Naugle K, Darby M L, Bauman D B, Lineberger L T, Powers R
School of Dental Medicine, University of Pennsylvania, Philadelphia, USA.
Ann Periodontol. 1998 Jul;3(1):197-205. doi: 10.1902/annals.1998.3.1.197.
The primary purpose of this investigation was to determine the oral health status of individual's undergoing renal dialysis in southeastern Virginia. A sample was identified for this cross-sectional study via a local health maintenance organization. Three subgroups of the population were studied: 1) those who have been on renal dialysis for less than a year; 2) those on renal dialysis for 1 to 3 years; and 3) those on renal dialysis for longer than 3 years. Three dental indices the Periodontal Disease Index; the Decayed, Missing. Filled index; and the Simplified Oral Hygiene Index--were used to identify periodontal disease, dental caries activity, and oral hygiene status. Data were compiled and analyzed by using the parametric test, 1-way analysis of variance. Results suggested that 100% (n = 45) of the individuals undergoing renal dialysis presented with some form of periodontal disease (X = 3.15, SD = 1.41). The majority (64%) of the sample displayed either severe gingivitis (28%) or early periodontitis (36%). Sixty-four percent of the sample displayed a high DMF index (X = 11.77, SD = 7.55), while 98% of the sample accumulated calculus. Oral debris was present in 100% of the sample, resulting in a high Simplified Oral Hygiene Index score (X = 3.24, SD = 1.26), suggesting an increased need for oral care instruction. Findings led to the conclusion that the renal dialysis population in southeastern Virginia, regardless of length of time on dialysis, is in need of comprehensive professional oral care and self-care instruction. Oral disease was present and is a source of active infection in these medically compromised individuals and, as such, has dire implication for morbidity and mortality.
本调查的主要目的是确定弗吉尼亚州东南部接受肾透析的个体的口腔健康状况。通过当地的健康维护组织为这项横断面研究确定了一个样本。对该人群的三个亚组进行了研究：1）接受肾透析不到一年的人；2）接受肾透析1至3年的人；3）接受肾透析超过3年的人。使用了三个牙科指数——牙周病指数、龋失补指数和简化口腔卫生指数——来确定牙周病、龋齿活动和口腔卫生状况。通过使用参数检验（单因素方差分析）对数据进行整理和分析。结果表明，接受肾透析的个体中有100%（n = 45）患有某种形式的牙周病（X = 3.15，标准差 = 1.41）。样本中的大多数（64%）表现为严重牙龈炎（28%）或早期牙周炎（36%）。64%的样本显示出较高的龋失补指数（X = 11.77，标准差 = 7.55），而98%的样本有牙结石堆积。100%的样本存在口腔碎屑，导致简化口腔卫生指数得分较高（X = 3.24，标准差 = 1.26），这表明对口腔护理指导的需求增加。研究结果得出结论，弗吉尼亚州东南部的肾透析人群，无论透析时间长短，都需要全面的专业口腔护理和自我护理指导。这些个体存在口腔疾病，且是活跃感染源，因此对发病率和死亡率有严重影响。
