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首页> 外文期刊>Journal of Oral and Maxillofacial Surgery >Oral health-related quality of life of patients with oral lichen planus, oral leukoplakia, or oral squamous cell carcinoma
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Oral health-related quality of life of patients with oral lichen planus, oral leukoplakia, or oral squamous cell carcinoma

机译：口腔扁平苔藓，口腔白斑或口腔鳞状细胞癌患者与口腔健康相关的生活质量

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Purpose To compare oral health-related quality of life (OHRQoL) of patients with oral lichen planus (OLP), oral leukoplakia (OL), or oral squamous cell carcinoma (OSCC). Materials and Methods Seventy-three patients with OLP, 44 with OL, and 37 with OSCC participated in this prospective study. The German version of the 14-item Oral Health Impact Profile (OHIP-G 14) was used to measure OHRQoL. Descriptive statistics and multivariate analysis of clinical forms, age, gender, alcohol consumption, and smoking habits were evaluated. Results No association to cumulative OHIP-14 score (P =.086) among the 3 groups was found. However, patients with OLP showed a higher "physical pain" score and a lower "social disability" score (P =.026) than patients with OSCC, followed by patients with OL. Women with OLP had a lower OHRQoL than men. After differentiation of clinical forms of OLP (symptomatic vs asymptomatic), an impact on these patients' OHRQoL in the dimensions "physical pain" and "physical disability" was found. Conclusion Patients with OLP or OSCC and high OHIP-G 14 scores reported physical pain, which emphasizes the need for physical therapy. For improved OHRQoL, patients with symptomatic forms of OLP would gain more from a treatment compared with those with asymptomatic forms. In contrast, patients with asymptomatic OLP or OL and thus with a minimal impact on their OHRQoL might be at risk of delayed consultation, diagnosis, and treatment of their condition.
机译：目的比较口腔扁平苔藓（OLP），口腔白斑（OL）或口腔鳞状细胞癌（OSCC）患者的口腔健康相关生活质量（OHRQoL）。材料和方法73例OLP，44例OL和37例OSCC患者参加了这项前瞻性研究。德文版的14个项目的口腔健康影响档案（OHIP-G 14）用于测量OHRQoL。对临床形式，年龄，性别，饮酒和吸烟习惯的描述性统计资料和多元分析进行了评估。结果3组之间均未发现与累积OHIP-14评分相关（P = .086）。然而，与OSCC患者相比，OLP患者表现出更高的“身体疼痛”评分和更低的“社会残疾”评分（P = .026），其次是OL患者。患有OLP的女性的OHRQoL低于男性。在对OLP的临床形式（有症状的和无症状的）进行区分之后，发现在“身体疼痛”和“身体残疾”方面对这些患者的OHRQoL有影响。结论OLP或OSCC且OHIP-G 14得分高的患者均出现身体疼痛，这强调了物理治疗的必要性。为了改善OHRQoL，与无症状形式的患者相比，有症状形式的OLP的患者将从治疗中获益更多。相比之下，无症状OLP或OL并因此对其OHRQoL影响最小的患者可能面临延迟咨询，诊断和治疗其病情的风险。

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