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癌症患者口腔健康状况的差异:一个病例对照观察性研究
C Rupe1,2, G Gioco1, M Tranfa1
1Head and Neck Department, Fondazione Policlinico Universitario A. Gemelli-IRCCS, School of Dentistry, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy.
BMC oral health
|December 1, 2025
概括
与骨转移性癌症患者和健康人群相比,头癌患者的口腔健康状况明显恶化. 吸烟和老年是癌症患者口腔健康不佳的关键风险因素.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 在瘤学瘤学.
- 牙科医学 牙科医学
背景情况:
- 口腔健康 (OH) 对整体健康至关重要,特别是在癌症患者中.
- 癌症治疗可能会对口腔健康产生负面影响.
- 对不同癌症患者群体的口腔健康进行比较对于有针对性的护理至关重要.
研究的目的:
- 为了比较骨转移性癌症 (BMC) 患者,头癌症 (HNC) 患者和全身健康对照者的口腔健康状况.
- 在这些患者群体中确定与口腔健康不良相关的风险因素.
主要方法:
- 观察性病例控制研究涉及510名患者 (每组170名) 从2018年至2024年.
- 临床和放射性口腔健康评估使用DMFT指数,牙周图表和骨科术.
- 统计分析包括单变量和多变量逻辑回归来识别风险因素.
主要成果:
- 与BMC患者和对照人群相比,头癌 (HNC) 患者的口腔健康状况明显较差 (OR 2.36).
- 在BMC患者和对照人群之间没有发现口腔健康的显著差异.
- 吸烟习惯 (OR 3.22) 和70岁以上的年龄 (OR 17.44) 是口腔健康不良的重要风险因素.
结论:
- 由于口腔健康状况较差,头癌患者在瘤管理中需要加强牙科护理.
- 吸烟和晚年是影响癌症患者口腔健康结果的关键风险因素.
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