口腔黏膜扁平苔藓患者心理状况分析  

The analysis of pschological status of patients with oral lichen planus

作　　者：张梅华 缪羽 昭日格图 ZHANG Meihua;MIAO Yu;ZHAORI Getu(Hospital of FIRMACO The Fourth Affiliated Hospital of Inner Mongolia Medical Univercity,China ,Baotou014030)

机构地区：[1]内蒙古医科大学第四附属医院口腔科,包头014030

出　　处：《实用口腔医学杂志》2019年第1期114-117,共4页Journal of Practical Stomatology

基　　金：包头市医药卫生科技计划项目(编号:2015S2004-4-2)

摘　　要：目的:分析口腔扁平苔藓疾病(OLP)患者的心理状况。方法:采用焦虑自评量表(SAS),抑郁自评量表(SDS),大五人格量表(NEO)和世界卫生组织生存质量测定量表简表(WHOQOL-BREF),对口腔黏膜扁平苔藓患者(n=100)和正常人群(n=100)进行问卷调查,并检测血清中促肾上腺激素(ACTH)和皮质醇(CORT)水平;分析口腔扁平苔藓与心理疾病、应激、人格特征和生活质量之间的关系。结果:病例组和对照组在一般资料(性别和年龄)中无统计学差异(P>0. 05),病例组和对照组在SAS评分、SDS评分、NEO评分、WHOQOL-BREF评分和血清中ACTH、CORT水平存在显著性差异(P <0. 05);二分类Logistic回归分析显示焦虑、抑郁、人格品质和生活质量可能是OLP患病的影响因素。结论:OLP疾病的发生发展可能与心理状况、抑郁、应激、焦虑等有关联。Objective: To investigate the pschological status of the patients with oral lichen planus disease( OLP). Methods: 100 patients with OLP and 100 healthy controls were included. The self-rating anxiety scale( SAS),self-rating depression scale( SDS),neuroticism extraversion openness( NEO) and WHOQOL-BREF were used to analyze the life quality and pschology of the subjects.Andrenocor-cicotropin( ACTH) and cortisol( CORT) in serum were measured. The relationship between OLP and mental illness,stress,personality traits and life quality was analyzed. Results: There were no significant differences of gender and age between the case group and the control group( P > 0. 05). There were significant differences of the SAS score,SDS score,NEO score,WHOQOLBREF score and the level of ACTH and CORT( P < 0. 05) in serum between the 2 groups. Logistic regression analysis showed that anxiety,depression,personality and life quality were the influencing factors of OLP prevalence. Conclusion: The development of OLP may be related to psychological status,depression,stress,anxiety and so on.

关 键 词：口腔黏膜扁平苔藓(OLP) 焦虑自评量表(SAS) 抑郁自评量表(SDS) 大五人格量表(NEO) 世界卫生组织生存质量测定量表简表(WHOQOL-BREF) 

分 类 号：R781.5[医药卫生—口腔医学]