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先天性寨卡综合征患儿的出牙症状:2 年随访。

Teething symptoms in children with congenital Zika syndrome: A 2-year follow-up.

机构信息

Post-graduate Program in Dentistry, State University of Paraíba, Campina Grande, Paraiba, Brazil.

Faculty of Medicine, Federal University of Campina Grande, Campina Grande, Paraiba, Brazil.

出版信息

Int J Paediatr Dent. 2019 Jan;29(1):74-78. doi: 10.1111/ipd.12431. Epub 2018 Oct 9.

Abstract

BACKGROUND

The eruption of primary teeth represents a stage of many challenges for parents.

AIM

To investigate the occurrence of signs and symptoms related to the eruption of the primary dentition in children with congenital Zika syndrome.

DESIGN

Longitudinal study developed with 79 children followed up for a period of 24 months. Data on sex, gestational age, low birthweight, microcephaly, signs and symptoms related to the dental eruption phase, and use and type of medication were collected. Data were presented by descriptive and inferential statistics (chi-square test).

RESULTS

The majority (94.9%) exhibited simultaneously two or more signs and symptoms related to dental eruption. Increased salivation (91.1%), irritability (86.1%), and gingival itching (83.5%) were the most commonly reported signs and symptoms. Bivariate analysis showed association between elevation of body temperature and sex (P < 0.05). Almost two-thirds of mothers (63.3%) reported using medication to relieve symptoms presented by the child; however, the use of topical medication prevailed (57.1%).

CONCLUSION

All children with congenital Zika syndrome presented manifestations related to the eruption of primary teeth, with increased salivation, irritability, and gingival pruritus. The use of ointments and gels was the option of mothers in the treatment of the oral discomfort presented by infants.

摘要

背景

儿童乳牙萌出是父母面临诸多挑战的一个阶段。

目的

调查先天性 Zika 综合征儿童乳牙萌出期相关体征和症状的发生情况。

设计

对 79 名儿童进行了纵向研究,随访时间为 24 个月。收集了性别、胎龄、低出生体重、小头畸形、与牙齿萌出阶段相关的体征和症状、以及用药情况和类型等数据。采用描述性和推断性统计(卡方检验)进行数据分析。

结果

大多数(94.9%)儿童同时出现两种或两种以上与牙齿萌出相关的体征和症状。流涎增加(91.1%)、烦躁(86.1%)和牙龈瘙痒(83.5%)是最常见的体征和症状。体温升高与性别有关(P<0.05)。近三分之二的母亲(63.3%)报告使用药物缓解儿童的症状;然而,外用药物的使用更为普遍(57.1%)。

结论

所有先天性 Zika 综合征儿童均出现与乳牙萌出相关的表现,表现为流涎增加、烦躁不安和牙龈瘙痒。软膏和凝胶是母亲在治疗婴儿口腔不适时的选择。

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