[神经性厌食症和神经性贪食症患者的口腔并发症]

[Oral complications in patients with anorexia nervosa and bulimia nervosa].

作者信息

Willershausen B, Philipp E, Pirke K M, Fichter M

机构信息

Poliklinik für Zahnerhaltung und Parodontologie der Universität, München.

出版信息

Zahn Mund Kieferheilkd Zentralbl. 1990;78(4):293-9.

PMID:1700561

Abstract

This article presents the oral situation of 11 anorectic and 41 bulimic patients and compares it with 50 healthy control persons. While patients with an eating disorder showed less signs of gingival inflammation (SBI: anorexia: 14.6%; bulimia: 12.5%; controls: 44.7%), they had clearly more enamel erosions than healthy control persons. In 27 of 41 bulimic patients a bilateral swelling of the parotid gland was found. A significant correlation between the parotid enlargement and enamel erosion exists in bulimic patients with an anorectic prephase. Patients with an eating disorder had higher levels of serum amylase than healthy control persons. A significant correlation between serum amylase activity and dental characteristics was found in bulimic patients.

摘要

本文介绍了11名神经性厌食症患者和41名神经性贪食症患者的口腔状况，并将其与50名健康对照者进行比较。虽然饮食失调患者的牙龈炎症迹象较少（简化口腔卫生指数：神经性厌食症患者为14.6%；神经性贪食症患者为12.5%；对照组为44.7%），但他们的牙釉质侵蚀明显多于健康对照者。在41名神经性贪食症患者中，有27名发现腮腺双侧肿大。在有神经性厌食症前期的神经性贪食症患者中，腮腺肿大与牙釉质侵蚀之间存在显著相关性。饮食失调患者的血清淀粉酶水平高于健康对照者。在神经性贪食症患者中，发现血清淀粉酶活性与牙齿特征之间存在显著相关性。