Multifactor analysis of patients with oral sensory complaints in a case-control study  

作　　者：Jian-Qiu Jin Hong-Mei Cui Ying Han Sha Su Hong-Wei Liu 

机构地区：[1]Department of Oral Medicine,Peking University School and Hospital of Stomatology,Beijing 100081,China [2]Department of Stomatology,Beijing Hospital,National Center of Gerontology,Beijing 100730,China [3]Department of Stomatology,Suzhou Vocational Health College,Suzhou,Jangsu 215009,China [4]Department of Stomatology,Beijing Friendship Hospital,Capital Medical University,Beijing 100069,China

出　　处：《Chinese Medical Journal》2020年第23期2822-2828,共7页中华医学杂志（英文版）

摘　　要：Background:There are an increasing number of patients with oral sensory complaints(OSCs)presenting to our dental clinic.For most dentists,it is difficult to distinguish burning mouth syndrome(BMS)from other oral mucosal diseases that may cause symptoms such as burning mouth.It is beneficial to effectively distinguish OSC patients to reduce misdiagnosis and eliminate burning symptoms as much as possible.Methods:Patients with oral burning sensations in the oral mucosal disease clinic were collected from the Peking University Hospital of Stomatology between September 1,2014 and December 31,2018.After excluding oral candidiasis,anemic stomatitis,dental material allergy,and other diseases from patients with oral sensory complaints,basic conditions such as gender,age,education level,job status,hyperglycemia,hypertension,hyperlipidemia,history of brain abnormalities,history of cervical spondylitis,history of thyroid disease,history of thyroid disease and insomnia were obtained.The BMS patients were compared with the control group.The t test and Chi-square test were used for statistical analysis to compare the clinical symptoms of these diseases and explore the risk factors for BMS.Results:In this case-control study,395 patients(321 females and 74 males,mean age 55.26±10.51 years)with oral sensory complaints and 391 healthy controls(281 females and 110 males,mean age 47.11±13.10 years)were enrolled,among which,8.4%(33/395)had oral candidiasis,1.3%(5/395)had dental material allergy,0.8%(3/395)had anemic stomatitis and 0.5%(2/395)had lichen planus.A total of 352 patients were eventually diagnosed with BMS.Anxiety and depression were more severe in BMS patients,as were the incidences of sleep disorders and brain abnormalities.Logistic regression analysis showed that age(odds ratio[OR]=2.79,95%confidence interval[CI]:1.61-4.83,P<0.001),total cholesterol level(OR=2.92,95%CI:1.32-6.50,P=0.009)and anxiety score(OR=1.75,95%CI:1.01-2.77,P=0.017)significantly increased the incidence of BMS.Patients with hyperglycemia(OR=0.46,95%

关 键 词：Oral sensory complaints Burning mouth syndrome Patch test CANDIDA ANEMIA Anxiety Depression 

分 类 号：R781[医药卫生—口腔医学]