非外伤性口颌面部疼痛老年患者的临床特征分析

目的分析老年患者非外伤性口颌面部疼痛的临床特征。方法回顾性分析470例非外伤口颌面部疼痛老年患者的临床资料,根据疼痛组织部位来源分为牙源性、牙周源性和颌面部源性三组,比较各组间疼痛差异和处置措施,分析老年患者就诊特点。结果470例患者年龄(68.66±7.40)岁,其中60~69岁患者最多。牙源性疼痛患者占58.3%,且疼痛评分最高,为5.00(3.00,6.00)分,牙周源性疼痛评分与其余两组比较差异有统计学意义(P<0.05)。性别不影响各组疼痛评分(P>0.05)。老年患者忍受牙周源性疼痛时间最长,为10.00(5.00,15.00)d,且忍受疼痛加重的时间比其余两组差异有统计学意义(P=0.001)。有71.9%的患者合并全身系统疾病,其中高血压占首位。牙周源性疼痛实施临床操作人数在各组中占比最高(71.7%),颌面部源性疼痛患者多采取药物治疗(60.9%)。结论老年人口颌面部疼痛来源多为牙源性疾病,但接受操作治疗的患者相较牙周源性疼痛患者少。牙周源性疾病因疼痛程度低而易受到老年人的忽视从而延误治疗。

Objective To analyze the clinical characters of elderly patients with non-traumatic orofacial pain.Methods Clinical data of 470 elderly patients with non-traumatic orofacial pain were collected and retrospectively analyzed.According to the tissue origin,these patients were divided into three diagnostic groups:the odontogenic,the periodontal and the maxillofacial group.Differences of pain and clinical operations were compared between groups for analyzing the characteristics of the elderly patients when meeting a doctor.Results The average age of 470 patients was 68.66±7.40 years old.The numbers of 60~69 years old patients occupied the most.The patients with odontogenic pain occupied for more than a half and the highest pain scores of the total,was 5.00(3.00,6.00).Periodontal pain score had significant difference with the other two groups(P<0.05).Gender didn't affect the pain score(P>0.05).Elderly patients suffered from periodontal pain the longest time,was 10.00(5.00,15.00).There was a difference with the other two groups when enduring periodontal pain worse time(P=0.001).There were 71.9%of the patients came with systemic diseases in which hypertension occupied first place.The periodontal pain group had the highest operation rate(71.7%),and the orofacial pain group took more medication instead of operation(60.9%).Conclusion Most of the orofacial pain in elderly people come from odontogenic diseases.But patients who have odontogenic pain accepted fewer treatment than those who have periodontic pain.Periodontic disease are easier to be neglected for its low degree of pain.