Peacock M E, Carson R E
U.S. Army, Fort Polk, LA, USA.
J Periodontol. 1995 Nov;66(11):1004-7. doi: 10.1902/jop.1995.66.11.1004.
Assessing the medical history of patients before any treatment is provided is an essential aspect of the periodontist's responsibility. A patient's compromised medical state could alter the response to periodontal treatment or worse, contribute to a crisis situation that may prove harmful to his or her well-being. This study examines the frequency of medical conditions in periodontal patients utilizing a self-administered health questionnaire succeeded by directly interviewing the patient for validity. Health histories were taken from 590 periodontal patients in an outpatient setting; 52.5% of these patients reported a positive finding in their medical history, with drug allergies and cardiovascular disorders being by far the most frequently found conditions. The frequency of medical conditions increased with increasing age. Thorough evaluation of a patient's health history is a mandatory first step in the treatment process.
在提供任何治疗之前评估患者的病史是牙周病医生职责的一个重要方面。患者受损的健康状况可能会改变对牙周治疗的反应，或者更糟的是，导致可能对其健康有害的危机情况。本研究利用一份自我管理的健康问卷，并通过直接询问患者以验证其有效性，来调查牙周病患者的健康状况发生频率。在门诊环境中收集了590名牙周病患者的健康史；其中52.5%的患者在病史中报告有阳性发现，药物过敏和心血管疾病是迄今为止最常见的情况。健康状况的发生频率随年龄增长而增加。对患者健康史进行全面评估是治疗过程中必不可少的第一步。
