粤西地区2015-2019年580例口腔粘膜病例临床分析

Clinical Analysis of 580 cases of Oral Mucosa in Western Guangdong from 2015 to 2019

目的:分析粤西地区口腔粘膜病变的临床特征及影响因素。方法:采用回顾性病例分析法,收集2015年1月-2019年12月就诊于广东医科大学附属第一医院口腔内科门诊所有口腔粘膜病人的临床资料,按照疾病谱分类法,通过归类、去重和筛选后,对疾病种类、年龄、性别、职业、基础病以及家族史等多方面进行分析。结果:在580例口腔粘膜病的患者中,年龄29-84岁,平均年龄(42.6±27.5)岁,男女比例1:1.06。职业分类:农渔民277例(47.76%),公职人员216例(37.24%),其他87例(15.00%)。按疾病分类前3类依次为:复发性口溃疡(29.31%)、口腔粘膜下纤维化(16.90%)、灼口综合征(15.69%)。不同职业在复发性口溃疡、口腔粘膜下纤维化、灼口综合征、口腔扁平苔藓和其它口腔疾病差异有统计学意义(P<0.05)。其中农渔民中口腔粘膜病前3位病种依次为复发性口溃疡(32.49%)、口腔粘膜下纤维化(22.38%)、灼口综合征(22.02%)。结论:复发性口溃疡、口腔粘膜下纤维化是粤西地区高发的口腔粘膜病,其中农渔民的发病率更高。

Objective:To analyze the clinical characteristics and influencing factors of oral mucosal lesions in western Guangdong. Methods:The retrospective case analysis method was used to collect the clinical data of all patients with oral mucosa in the hospital from January 2015 to December 2019. According to the disease spectrum classification method, after classification,weight removal and screening, the disease categories, age, gender, occupation, basic diseases and family history were analyzed. Results:Among 580 patients with oral mucosal disease, the age was 29-84 years, the average age was 42.6 ± 27.5 years, and the ratio of male to female was 1:1.06. Occupational Classification: 277 farmers and fishermen(47.76%), 216 public officials(37.24%),and 87 others(15.00%). According to the classification of diseases, the first three categories were: recurrent oral ulceration(29.31%), oral submucous fibrosis(16.90%), burning mouth syndrome(15.69%). There were statistically significant differences in recurrent oral ulcer, submucous fibrosis, burning mouth syndrome, oral lichen planus and other oral diseases among different occupations(P<0.05). Among them, the top three diseases were recurrent oral ulcer(32.13%), submucous fibrosis(20.22%), burning mouth syndrome(7.69%). Conclusion:Recurrent oral ulcer and oral submucous fibrosis are the most common oral mucosal diseases in western Guangdong Province, and the incidence rate is higher among farmers and fishermen.