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巴西慢性肾病患者的口腔健康

Oral health in Brazilian patients with chronic renal disease.

作者信息

Souza Cleber M, Braosi Ana Paula R, Luczyszyn Sônia M, Casagrande Rafaela W, Pecoits-Filho Roberto, Riella Miguel C, Ignácio Sérgio A, Trevilatto Paula C

机构信息

Renal, Diabetes and Hypertension Research Center, Pro-Renal Foundation, Curitiba, Brazil.

出版信息

Rev Med Chil. 2008 Jun;136(6):741-6. Epub 2008 Aug 26.

Abstract

BACKGROUND

Poor oral health status may have an impact on the health status of patients with chronic renal failure.

AIM

To describe the oral health status of a group of Brazilian patients with chronic renal failure.

MATERIAL AND METHODS

Retrospective review of the medical records of patients with chronic renal failure, of whom 13 (4.5%) were in a predialysis stage, 158 (55%) were on hemodialysis, 23 (8.4%) were on peritoneal dialysis and 92 (32.1%) were transplanted. General oral health, presence of dental calculus, and halitosis were recorded. The number of decayed, missed and filled teeth was analyzed by means of DMF-T (Decayed, Missed and Filled Teeth) index.

RESULTS

The sample was composed of 152 men (53%) and 134 women (47%), aged 42+/-13 years. Oral health status was considered defective in most patients (83%). Eighty-seven percent had dental calculus and 55% had halitosis. Transplant patients reported significantly less halitosis (40.2%) than the rest of the groups. The DMF-T for the whole population was 20.6 and had a positive correlation with age.

CONCLUSIONS

This group of patients with chronic renal failure presented a poor oral health status. Dental treatment programs for these patients should be implemented to avoid the exposure to dental pathogens.

摘要

背景

口腔健康状况不佳可能会对慢性肾衰竭患者的健康状况产生影响。

目的

描述一组巴西慢性肾衰竭患者的口腔健康状况。

材料与方法

对慢性肾衰竭患者的病历进行回顾性分析,其中13例(4.5%)处于透析前阶段,158例(55%)接受血液透析,23例(8.4%)接受腹膜透析,92例(32.1%)接受了移植手术。记录患者的总体口腔健康状况、牙结石情况和口臭情况。通过DMF-T(龋失补牙指数)分析龋、失、补牙的数量。

结果

样本包括152名男性(53%)和134名女性(47%),年龄为42±13岁。大多数患者(83%)的口腔健康状况被认为存在缺陷。87%的患者有牙结石,55%的患者有口臭。移植患者的口臭发生率(40.2%)明显低于其他组。总体人群的DMF-T为20.6,且与年龄呈正相关。

结论

这组慢性肾衰竭患者的口腔健康状况较差。应为这些患者实施牙科治疗计划,以避免接触口腔病原体。

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