慢性咽炎患者口腔健康相关生活质量的调查

目的 测评慢性咽炎对患者口腔健康相关生活质量的影响,为临床诊疗提供参考.方法 收集慢性咽炎患者(慢性咽炎组)130例,另外选取362名常规来院进行口腔检查的普通人群(健康常规组)为对照,采用中文版口腔健康程度量表(oral health related impact profile-14,OHIP-14)进行口腔健康情况测评,并记录个体基本情况和专科检查情况.对OHIP-14得分与各健康因素进行Spearman相关分析与线性回归分析.结果 慢性咽炎组OHIP-14总分为(9.52±7.41)分,显著高于健康常规组(7.45±7.90)分,差异主要体现在功能限制、生理性疼痛、心理不适几个方面.Spearman相关分析结果显示OHIP-14得分与患者的年龄(rs=0.238,P=0.01)、咽部不适程度(rs=0.473,P<0.001)和龋失补牙数(rs=0.26,P=0.005)具有相关性.多重线性分析显示OHIP-14得分与咽部不适程度(steβ=0.353,P<0.001)、龋失补牙数显著相关(steβ=0.186,P=0.037),确定系数R2=0.294.结论 慢性咽炎患者总体口腔健康相关生活质量低于普通人群,应采取相应的预防措施改善患者的口腔健康.

Survey on the oral health related quality of life in patients with chronic pharyngitis

Objective To assess the impact of chronic pharyngitis on oral health related quality of life. Methods Consecutive patients with chronic pharyngitis were recruited. 130 patients and 362 healthy controls were investigated by the questionnaire according to the Chinese version of the oral health impact profile-14 ( OHIP-14) . Spearman correlation anaylsis and multiple linear regression were performed to analyze the association between OHIP-14 and variables. Results The total OHIP-14 scores of patients with chronic pharyngitis ( 9. 52 ± 7. 41) was higher than controls ( 7. 45 ± 7. 90) , in-cluding functional limitations, physical pain subscale, psychological discomfort. Spearman correlation analysis showed that OHIP-14 scores were correlated with age, visual analogue scale ( VAS) and the index of decayed-missed-filled teeth ( DMFT) ( rs=0. 238, P=0. 01; rs=0. 473, P<0. 001; rs=0. 26, P=0. 005) . In addition, there was highly signifi-cant association between the OHIP-14 score and VAS, as well as DMFT ( steβ=0. 353, P<0. 001; steβ=0. 186, P=0. 037; R2 =0. 294) . Conclusion Chronic pharyngitis has impacts on the oral health related quality of life. Enhanced prevention is suggested on the patient who has higher OHIP-14 score.