精神压力与牙周炎关系的临床调查

目的：探讨精神压力与牙周炎临床指标的关系。方法：选择慢性牙周炎患者44例和牙周健康者42例．采用评估就诊者心理卫生问题的90项症状自评量表，研究精神压力和牙周临床指标的关系．以SPSS10．0软件包进行相应分析。结果：2组受教育水平、婚姻状况、经历重大生活事件有明显差异（P〈0．05或P〈0．01）。牙周炎组患者躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对及其他（饮食睡眠等影响）的分值显著高于对照组（P〈0．05或P〈0．01）．牙周治疗需要指数（CPITN）、牙石指数（CI）等临床参数与抑郁、人际关系敏感等因子呈显著性相关（P〈0．05或P〈0．01）。结论：精神压力与牙周健康状况密切相关，可能是牙周炎的重要危险因子。

Clinical survey of the association between stress and periodontitis

PURPOSE: To investigate the effects of stress on periodontitis. METHODS: 44 chronic periodontitis patients and 42 patients with healthy periodontal tissues(as control) were enrolled in the study. All subjects were required to complete a questionnaire which was mainly made up of the symptom checklist 90. Data collected included clinic parameters, psychological factors, life events and basic socio-demographics. The results were statistically assessed by SPSS 10.0 software. RESULTS: There was significant difference between periodontitis group and the control group in education, marital status, and life events(P<0.05 or P<0.01). Compared with the controls, the periodontitis patients got higher scores in somatization, obsessive-compulsive,interpersonal sensitivity, depression, anxiety, hostility, the impact of sleep and diet(P<0.05 or P<0.01). In periodontitis group, there was significant correlation between CPITN, CI and depression, anxiety, interpersonal sensitivity, etc. (P<0.01 or P<0.05). CONCLUSIONS: In this sample, there was a close association between stress and periodontitis. Stress may be a significant risk indicator for periodontitis.