口腔扁平苔藓治疗和护理体会.docVIP

口腔扁平苔藓治疗和护理体会 　　【摘要】 目的：分析临床对口腔扁平苔藓患者的治疗及护理体会。方法：选取2013年5月-2015年5月在本院进行治疗的口腔扁平苔藓患者60例，采用随机分组对照的原则将其分为治疗组30例和对照组30例，两组患者均采用中西医结合的方法进行治疗，对照组患者采用常规的护理方法进行护理，治疗组则采用综合护理干预进行护理，比较两组患者的临床治疗效果。结果：护理后，两组患者的不良情绪较护理前有所改善，且治疗组患者治疗总有效率高于对照组，上述指标比较差异均有统计学意义（P0.05）。结论：对口腔扁平苔藓患者采用中西医结合治疗并联合综合护理，具有显著的效果。 　　【关键词】 口腔扁平苔藓； 中西医结合； 综合护理干预； 临床疗效 　　【Abstract】 Objective：To analyze the experience in clinical treatment and nursing for oral lichen planus.Method：A total of 60 patients with oral lichen planus treated in our hospital from May 2013 to May 2015 were chosen and randomly divided into treatment group and control group，each group had 30 cases.The patients in the two groups were treated by combination of Chinese traditional and Western medicine.The patients in the control group were nursed by conventional nursing while those in the treatment group were given comprehensive nursing intervention.The treatment results of the two groups were compared.Result：The unhealthy emotions of two groups were reduced after the treatment，furthermore，the total effective rate of the treatment group was obviously higher than that of the control group，and the differences were statistically significant（P0.05）.Conclusion：The combination of Chinese traditional and Western medicine applied to the treatment of oral lichen planus has significant effect. 　　【Key words】 Oral lichen planus； Combination of Chinese traditional and Western medicine； Comprehensive nursing intervention； Clinical effect 　　First-author’s address：Oral Cavity Branch Hospital of Zhongshan People’s Hospital，Zhongshan 528400，China 　　doi：10.3969/j.issn.1674-4985.2016.11.027 　　口腔扁平苔藓是临床口腔口常见的一种黏膜病变性疾病之一，据相关的调查显示，本病的发病率在0.1%～4%，其发病的年龄不具有局限性。临床发现，口腔扁平苔藓的病损形态的种类颇多，根??基部黏膜的病损状况可大体分为普通型、充血糜烂型，其中，充血糜烂型对患者造成的影响最为严重。在临床中一般将口腔扁平苔藓看作是一种癌前状态，翻阅大量的文献资料，其中有文献[1-2]表示，口腔扁平苔藓具有0.4%～1.5%的恶变率。存在大量的有关本病的临床研究发现，本病的发病因素与患者的精神、内分泌、免疫、感染等因素均存在一定的关系。据相关的临床调查显示，口腔扁平苔藓主要的发病人群为中年人，并且女性患者较男性患者多发[3]。有关本病的病因尚不明确，但有多项研究已经证实口腔扁平苔藓的发生与发展与肿瘤坏死因子具有密切的关联。本文主要针对口腔扁平苔藓患者的治疗和护理