儿童口腔黏膜自伤性溃疡的临床研究

A Clinical Research on Children＇ s Oral Mucosa Factitious Ulcer

目的探讨儿童口腔黏膜自伤性溃疡的临床特点和治疗效果。方法将36例口腔黏膜自伤性溃疡患儿分为三组，第1组：采用药物（肌苷片0．2g，维生素B6片10mg）早午晚服，局部用金因肽喷涂和心理辅导治疗，治疗1个月；第2组：采用正畸治疗纠正自伤性溃疡的习惯动作并结合心理辅导；第3组：第1组＋第2组治疗方案，并随访追踪1个月，3个月，半年，1年，复诊了解患儿治疗情况和溃疡愈合情况。结果在36例的研究对象中，多见于男性儿童，均有咬颊，咬舌，咬唇习惯。15例（41．67％）痊愈，9例（25．00％）显效，10例有效（27．57％），2例（2．78％）无效。第3组患儿的治疗效果明显优于第1第和第2组。结论自伤性溃疡的习惯动作是本病重要的诊断依据。纠正自伤性习惯动作和心理治疗是本病重要的治疗方法，本病可能是儿童注意缺陷多动障碍的口腔表现。

Objective To explore the clinical manifestation and therapeutic effect of children＇ s oral mucosa factitious ulcer. It aims to improve the diagnosis and therapy level of such ulcer. Method 36 cases with children＇ s ulcer symptoms and mental attitudes were observed. Tothlcases and were divided into 3 groups. Group 1 ：Take medicine （Inosine Pill 0. 2, Vitamin Bs Pill 10 mg） 3 times a day;use EGF spray for some part, together with psychotherapy for 1 month. Group 2 ： Adopt orthodontics to correct factitious habit and use psychotherapy. Group 3 ： Group 1 ＋ Group 2. Tracking randomly for 1 month,3 months, half a year, 1 year, check the therapeutic and ulcer healing-up progress by further consultation. Result According to 36 cases, boys are more vulnerable to such disease. They tend to bite cheek, tongue,lips. Ulcer used to happen on tongue brim mueosa, quantity 1 -3, size 0. 2 - 1.8 cm, irregular appearance ,white keratosis surrounding, priority therapy is to correct factitious habit. 15 cases （41.67%） healed ,9 cases（25.00% ） showed good result,10 eases（27.57% ） were eflleaeious,2 cases（2. 78% ） ineffective. The therapeutic effect of Group 3 is much better than Group 1 and Group 2. Conclusion The diagnostic importance of such disease is factitious habit. Correct factitious habit and psychotherapy are the important therapeutic methods. This disease can be the oral manifestation of children＇ s Attention Deficit Hyperactivity Disorder.