精神因素及疼痛的临床分组对口腔健康相关生活质量的影响  

The associations between psychological factors,clinical subgroup of orofacial pain and oral health-related quality of life

作　　者：郑军[1] 王春美[2] 

机构地区：[1]中山大学光华口腔医学院.附属口腔医院.口腔医学研究所,广州510055 [2]香港大学牙学院

出　　处：《中华口腔医学研究杂志（电子版）》2010年第5期40-44,共5页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：目的探讨影响香港老年口腔颌面部疼痛人群口腔健康相关生活质量(OHRQOL)的相关因素。方法本研究为横断面研究。研究对象为在香港医院管理局/香港大学家庭医学部注册,有口腔颌面部疼痛的香港居民,年龄55～70岁。OHRQOL由香港中文版14条口腔健康影响程度量表(OHIP-14)评估。精神因素采用颞下颌关节紊乱综合征(TMD)研究用诊断标准(RDC/TMD)中使用的抑郁(Depression)及躯体化(NPS)分量表进行评估。调查受访者在过去1个月中各种口腔颌面部疼痛的程度、频率等情况。了解受访者看牙医的习惯并对受访者进行标准的临床检查。采用向前逐步回归的方法分析影响OHRQOL的主要因素。结果共100人次参加了本研究。口腔健康影响程度量表总分(OHIP-ADD)的均数为10.1(SD9.7)。回归分析显示中等或重度的抑郁(OR=7.1,P<0.001)及牙或骨来源的口腔颌面部疼痛(OR=4.8,P=0.016)与较差的OHRQOL显著相关。结论在有口腔颌面部痛症的香港老年人中,OHRQOL与精神因素和痛症的临床分组显著相关。本研究结果对口腔颌面部疼痛的防治提供必要的理论依据。Objectives To investigate key factors associated with poorer oral health-related quality of life （OHRQOL） of elderly Chinese people in Hong Kong who had orofacial pain （OFP） symptoms. Methods A cross-sectional study was conducted using the University of Hong Kong＇s Family Medicine Unit as the sampling frame. People aged 55-70 years with recent OFP symptoms were included. The oral health-related quality of life （OHRQOL） was assessed using the Hong Kong Chinese version of Oral Health Impact Profile （OHIP-14）. Poorer OHRQOL was defined as there was at least one response of ＇fairly often＇ or ＇very often＇ to an OHIP-14 question. Standard questions were asked about OFP symptoms and characteristics in the previous month. The psychological factors were assessed using the depression / non-specific physical symptoms （NSP） scales of the Research Diagnostic Criteria for Temporomandibular Disorder （RDC / TMD）.Questions on dental attendance were administered prior to a standard clinical assessment. Multiple logistic regression with a forward stepwise selection method was used to investigate the key factors associated with poorer OHRQOL. Results One hundred people with OFP symptoms participated in the definitive study. The mean OHIP-14 additive score was 10.1 （SD 9.7）. Results from the multiple logistic regression revealed that two independent factors were significantly related to poorer OHRQOL：moderate / severe RDC / TMD depression （OR=7.1,P0.001） and OFP clinical classification as dentoalveolar compared to neurological / vascular （OR=4.8,P=0.016）. Conclusions The study showed that psychological depression and clinical classification as dentoalveolar were significantly associated with poorer OHRQOL in the elderly Chinese people with OFP symptoms in the community of Hong Kong. The finding provides implication for effective management of OFP and improvement of OHRQOL of elderly people with OFP symptoms in Hong Kong.

关 键 词：口腔健康相关生活质量 口腔颌面部疼痛 老年人 

分 类 号：R78[医药卫生—口腔医学]