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目的 探讨精神疾病患者的口腔健康状况及其与疾病严重程度之间的关系。方法 通过对兰州市第三人民医院于2023年10月至2024年10月收治的300例精神疾病患者进行口腔健康检查和精神症状评估，分析不同病程组（病程≤2年、>2～5年、>5～10年、>10年）及精神疾病严重程度对口腔健康的影响。结果 病程>10年的患者的中度/重度牙龈出血指数、牙周袋深度、糖分摄入频率均较高。刷牙习惯率及唾液分泌量较低，四组间相比差异有统计学意义（P<0.05）。病程>10年患者的患龋率及牙石检出率高于其他各组，牙齿存留率低于其他各组，差异有统计学意义（P<0.05）。此外重度精神疾病患者的患龋率及牙石检出率高于其他各组，牙齿存留率低于其他各组，差异有统计学意义（P<0.05）。结论 精神疾病患者的口腔健康状况与疾病严重程度及病程密切相关，提示应加强对精神疾病患者口腔健康的关注，早期干预和综合管理对改善其生活质量具有重要意义。
Abstract：Objective To investigate the oral health status of patients with mental disorders and its relationship with the severity of the disease. Methods A total of 300 patients with mental disorders, admitted to the Third People's Hospital of Lanzhou from October 2023 to October 2024, underwent oral health examinations and psychiatric symptom assessments. The impact of different disease duration groups(duration ≤2 years, >2～5 years, >5～10 years, >10 years) and the severity of mental disorders on oral health was analyzed. Results In the group with disease duration >10 years, patients showed higher moderate/severe gingival bleeding index, periodontal pocket depth, and frequency of sugar intake. The rate of tooth brushing habits and saliva secretion were lower, with statistically significant differences observed between the four groups(P<0.05). The incidence of dental caries and detection rate of calculus in disease duration >10 years were higher than in the other groups, while the retention rate of teeth was lower, with statistically significant differences(P<0.05). Furthermore, patients with severe mental disorders had a higher incidence of dental caries and detection rate of calculus compared to the other groups, and their retention rate of teeth was lower, with statistically significant differences(P<0.05). Conclusion The oral health status of patients with mental disorders is closely related to the severity of the disease and the duration of the illness. This underscores the need for increased attention to the oral health of patients with mental disorders, as early intervention and comprehensive management are crucial for improving their quality of life.
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基本信息:
DOI：10.15956/j.cnki.chin.j.conserv.dent.2026.03.008
中图分类号:R749;R780.1
引用信息:
[1]陈景妍,薛红,马永强,等.精神疾病患者口腔状况调查及其与疾病严重程度的相关性分析[J].牙体牙髓牙周病学杂志,2026,31(03):164-167.DOI:10.15956/j.cnki.chin.j.conserv.dent.2026.03.008.
基金信息:
兰州市卫生健康行业科研项目(A2023030)
2025-05-23
2025
2025-10-15
2025
2025-09-30
1
2026-03-28
2026-03-28