化疗诱导的口腔粘膜炎:对复发因素的层次分析
T S de Macêdo1, M C F de Melo1, A K A Ferreira1
1Post-Graduation Program in Dentistry, Federal University of Pernambuco (UFPE), Professor Moraes Rego Avenue, 1235, Recife, Pernambuco, Brazil.
化学疗法引起的口腔粘膜炎 (OM) 在儿童中复发与临床因素有关,而不是社会经济因素. 高剂量甲状腺素治疗显著增加了OM复发风险.
科学领域:
- 儿科瘤学 儿科瘤学
- 口腔医学是指口腔医学.
- 临床研究 临床研究
背景情况:
- 口腔粘膜炎 (OM) 是化学疗法在儿童和青少年中常见的,痛苦的副作用.
- 了解复发风险因素对于改善癌症治疗期间患者的生活质量至关重要.
研究的目的:
- 确定儿科患者中复发性化疗诱导的口腔粘膜炎 (OM) 的危险因素.
- 使用层次模型分析临床和人口变量与OM复发之间的关联.
主要方法:
- 对31名接受OM化疗的儿童和青少年 (1-18岁) 进行了回顾性队列研究.
- 通过医疗记录,采访和口腔内检查收集的数据,包括患者个人资料,疾病,治疗和口腔健康.
- 统计分析包括千平方,费舍尔的精确,曼-惠特尼测试和二进制后勤回归 (p<0.05,95%CI).
主要成果:
- 在OM病史,诊断 (如白血病),中性粒细胞计数,先前治疗和化疗方案之间发现了显著的关联.
- 高剂量甲状腺素 (MTX) 治疗与OM复发风险增加13.69倍有关.
结论:
- 临床因素,包括中性质减退,白血病诊断和高剂量的MTX,显著增加了OM复发的可能性.
- 没有发现社会经济和人口因素会影响这个群体的OM复发.
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