口腔扁平苔藓与精神因素的相关性研究进展  

The correlation between oral lichen planus and mental factors

作　　者：刘晓雅 武潇 丁增波[2] 王可 李素霞[2] 朱维莉[2] 张智慧[3] LIU Xiao-ya;WU Xiao;DING Zeng-bo;WANG Ke;LI Su-xia;ZHU Wei-li;ZHANG Zhi-hui(Binzhou Medical University,Yantai 264003,Shandong,China;National Institute on Drug Dependence Peking University,Beijing Key Laboratory of Drug Dependence Research,Bejing 100191,China;Department of Stomatology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]滨州医学院,山东烟台264003 [2]北京大学中国药物依赖性研究所,药物依赖性研究北京市重点实验室,北京100191 [3]北京大学第三医院口腔科,北京100191

出　　处：《中国药物依赖性杂志》2023年第1期17-21,共5页Chinese Journal of Drug Dependence

基　　金：国家自然科学基金(81800983);北京大学第三医院临床重点项目(BYSYZD2019035);北大医学交叉研究种子基金(BMU2020MX022)。

摘　　要：口腔扁平苔藓(oral lichen planus,OLP)是一种常见的口腔黏膜慢性炎症性疾病,可发生癌变,其病因机制尚未研究清楚,目前在临床上尚无法根治,因此OLP的治疗面临巨大挑战。精神应激因素可以引起炎症因子异常变化,导致机体免疫功能失调,在口腔扁平苔藓的发病过程中起到关键的作用。精神心理因素尤其是抑郁、焦虑等精神障碍在口腔扁平苔藓发病和治疗中起到重要调节作用,并且对精神因素相关的口腔扁平苔藓患者进行传统的治疗效果不佳。本文针对与口腔扁平苔藓发病相关的精神因素作一综述,分析精神障碍与口腔扁平苔藓的相关性,以更好了解口腔扁平苔藓发生的病理机制和影响因素,为提高临床治疗效果提供依据。Oral lichen planus(OLP)is a common chronic inflammatory disease occurring in oral mucosa,which increases the risk of carcinogenesis.The etiological mechanism underlying OLP remains unclear,so it cannot be cured clinically at present,and the treatment of OLP is facing great challenges.Mental stress factors can cause abnormal changes of inflammatory factors and lead to immune dysfunction,which is one of the main causes of OLP.Psychosocial factors,especially depression,anxiety and other mental disorders play an important role in the pathogenesis and treatment of OLP.Moreover,the effect of traditional therapy on patients with OLP associated with mental factors is poor.This article reviews the mental factors related to OLP and analyzes the correlation between mental disorders and oral lichen planus.In order to have a better understanding of the pathological mechanism and affecting factors of OLP,and to lay the fundation for improving the clinical therapy efficacy.

关 键 词：口腔扁平苔藓 应激 情绪障碍 人格特征 

分 类 号：R749[医药卫生—神经病学与精神病学]