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두경부암 환자의 방사선치료에 따른 구강건강관련 삶의 질에 관한 연구
손해옥 ( Hae-ok Sohn ),박은영 ( Eun-young Park ),정윤숙 ( Yun-sook Jung ),이은경 ( Eun-kyung Lee ),이희경 ( Hee-kyung Lee ),김은경 ( Eun-kyong Kim ) 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.2
Objectives: The aim of this study was to assess the change in oral health-related quality of life among patients with head & neck cancer who received radiotherapy. Methods: A total of 40 patients who were diagnosed as having head and neck cancer and scheduled to have radiotherapy were enrolled in this study; however, only 25 patients were included in the final analysis. Prior to radiotherapy, a dentist performed an oral examination to check for the presence of decayed and missing teeth, plaque, and determine the gingival index. Oral health-related quality of life was assessed using the OHIP-14 questionnaire. Eight weeks after starting radiotherapy, oral health-related quality of life was re-evaluated using the same questionnaire. Results: The mean age of the participants was 60.20 (±7.29) years, and 22 (88.8%) of them were men. The majority of the participants were diagnosed as having squamous cell carcinoma (68.0%). The total OHIP-14 score was significantly decreased from 56.20 (±13.50) at baseline to 45.72 (±10.98) eight weeks after radiotherapy. In addition, according to subjective oral health at baseline, the observed change in the OHIP-14 score was significantly different. Conclusions: Oral health- related quality of life was significantly lowered after radiotherapy in patients with head and neck cancer.
구강건강과 두경부 방사선 항암치료에 따른 구강 점막염간의 상관성에 관한 연구
박은영 ( Eun-young Park ),손해옥 ( Hae-ok Sohn ),정윤숙 ( Yun-sook Jung ),이은경 ( Eun-kyoung Lee ),김은경 ( Eun-kyong Kim ) 대한예방치과·구강보건학회 2018 大韓口腔保健學會誌 Vol.42 No.2
Objectives: This study evaluated the relationship between oral hygiene and health status and radiation-induced mucositis among patients with head and neck cancer over an 8-week period. Methods: We recruited 40 patients with head and neck cancer scheduled to receive radiation therapy (RT), and 25 patients were included in the study. Before commencing RT, a dentist examined the patients for plaque, and determined the gingival index and pocket depth. A dental hygienist assessed the patients for radiation-induced mucositis once weekly, for 8 weeks, during RT. Results: The mean patient age was 60.96 (±8.47) years, and 21 (87.5%) patients were male. Twenty patients (83.3%) had been diagnosed with squamous cell carcinoma. Patients with cancer located in the head region had more severe mucositis than those with cancer in the neck region, but this was not significant statistically (P=0.053). However, toothbrushing frequency, plaque, gingival index, and pocket depth were not related to radiation-induced mucositis. During RT, the severity of mucositis significantly worsened compared to that at baseline. Conclusions: Mucositis severity worsened during RT, but this was not related to oral hygiene and health status among patients with head and neck cancer.