The effect of an oral prosthesis on the quality of life for head and neck cancer patients.
The effect of an oral prosthesis on the quality of life for head and neck cancer patients.
复制标题
口腔修复体对头颈癌患者生活质量的影响。
DOI：
10.1046/j.1365-2842.1999.00379.x
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发表时间：
1999
影响因子：
2.9
通讯作者：
Yoshihiro Terada
中科院分区：
文献类型：
--
作者：
H. Moroi;K. Okimoto;Yoshihiro Terada
头颈部癌症患者的生活质量（QOL）已成为医疗治疗中越来越重要的因素。我们根据患者自己的主观评价检查了假体对生活质量的影响。将在九州大学牙科学院修复牙科科接受治疗的 68 名头颈癌患者与 35 名假牙佩戴者作为对照进行比较。对照组的普通义齿满意度与饮食（P<0.01，t检验；rho = 0.72，Spearman等级相关）、审美满意度（P<0.01，rho = 0.57）和疼痛（P<0.01，rho = 0.51）存在统计相关性。另一方面，对于癌症患者来说，普通义齿满意度不仅与饮食（P<0.01，rho = 0.34）、审美满意度（P<0.01，rho = 0.33）和疼痛（P<0.01，rho = 0.41）而且与健康（P<0.01，rho = 0.33）和心理健康（P<0.01，rho = 0.41）。因此，在癌症患者中观察到义齿评分与生活质量评分之间存在统计相关性（P<0.0001，rho = 0.56），而对照组的相关性不具有统计显着性。这项研究表明，头颈癌患者的口腔修复体不仅是饮食的重要因素，也是患者整体生活质量的重要因素。
The quality of life (QOL) in patients with cancer in the head and neck regions has become an increasingly important factor in medical treatment. We examined the effect of a prosthesis on the QOL based on the patients' own subjective evaluations. Sixty-eight head and neck cancer patients who had been treated in the Department of Prosthetic Dentistry of the Faculty of Dentistry, Kyushu University, were compared with 35 denture wearers as a control. General denture satisfaction in the control group showed a statistical correlation with eating (P<0.01, t-test; rho = 0.72, Spearman rank correlation), aesthetic satisfaction (P<0.01, rho = 0.57) and pain (P<0.01, rho = 0.51). On the other hand, for cancer patients, general denture satisfaction showed a statistical correlation with not only eating (P<0.01, rho = 0.34), aesthetic satisfaction (P<0.01, rho = 0.33) and pain (P<0.01, rho = 0.41) but also health (P<0.01, rho = 0.33) and mental well-being (P<0.01, rho = 0.41). A statistical correlation between the Denture score and the QOL score was thus observed in cancer patients (P<0.0001, rho = 0.56), while the correlation for the control group was not statistically significant. This study showed that oral prostheses for head and neck cancer patients are important factors not only for eating but also for the overall patient QOL.