Clinical assessment and outcome in 70 patients with complaints of burning or sore mouth symptoms

Clinical assessment and outcome in 70 patients with complaints of burning or sore mouth symptoms
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DOI:
10.4065/74.3.223
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发表时间:
1999-03-01
影响因子:
8.9
通讯作者:
Rogers, RS
Rogers, RS
中科院分区:
医学2区
文献类型:
--
作者:
Drage, LA;Rogers, RS

文献摘要

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目的:回顾一系列口腔灼热或疼痛的患者,以阐明相关病症和治疗结果。材料和方法:我们回顾性研究了 1979 年至 1992 年间在三级护理中心遇到的连续 70 名口腔灼热或疼痛的患者,总结了临床和实验室检查结果,并分析了随访数据。结果:研究队列由 56 名女性和 14 名男性组成,平均年龄为 59 岁。他们的口腔灼热或疼痛的平均持续时间为 2.5 年。 37% 的研究对象存在多种导致口腔灼热或疼痛的病因。最常见的相关疾病是精神疾病(30%)、口干症(24%)、地图舌(24%)、营养缺乏(21%)和过敏性接触性口腔炎(13%)。通过针对可疑病因制定治疗方案,72% 的随访患者报告病情有所改善 结论:通过定向调查,可以在大多数口腔灼热或疼痛的患者中找出一个或多个原因。大多数患者可以成功控制这些症状。
Objective: To review a series of patients with a burning or sore mouth for elucidation of associated conditions and treatment outcome,Material and Methods: We retrospectively studied 70 consecutive patients with a burning or sore mouth who were encountered at a tertiary care center between 1979 and 1992, Clinical and laboratory findings were summarized, and follow-up data were analyzed.Results: The study cohort of 56 women and 14 men had a mean age of 59 gears. They had had a burning or sore mouth for a mean duration of 2.5 years. Multiple etiologic factors for the burning or sore mouth were present in 37% of the study subjects. The most frequently associated conditions were psychiatric disease (30%), xerostomia (24%), geographic tongue (24%), nutritional deficiencies (21%), and allergic contact stomatitis (13%). With a treatment course tailored to the suspected causal factor, 72% of the patients who had follow-up reported improvementConclusion: With a directed investigation, one or more causes could be identified in most patients who had a burning or sore mouth. Successful management of these symptoms was possible in a majority of the patients.