Doença Renal Crônica

Gustavo Paraboni Bersaghi, Jaqueline Yonara da Silva Galhardo, Matheus Neumann Pinto
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Abstract

The aim of this study was to evaluate, using the Oral Health Impact Profile (OHIP-14), the self-perception of the oral health condition and the periodontal condition of chronic kidney disease patients on dialysis. Methodology: The study was cross-sectional and case-control. Participants were over 18 years of age, of both sexes and underwent periodontal evaluation and answered questionnaires about sociodemographic data, comorbidities, oral hygiene habits and the OHIP-14. The tests used were Chi-square or Fisher’s exact; Shapiro-Wilk and Mann-Whitney; t-test; to compare groups. The significance level was 5%. Results: The sample consisted of 90 patients, 40 from the experimental group and 50 from the control group, of which 54 were men and 36 were women. The mean age in the experimental group was 47.88 ± 14.45 and in the control group it was 43.38 ± 15.56 (p=0.015). The total Ohip-14 score was 8.51 ± 6.24 (CKD) and 7.94 ± 7.40 (control) (p=0.32). The CKD group had worse periodontal condition compared to the control regarding the presence and severity (stage) of periodontitis (p<0.0001), visible plaque index (p=0.0002) and number of missing teeth (p<0.0001). Conclusion: The self-perception of oral health of chronic kidney patients did not differ from individuals without kidney complications. However, there was a greater periodontal impairment in patients on dialysis.
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慢性肾脏疾病
本研究旨在利用口腔健康影响量表(OHIP-14)评估慢性肾病透析患者对口腔健康状况和牙周状况的自我认知。方法学:本研究采用横断面和病例对照。参与者年龄在18岁以上,男女皆可,接受牙周评估,并回答有关社会人口统计数据、合并症、口腔卫生习惯和OHIP-14的问卷。所使用的检验是卡方检验或费雪精确检验;夏皮罗-威尔克和曼-惠特尼;学习任务;比较各组。显著性水平为5%。结果:样本共90例患者,实验组40例,对照组50例,其中男性54例,女性36例。实验组患者平均年龄为47.88±14.45岁,对照组平均年龄为43.38±15.56岁(p=0.015)。CKD组Ohip-14总分为8.51±6.24分,对照组为7.94±7.40分(p=0.32)。CKD组在牙周炎的存在和严重程度(分期)(p<0.0001)、可见菌斑指数(p=0.0002)和缺牙数量(p<0.0001)方面的牙周状况较对照组差。结论:慢性肾脏病患者对口腔健康的自我认知与无肾脏并发症者无显著差异。然而,透析患者牙周损伤更严重。
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Nefrolitíase e ITU Terapia Renal Substitutiva Exame Qualitativo de Urina Nefropatias Doença Renal Crônica
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