.05),睡眠較差組口腔扁平苔蘚糜爛型發(fā)生顯著高于正常組(P=0.0270.05)。口腔扁平苔蘚、復(fù)發(fā)性阿弗他潰瘍、萎縮性舌炎三組患者的SAS平均得分分別為46.79±8.20、42.47±7.58和37.05±7.46。經(jīng)t檢驗(yàn)口腔扁平苔癬糜爛組的SAS得分顯著高于非糜爛組(t=7.921,P0.05)。結(jié)論:口腔黏膜科門診就診的患者中口腔扁平苔蘚患者所占的比例最高,其中以非糜爛型居多�；疾÷示忧叭坏牟》N由高到低依次是口腔扁平苔蘚、復(fù)發(fā)性阿弗他潰瘍和萎縮性舌炎。老年人口中患病率居前三位的病種由高到低依次是口腔扁平苔蘚、萎縮性舌炎和真菌性口炎。焦慮與口腔扁平苔蘚、復(fù)發(fā)性阿弗他潰瘍的發(fā)病呈正相關(guān);抽煙、喝酒、焦慮、睡眠與口腔扁平苔蘚的糜爛發(fā)作呈正相關(guān)。
[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 鹵8.2042.47 鹵7.58 and 37.05 鹵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.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R781.5

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本文編號(hào)：1518750