长期血液透析患者的口腔状况与其社会经济状况的关系。
Oral cavity status of long-term hemodialized patients vs. their socio-economic status.
机构信息
Medical University of Silesia in Katowice, Bytom, Poland (Faculty of Medical Science in Zabrze, Department of Conservative Dentistry with Endodontics).
出版信息
Med Pr. 2020 May 15;71(3):279-288. doi: 10.13075/mp.5893.00948. Epub 2020 Apr 27.
BACKGROUND
The chronic kidney disease, blood hypertension and diabetes are recognized as civilization diseases that affect more and more people. The probability of encountering a patient suffering from these diseases is increasing. As such, it appears crucial to better understand the specific dental needs of such groups of patients. The aim of the work was to assess the oral hygiene status and the needs of patients suffering from the end-stage chronic kidney disease, arterial hypertension or/and diabetes.
MATERIAL AND METHODS
Two hundred and twenty eight patients were included in the research. One hundred and eighty patients were hemodialized in Diaverum dialysis stations and 48 patients were from the Conservative Dentistry with Endodontics Clinic of the Academic Centre of Dentistry in Bytom, Silesian Medical University in Katowice, and from the Dentistry Division of the Arnika Clinic in Zabrze, and were not not diagnosed with any of the diseases mentioned. The research scheme was divided into 3 parts, consisting of an analysis of the general health socio-economic status, a survey and an assessment of oral health.
RESULTS
The patients who were not suffering from any of the discussed diseases were more aware of how to properly perform hygienic procedures. Most of the patients from both the control and examined groups were not using any rinsing solutions. A higher percentage of patients in the control group was using dental floss, changing their toothbrush every 3 months and brushing their teeth for ≥2 min. The Aproximal Plaque Index and the Oral Hygiene Index-Simplified values in the control group were significantly lower in comparison to the examined group.
CONCLUSIONS
The socio-economic status of hemodialized patients was low, which in most cases was a result of the difficulties in starting a job. Due to the lower standards of life, the neglect of oral hygiene maintenance and its consequences could be observed. Med Pr. 2020;71(3):279-88.
背景
慢性肾脏病、高血压和糖尿病被认为是影响越来越多人的文明病。遇到这些疾病患者的概率正在增加。因此，更好地了解这些患者群体的具体口腔需求似乎至关重要。本研究旨在评估终末期慢性肾脏病、动脉高血压和/或糖尿病患者的口腔卫生状况和需求。
材料与方法
共纳入 228 例患者。180 例患者在 Diaverum 透析站进行血液透析，48 例患者来自比亚韦斯托克西里西亚医科大学阿特尼克诊所的保守牙科和牙髓病学诊所，以及扎布热的阿尼克诊所的牙科分部，且未被诊断患有上述任何疾病。研究方案分为 3 部分，包括一般健康社会经济状况分析、调查和口腔健康评估。
结果
未患有任何所讨论疾病的患者对如何正确进行卫生程序更有认识。来自对照组和实验组的大多数患者都没有使用任何漱口液。对照组中有更多的患者使用牙线，每 3 个月更换一次牙刷，并且刷牙时间≥2 分钟。与实验组相比，对照组的近中菌斑指数和简化口腔卫生指数值明显较低。
结论
血液透析患者的社会经济地位较低，这在大多数情况下是由于难以找到工作所致。由于生活水平较低，口腔卫生维护和其后果被忽视。医学实践 2020；71（3）：279-88。
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