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接受心血管手术患者的口腔健康状况、健康行为及治疗需求

Oral Health Status, Health Behaviour and Treatment Needs of Patients Undergoing Cardiovascular Surgery.

作者信息

Kumar Ansul, Rai Arpita

机构信息

Rajendra Institute of Medical Sciences (RIMS) Ranchi, Jharkhand, India.

Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.

出版信息

Braz J Cardiovasc Surg. 2018 Mar-Apr;33(2):151-154. doi: 10.21470/1678-9741-2017-0137.

Abstract

OBJECTIVE

The aim of the present study was to assess the oral health status and treatment needs of cardiovascular surgery patients. Second, the awareness of cardiovascular surgery patients regarding the association between oral health and heart disease was considered.

METHODS

Assessment of oral health status, oral hygiene practices and treatment needs of 106 hospitalized patients in preparation for cardiovascular surgery. Patients were interviewed using a structured questionnaire designed for this study and oral examination was carried out by a dentist.

RESULTS

The oral hygiene practices of the study cohort were not up to the standard. Patients' awareness of infective endocarditis was poor. Approximately 68% patients experienced dental caries as decayed teeth or missing teeth due to caries and filled teeth. The mean plaque index in the study group was 1.25. In this study cohort, the mean probing depth of periodontal pockets was 5.7±1.3, whereas the mean number of teeth with periodontal pockets > 6 mm was 0.5±0.9. A total of 84 (74.2%) of the patients required dental treatment.

CONCLUSION

The principal finding in this study was that patients with heart disease had poor oral health. This study also highlights the importance of better interaction among all healthcare professionals to integrate oral health as part of comprehensive inpatient healthcare.

摘要

目的

本研究旨在评估心血管外科手术患者的口腔健康状况及治疗需求。其次,考虑心血管外科手术患者对口腔健康与心脏病之间关联的认知情况。

方法

对106名准备进行心血管外科手术的住院患者的口腔健康状况、口腔卫生习惯及治疗需求进行评估。使用专门为本研究设计的结构化问卷对患者进行访谈,并由一名牙医进行口腔检查。

结果

研究队列的口腔卫生习惯未达标准。患者对感染性心内膜炎的认知较差。约68%的患者有龋齿,表现为牙齿龋坏、因龋齿缺失或有补牙。研究组的平均菌斑指数为1.25。在该研究队列中,牙周袋的平均探诊深度为5.7±1.3,而牙周袋>6mm的牙齿平均数量为0.5±0.9。共有84名(74.2%)患者需要进行牙科治疗。

结论

本研究的主要发现是心脏病患者的口腔健康较差。本研究还强调了所有医疗保健专业人员之间更好互动的重要性,以便将口腔健康纳入综合住院医疗保健的一部分。

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