心脏移植受者口腔健康相关生活质量影响因素分析  

Association among oral health status,oral health behavior and the oral health-related quality of life in adult heart transplant recipients

作　　者：曹莹[1] 陈曦[2] 孙正[3] 吕亚林[1] 贾一新[4] CAO Ying CHEN Xing SUN Zheng LV Yalin JIA Yixin(Department of Stomatology, Belting Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China)

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所口腔科,100029 [2]首都医科大学附属北京口腔医院老年口腔病科 [3]首都医科大学附属北京口腔医院口腔黏膜科 [4]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心外科,100029

出　　处：《心肺血管病杂志》2017年第7期558-563,共6页Journal of Cardiovascular and Pulmonary Diseases

基　　金：国家自然科学基金资助项目(81170282)

摘　　要：目的:初步探讨影响心脏移植受者口腔健康相关生活质量的相关因素。方法:对59例心脏移植受者进行全面的口腔检查,包括:龋均(DMFT)、患龋率、社区简化口腔卫生指数(DI-S和CI-S)、牙龈出血指数(BI)、牙周探诊深度(PD)、附着丧失(LOA)、社区牙周指数(CPI)、牙龈增生(GO)和咬合牙对数(Ⅰ和Ⅱ);采用中文版口腔健康影响程度量表(OHIP-14中文版)评测其口腔健康相关的生活质量;采用自行设计的结构式量表调查口腔保健行为习惯和对口腔健康重要性的认知度。对OHIP-14总分进行多因素分析,初步探讨与心脏移植受者OHIP-14总分相关的影响因素。结果:负二项回归结果显示,年龄、BI指数与OHIP-14总分呈正相关,差异有统计学意义(P<0.05);CPI均值与OHIP-14总分呈负相关,差异有统计学意义(P<0.05)。结论:年龄、BI指数和CPI均值是本研究中心脏移植受者口腔健康相关生活质量的影响因素。Objects：The aims of this study were to investigate the effect of the oral health status and related factors on the oral health-related quality of life in adult heart transplant recipients （HTRs）.Methods：A survey was conducted in a non-random sample of adult HTRs.Clinical examinations were taken to assess oral health status using DMFT index,bleeding index （BI）,probing depth （PD）,loss of attachment （LOA）,debris Index-simplified （DI-S）,calculus Index-simplified （CI-S）,community periodontal index （CPI）,gingival overgrowth （GO） and occluding tooth pairs （Ⅰ and Ⅱ）.Negative binomial regressions for OHIP-14 summary score was performed to identify the correlative indicators of oral health related quality of life （OHRQoL） of adult HTRs in China.Results：A total of 59 adult HTRs were examined.Prevalence of dental caries experience among the subjects was 71.2% and the median of overall mean DMFT score was 3.BI score was 1.74 and the median of teeth with probing depths（PD） ≥4mm score was 4.45.The mean CPI score of HTRs was 2.17.Negative binomial regression analyses revealed that subjects who were older,or had higher BI scores had significantly higher OHIP-14 summary scores （P 〈 0.05）.Subjects who had higher CPI scores had significantly lower OHIP-14 summary scores （P 〈 O.05）.Conclusion：Oral hygiene status and periodontal condition were unsatisfactory adult HTRs in China.Their oral health related quality of life was related to their age,BI score and the mean score of CPI.

关 键 词：心脏移植 口腔健康相关的生活质量 口腔健康影响程度量表 

分 类 号：R54[医药卫生—心血管疾病]