PDF(Pubmed)
Abstract：
UNASSIGNED: Psychiatric patients suffer from oral diseases and side effects of antipsychotic medication. In particular, the typical antipsychotic drugs may cause severe hyposalivation with subsequent oral symptoms. We therefore aimed to compare oral health behavior and oral side effects of in-hospital patients taking typical vs. atypical antipsychotic drugs with the hypothesis that the former drugs cause more oral pain than the newer drugs.
UNASSIGNED: This cross-sectional questionnaire and interview study investigated subjective oral symptoms and their health behavior in 170 hospitalized psychiatric patients, comparing those taking typical vs. atypical antipsychotic drugs. Cross-tabulations and chi-square tests were used for analyses.
UNASSIGNED: Persistent oral pain lasting throughout the day was reported by 46% in the typical, and 5% in the atypical antipsychotic group patients, respectively. In both groups, the pain was mainly in the tongue and buccal mucosa and was described as a burning sensation. A significantly higher prevalence of xerostomia was reported in the typical antipsychotic medication group (66%) compared with the atypical antipsychotic medication group (53%, p<0.01). Self-assessed dental health was assessed as poor by two-thirds of the patients of whom 69% reported toothbrushing once daily. Approximately half of them reported having had a visit to a dentist within the previous year. Of the women 28%, and of the men 17%, respectively, had received professional consultations for oral symptoms.
UNASSIGNED: The current results on psychiatrically hospitalized patients emphasize the need for awareness of oral discomfort and its subsequent effects on the quality of life in this challenging patient group. Focus should also be placed on a wide range of support encouraging the patients to maintain good daily oral hygiene and seek professional dental help when needed.
UNASSIGNED: This cross-sectional questionnaire and interview study investigated subjective oral symptoms and their health behavior in 170 hospitalized psychiatric patients, comparing those taking typical vs. atypical antipsychotic drugs. Cross-tabulations and chi-square tests were used for analyses.
UNASSIGNED: Persistent oral pain lasting throughout the day was reported by 46% in the typical, and 5% in the atypical antipsychotic group patients, respectively. In both groups, the pain was mainly in the tongue and buccal mucosa and was described as a burning sensation. A significantly higher prevalence of xerostomia was reported in the typical antipsychotic medication group (66%) compared with the atypical antipsychotic medication group (53%, p<0.01). Self-assessed dental health was assessed as poor by two-thirds of the patients of whom 69% reported toothbrushing once daily. Approximately half of them reported having had a visit to a dentist within the previous year. Of the women 28%, and of the men 17%, respectively, had received professional consultations for oral symptoms.
UNASSIGNED: The current results on psychiatrically hospitalized patients emphasize the need for awareness of oral discomfort and its subsequent effects on the quality of life in this challenging patient group. Focus should also be placed on a wide range of support encouraging the patients to maintain good daily oral hygiene and seek professional dental help when needed.
摘要：
精神病患者患有口腔疾病和抗精神病药物的副作用。特别是,典型的抗精神病药物可能会导致严重的唾液分泌不足，随后出现口腔症状。因此，我们旨在比较住院患者的口腔健康行为和口腔副作用非典型抗精神病药物，假设前一种药物比新型药物引起更多的口腔疼痛。
■这项横断面问卷和访谈研究调查了170名住院精神病患者的主观口腔症状及其健康行为，比较那些典型的与非典型抗精神病药物。交叉表和卡方检验用于分析。
■据报道，在典型的患者中，有46％的人持续了一整天的持续口腔疼痛，非典型抗精神病药物组患者中占5%，分别。在这两组中,疼痛主要在舌头和颊粘膜，被描述为烧灼感。典型抗精神病药物组（66％）的口干症患病率明显高于非典型抗精神病药物组（53％，p<0.01)。三分之二的患者自我评估的牙齿健康状况较差，其中69％的患者报告每天刷牙一次。大约一半的人报告说，他们在前一年内曾去看牙医。在28%的女性中，而男性的17%,分别,已经接受了口腔症状的专业咨询。
■目前对精神病住院患者的研究结果强调，在这个具有挑战性的患者组中，需要意识到口腔不适及其对生活质量的后续影响。还应重点放在广泛的支持上，鼓励患者保持良好的日常口腔卫生，并在需要时寻求专业的牙科帮助。
■这项横断面问卷和访谈研究调查了170名住院精神病患者的主观口腔症状及其健康行为，比较那些典型的与非典型抗精神病药物。交叉表和卡方检验用于分析。
■据报道，在典型的患者中，有46％的人持续了一整天的持续口腔疼痛，非典型抗精神病药物组患者中占5%，分别。在这两组中,疼痛主要在舌头和颊粘膜，被描述为烧灼感。典型抗精神病药物组（66％）的口干症患病率明显高于非典型抗精神病药物组（53％，p<0.01)。三分之二的患者自我评估的牙齿健康状况较差，其中69％的患者报告每天刷牙一次。大约一半的人报告说，他们在前一年内曾去看牙医。在28%的女性中，而男性的17%,分别,已经接受了口腔症状的专业咨询。
■目前对精神病住院患者的研究结果强调，在这个具有挑战性的患者组中，需要意识到口腔不适及其对生活质量的后续影响。还应重点放在广泛的支持上，鼓励患者保持良好的日常口腔卫生，并在需要时寻求专业的牙科帮助。
