發(fā)布時(shí)間：2018-05-06 23:13

  本文選題：糖尿病 + 口腔扁平苔蘚��； 參考：《青島大學(xué)》2015年碩士論文

【摘要】：目的:探討口腔扁平苔蘚(OLP)伴糖尿病(DM)患者精神心理因素與口腔扁平苔蘚病損程度之間的相關(guān)性。為臨床治療提供新的思路。方法:口腔扁平苔蘚伴糖尿病患者84例分為A、B兩組,A組糜爛型口腔扁平苔蘚伴糖尿病37例和B組非糜爛型口腔扁平苔蘚伴糖尿病47例。采用癥狀自評量表(SCL-90)、抑郁自評量表(SDS)、焦慮自評量表(SAS)對OLP伴DM患者進(jìn)行問卷調(diào)查,記錄患者一般情況及臨床數(shù)據(jù)及SAD、SDS、SCL-90得分情況。應(yīng)用SPSS統(tǒng)計(jì)軟件對OLP伴DM者的一般情況及焦慮抑郁程度進(jìn)行分析。結(jié)果:在年齡、病程方面,A組糜爛型OLP伴DM與B組非糜爛型OLP伴DM無顯著性差異(P0.05)。在性別和抑郁程度方面,A組與B組患者存在顯著性差異(P0.05);女性病變及抑郁程度高于男性。所有患者OLP病變程度與抑郁SDS得分存在顯著性差異(P=0.010),且隨著抑郁程度的增高,A組所占的比例增高;在血糖的數(shù)值和抑郁SDS得分方面,A組糜爛型OLP伴DM具有相關(guān)性(P=0.031),相關(guān)系數(shù)為0.164,A組血糖和抑郁SDS得分呈正相關(guān);在血糖的數(shù)值和抑郁SDS得分方面,B組非糜爛型OLP伴DM具有相關(guān)性(P=0.049),相關(guān)系數(shù)為0.358,B組血糖和抑郁SDS得分呈正相關(guān)。結(jié)論:焦慮、抑郁與口腔扁平苔蘚伴糖尿病的口腔扁平苔蘚發(fā)生有關(guān)。焦慮、抑郁癥狀的嚴(yán)重程度與口腔扁平苔蘚伴糖尿病的血糖濃度相關(guān)�？谇槐馄教︴r伴糖尿伴糖尿病患者在進(jìn)行常規(guī)口腔扁平苔蘚與糖尿病治療的同時(shí),應(yīng)配合一定的心理治療。
[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.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R781.5;R587.1

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本文編號：1854322