在精神分裂症患者的牙损伤的性别影响因素
Mi Yang1,2,3, Jingjing Xu4, Xiaoqin Chen4
1Department of Psychiatry, The Fourth People's Hospital of Chengdu, No.8 Huli-West 1st-Alley, Jinniu District, Chengdu, 610036, China.
牙损伤在男性精神分裂症患者中更为普遍,受年龄和吸烟的影响. 女性患者表现出不同的风险因素,包括抗精神病剂量和认知障碍. 加强口腔卫生管理对所有患者至关重要.
科学领域:
- 精神病学是一个精神病学.
- 口腔健康 口腔健康
- 公共卫生 公共卫生
背景情况:
- 精神分裂症带来了巨大的负担,牙损等口腔健康问题越来越被认可.
- 精神分裂症患者中牙损伤很常见,影响他们的生活质量.
- 了解脏病风险因素中的性别差异对于有针对性的干预至关重要.
研究的目的:
- 为了研究影响精神分裂症患者牙的因素的基于性别的差异.
- 确定男性和女性精神分裂症患者牙损伤的特定危险因素.
- 为精神分裂症患者群体提供量身定制的口腔卫生策略.
主要方法:
- 一项研究包括496名精神分裂症住院患者 (年龄大于18岁).
- 收集的数据包括人口统计,症状严重程度,认知功能,药物和腐烂,缺失和填充牙 (DMFT) 指数.
- 进行了性别特异性分析,以确定牙损的影响因素.
主要成果:
- 男性患者 (n=354) 的DMFT平均值 (8.81) 比女性 (n=142,5.63) 的平均值显著高.
- 男性的空风险是女性的2.3倍 (OR=2.305).
- 在男性中,牙与年龄和吸烟有关;在女性中,与年龄,抗精神病剂量,PANSS阳性症状和MMSE得分有关.
结论:
- 在精神分裂症患者的牙损伤风险因素中存在显著的性别差异.
- 这些因素可能会影响精神疾病的治疗和预后.
- 对于精神分裂症患者,建议加强个性化口腔卫生管理.
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