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精神分裂症患者的唾液分泌障碍——口腔和精神治疗中的问题:病例报告。

Saliva secretion disorder in a schizophrenic patient - a problem in dental and psychiatric treatment: a case report.

机构信息

Health Care Centre Euro-Med Bytom, Górnicza 12 Str, Bytom, 41-935 Poland.

出版信息

Ann Gen Psychiatry. 2015 Mar 10;14:14. doi: 10.1186/s12991-015-0052-4. eCollection 2015.

Abstract

OBJECTIVE

Saliva secretion disorder may appear in patients at any age and represents a serious problem in interdisciplinary treatment. It is manifested by hyposecretion or hypersecretion of saliva. One of the major groups of patients who have been diagnosed with saliva secretion disorder includes those treated with neuroleptics. Among patients taking neuroleptics, schizophrenic patients represent the least cooperative group in terms of doctor-patient relationship. Schizophrenia is a mental disorder exacerbated by uncontrolled neuroleptic dose reduction or regardless of applied pharmacotherapy.

METHOD

This paper presents a clinical case of a 30-year-old schizophrenic patient with saliva secretion problems.

RESULTS

In schizophrenia, thought disorders (TD) and social functioning impairment have a negative impact on patients' somatic health care. Saliva hyposecretion and its health consequences, such as parodontitis and caries, are the reasons why the patients decide to have a dental appointment.

CONCLUSION

This paper contains important information for dentists, psychiatrists, and psychologists, as it raises an issue of a proper interdisciplinary care approach provided to schizophrenic patients. It emphasises the importance of psychoeducation and draws attention to social functioning of mentally ill patients.

摘要

目的

唾液分泌障碍可发生于任何年龄的患者,这是跨学科治疗中一个严重的问题。其表现为唾液分泌过少或过多。唾液分泌障碍患者的主要群体之一是接受神经阻滞剂治疗的患者。在使用神经阻滞剂的患者中,精神分裂症患者在医患关系方面的合作性最差。精神分裂症是一种由神经阻滞剂剂量减少失控或不考虑应用药物治疗而加重的精神障碍。

方法

本文介绍了一例 30 岁精神分裂症唾液分泌问题患者的临床病例。

结果

在精神分裂症中,思维障碍(TD)和社会功能障碍对患者的躯体保健产生负面影响。唾液分泌减少及其健康后果,如牙周炎和龋齿,是患者决定看牙医的原因。

结论

本文为牙医、精神科医生和心理学家提供了重要信息,因为它提出了为精神分裂症患者提供适当的跨学科护理方法的问题。它强调了心理教育的重要性,并提请注意精神病患者的社会功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3825/4373030/f7c379616e10/12991_2015_52_Fig1_HTML.jpg

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