应用《口腔黏膜疾病量表》评估慢性口腔黏膜疾病患者的生活质量  

Oral health-related quality of life in patients with chronic oral mucosa diseases:A Questionnaire-based Study

作　　者：郭春岚[1] 赵继志[1] 张洁[1] 董海涛[1] 杜德顺[1] 孙磊[2] 吴宣[1] 丁珊珊[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院口腔科,主治医师北京100730 [2]北京市平谷区医院口腔科,住院医师北京101200

出　　处：《中华老年口腔医学杂志》2015年第5期281-284,共4页Chinese Journal of Geriatric Dentistry

摘　　要：目的:通过中文版《口腔黏膜疾病量表》评估慢性口腔黏膜疾病患者的生活质量状况。方法:纳入210名慢性口腔黏膜疾病患者,填写中文版《口腔黏膜疾病量表》,分析比较不同疾病、不同性别、不同年龄段患者的量表得分。结果:量表总分居于前三位疾病分别为:天疱疮、口腔扁平苔藓、复发性阿弗他溃疡。年龄≥60岁的患者组量表总分分别高于<60岁的患者组(P<0.05)。女性患者在疾病引起的疼痛与功能受限、社会与情感因素方面的评分明显高于男性患者(P<0.05)。结论:慢性口腔黏膜疾病对患者的生活质量存在显著的影响。由患者填写量表进行的自我评估,能够真实反映患者的治疗需求,可指导医生针对性的调整治疗计划,制定个性化方案。Objective： To assess the quality of life（QOL） in patients with chronic oral mucosal diseases by using the Chronic Oral Mucosal Diseases Questionnaire（Chinese Version）. Methods：Two hundred and ten patients with oral lichen planus, recurrent aphthous ulcers, pemphigus, and other chronic oral mucosal diseases were included in the study. Patients completed the questionnaire before treatment and were divided into different groups according to disease, age and gender.The scores were compared and analyzed by statistic software. Results： Patients with pemphigus, oral lichen planus, and recurrent oral ulcer had the top three overall scores of the questionnaire. Patients older than 60 years reported a significantly lower overall QOL（P〈0.05）. Female patients reported significantly lower QOL（P〈0.05） in the domain of social, emotional status, and pain and functional limitation. Conclusion： The Chronic Oral Mucosal Diseases Questionnaire（Chinese Version） may be a useful instrument for patients to assess their health, and the use of the questionnaire may allow physicians more effectively take care of their patients with these diseases.

关 键 词：慢性口腔黏膜疾病 口腔健康 生活质量 量表 

分 类 号：R781.5[医药卫生—口腔医学]