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糖尿病和/或高血压血液透析患者的口腔检查结果——一项系统评价

Oral Findings in Hemodialyzed Patients Diagnosed with Diabetes Mellitus and/or Hypertension-A Systematic Review.

作者信息

Trzcionka Agata, Mączkowiak Dagmara, Korkosz Rafał, Rahnama Mansur, Duława Jan, Tanasiewicz Marta

机构信息

Department of Conservative Dentistry with Endodontics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Plac Akademicki 17, 41-902 Bytom, Poland.

Department of Dental Surgery, Medical University of Lublin, Karmelicka 7, 20-081 Lublin, Poland.

出版信息

J Clin Med. 2023 Nov 13;12(22):7072. doi: 10.3390/jcm12227072.

Abstract

Chronic kidney disease is classified as a civilization disease and is being diagnosed in an increasing number of patients. Hypertension and diabetes mellitus often coexist in hemodialyzed patients. The aim of the present study was to identify publications on the oral cavity status of multimorbid hemodialyzed adult patients additionally diagnosed with hypertension and/or diabetes mellitus, published between 2012 and 2022 to establish evidence of the impact of hypertension and diabetes mellitus on the oral status of hemodialyzed patients. Scopus and Web of Science databases were searched. Eight articles were included in the review. In total, 3 articles discussed oral hygiene in hemodialyzed patients, 4 discussed periodontal status, 3 discussed mucosa condition and saliva parameters, and 3 discussed the problem of Candidiasis infections. The conclusions were as follows: there is still a limited number of publications discussing the oral status of hemodialyzed patients diagnosed with hypertension; involved articles have proven that coexisting diseases can influence the oral cavity status of hemodialyzed patients and cause periodontal disorders, lower hygiene status, saliva parameters and make the risk of Candida infections higher.

摘要

慢性肾脏病被归类为一种文明病,且被诊断出的患者数量正在增加。高血压和糖尿病在血液透析患者中常常并存。本研究的目的是确定2012年至2022年间发表的关于同时患有高血压和/或糖尿病的多病共存血液透析成年患者口腔状况的出版物,以确立高血压和糖尿病对血液透析患者口腔状况影响的证据。检索了Scopus和Web of Science数据库。该综述纳入了8篇文章。总共3篇文章讨论了血液透析患者的口腔卫生,4篇讨论了牙周状况,3篇讨论了黏膜状况和唾液参数,3篇讨论了念珠菌感染问题。结论如下:讨论患有高血压的血液透析患者口腔状况的出版物数量仍然有限;相关文章已证明,并存疾病会影响血液透析患者的口腔状况,导致牙周疾病、口腔卫生状况降低、唾液参数异常,并使念珠菌感染风险升高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10671938/402c68faf9fb/jcm-12-07072-g001.jpg

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