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目的研究灼口的抑郁、焦虑、应对方式和人格状况以及上述症状之间的相关性。方法选取我院2014年1月至2016年1月80例灼口综合征患者为研究组,并选取同期80例健康者为对照组,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、医学应对方式问卷(MCMQ)、艾森克人格问卷简式量表(EPQ-RSC)与视觉模拟评分法表(VAS)进行评估对比,并分析各症状的相关性。结果研究组患者的SDS和SAS评分比对照组显著增加(P<0.05),口干症状与焦虑评分、疼痛程度呈正相关,疼痛程度与焦虑评分、抑郁评分呈正相关,应对方式中的回避、屈服与抑郁评分呈正相关,人格中的掩饰、神经质、精神质与抑郁评分、焦虑评分呈正相关(P<0.05)。结论灼口综合征患者会产生口干、疼痛、人格异常、应对障碍、抑郁与焦虑等症状,各症状之间不是独立存在的,心理的障碍会加重生理的症状,因此在临床实际治疗中需注重加强心理干预。
Objective To study the relationship between depressive symptoms, anxiety, coping style and personality status of the burning mouth and the above symptoms. Methods Eighty-eight patients with burning-mouth syndrome in our hospital from January 2014 to January 2016 were selected as study group and 80 healthy people as control group. The self-rating depression scale (SDS), self-rating anxiety scale (SAS), medical coping style questionnaire (MCMQ), EPQ-RSC and visual analogue scale (VAS) were compared and analyzed, and the correlation between each symptom was analyzed. Results The scores of SDS and SAS in the study group were significantly higher than those in the control group (P <0.05). The symptoms of dry mouth were positively correlated with anxiety score and pain degree. The pain level was positively correlated with anxiety score and depression score. There was a positive correlation between depression scores and depression, personality disguise, neuroticism, psychoticism and depression scores and anxiety scores (P <0.05). Conclusion Burning mouth syndrome patients will produce dry mouth, pain, personality disorders, coping disorders, depression and anxiety and other symptoms, the symptoms are not independent of each other, psychological disorders will aggravate the physiological symptoms, so in the actual treatment of clinical need Focus on strengthening psychological intervention.