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中华口腔医学研究杂志(电子版) ›› 2015, Vol. 09 ›› Issue (04) : 305 -307. doi: 10.3877/cma.j.issn.1674-1366.2015.04.009

所属专题: 文献

临床研究

急性髓系白血病患者化疗前口腔治疗预防化疗性口腔黏膜炎的初步研究
林苑云1,(), 冯盈1, 陈德健1, 王水娇1   
  1. 1. 529500 阳江市人民医院口腔科
  • 收稿日期:2015-02-15 出版日期:2015-08-01
  • 通信作者: 林苑云

Preliminary study on the effect of oral treatments of patients with acute myeloid leukemia before chemotherapy

Yuanyun Lin1,(), Ying Feng1, Dejian Chen1, Shuijiao Wang1   

  1. 1. Department of Stomatology, People′s Hospital of Yangjiang City, Yangjiang 529500, China
  • Received:2015-02-15 Published:2015-08-01
  • Corresponding author: Yuanyun Lin
  • About author:
    Corresponding author: Lin Yuanyun, Email:
引用本文:

林苑云, 冯盈, 陈德健, 王水娇. 急性髓系白血病患者化疗前口腔治疗预防化疗性口腔黏膜炎的初步研究[J/OL]. 中华口腔医学研究杂志(电子版), 2015, 09(04): 305-307.

Yuanyun Lin, Ying Feng, Dejian Chen, Shuijiao Wang. Preliminary study on the effect of oral treatments of patients with acute myeloid leukemia before chemotherapy[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2015, 09(04): 305-307.

目的

探讨急性髓系白血病患者化疗前给予口腔治疗对化疗期间口腔黏膜炎发生率及炎症程度的影响,为临床造血系统恶性肿瘤患者化疗前口腔治疗效果提供初步依据。

方法

74例患有急性髓系白血病的患者根据患者是否愿意化疗前接受口腔治疗,分为口腔治疗+化疗组和化疗组,口腔治疗+化疗组在化疗前给予全面的口腔检查以及对存在问题进行处理,化疗组则不给予任何口腔治疗。评价和记录口腔黏膜炎的发生率及程度。采用卡方检验及Mann-Whitney U检验,比较两组间差异。

结果

口腔治疗+化疗组的口腔黏膜炎发生率要小于化疗组(χ2=5.659,P=0.017),炎症程度也低于化疗组(U=0,P=0)。

结论

化疗前口腔治疗有利于减低急性髓系细胞患者化疗期间口腔黏膜炎的发生率,减轻口腔黏膜炎的炎症程度,具有重要的临床意义。

Objective

To observed the effect of oral treatments before chemotherapy on the incidence and the degree of inflammation of oral mucositis of patients with acute myeloid leukemia (AML)during the chemotherapeutic period. Provide preliminary evidence for clinical effect of oral intervention before chemotherapy on patients with hematopoietic system malignant tumor.

Methods

Seventy-four patients with AML were divided into two groups depend on whether they want to receive oral treatments before chemotherapy. Oral treatments plus chemotherapy group received comprehensive oral examinations and treatments prechemotherapy. The chemotherapy group was not given any oral treatment. Evaluated and recorded the incidence and degree of oral mucositis. Chi square test and Mann-Whitney U were used to compare the difference between the two groups.

Results

The incidence of oral mucositis of the oral treatments plus chemotherapy group was less than the chemotherapy group(χ2=5.659, P=0.017), the degree of inflammation was also lower than that of the chemotherapy group(U=0, P=0).

Conclusion

Oral treatments before chemotherapy can reduce the incidence and the degree of inflammation of oral mucositis of patients with AML during the chemotherapeutic period. It has important clinical significance.

表1 74例急性髓系白血病患者肿瘤类型及性别分布(例)
表2 74例急性髓系白血病患者黏膜炎发生率比较
表3 74例急性髓系白血病患者口腔黏膜炎症级别分布比较[例(%)]
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