摘要
目的:了解中重度牙周炎病人的心理健康状况,并探讨其与中重度牙周炎的相关性。方法:收集自愿接受调查的中重度牙周炎病人39例(牙周炎组),同期就诊的非牙周病病人或健康者29例(对照组),年龄﹑性别﹑受教育程度与牙周炎组相匹配,采用汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)和汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)进行评价,比较两组分值,并对牙周炎组的评分值和临床指标进行相关性分析。结果:牙周炎组病人的HAMD评分(10.56±6.58)和HAMA评分(12.36±8.80)均显著高于对照组(3.59±2.41;;3.76±2.13),两组差异有统计学意义(P<0.05)。临床附着丧失(CAL)与焦虑总分、抑郁总分均呈显著正相关(P<0.05)。结论:中重度牙周炎病人存在焦虑和(或)抑郁情绪,建议在生物学治疗同时,关注病人心理健康状况并及早进行干预。
AIM:To investigate the correlation between anxiety/depression levels and moderate-severe periodontitis.METHODS:The study involved 39 patients with moderate/severe periodontitis and 29 control subjects,matched by age,gender,level of education among two groups.Hamilton Rating Scale for Depression(Hamilton Depression Scale,HAMD) and Hamilton anxiety scale(Hamilton Anxiety Scale,HAMA) were assessed for the two groups and clinical attachment loss(CAL),probing depth(PD),calculus index(CI) and bleeding on probing(BOP) were measured among periodontitis group.RESULTS:HAMD score and HAMA score for patients with moderate-severe periodontitis(10.56 ± 6.58;12.36 ± 8.80) were significantly higher than those for the control group(3.59 ±2.41;3.76 ±2.13)(P 〈0.01).CAL was positively correlated with HAMD and HAMA scores among periodontitis group after controlling other variables(P 〈 0.001).CONCLUSION:Patients with moderate/severe periodontitis might have higher level of anxiety/depression.It is suggested that anxiety/depression might be correlated with periodontitis.Patient's psychological health,not just biological health,also promoted.
出处
《牙体牙髓牙周病学杂志》
CAS
北大核心
2010年第10期584-587,共4页
Chinese Journal of Conservative Dentistry