与年龄有关的精神病住院病人的牙周病结构

Roza Ilyina, Lubov Muchamedzhanova
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摘要

文献提供了精神病院患者牙周病和硬牙组织高发率的信息。本文讨论了牙周微生物群与精神病病理之间的关系,以及在这类患者中保持口腔健康的必要性。调查的目的是研究精神病院不同年龄段患者的牙周疾病结构。研究材料和方法。2014年至2018年期间,以V.N. Bekhterev命名的共和国临床精神病医院(喀山)对200名35至65岁(平均年龄56.26 ± 6.74)的患者(95名女性和105名男性)进行了检查。调查问卷记录了患者的年龄、性别、基础疾病诊断、牙齿配方,并填写了标准牙周图。通过连续测量确定了牙周袋的最大深度。研究结果在精神病医院的患者中,100%的患者都发现了牙周组织损伤,其中86.5%为慢性牙周炎。牙周炎患者中 51-60 岁年龄组人数最多。70 岁以上的患者拔除的牙齿数量最多。年龄与拔牙数量之间存在直接的强相关性(rp = 0.923;p < 0.001)。牙周袋的最大深度也出现在 51-60 岁年龄组,为 4.25 ± 1.14 毫米。牙周袋的深度与拔除牙齿的数量直接相关。患者牙周袋越深,拔除的牙齿数量越多(rp = 0.892)。结论。研究结果表明,有必要为患者和精神病院员工制定培训计划,以提高患者的生活质量和总体健康水平。
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STRUCTURE OF PERIODONTAL DISEASES IN AGE-RELATED PSYCHIATRIC INPATIENT
The literature provides information on the high prevalence of periodontal diseases and hard tooth tissues in patients in a psychiatric hospital. The relationship between periodontal microbiota and psychiatric pathology and the need to maintain oral health among this group of patients is discussed. The aim of the investigation was the study of the structure of periodontal diseases in patients of a psychiatric hospital, in various age groups. Material and methods of research. In the Republican Clinical Psychiatric Hospital named after V.N. Bekhterev (Kazan) in the period from 2014 to 2018, 200 patients (95 women and 105 men) aged 35 to 65 years (average age 56,26 ± 6,74) were examined. The questionnaire recorded the patient's age, sex, diagnosis of the underlying disease, dental formula, a standard periodontal diagram was filled in. The maximum depth of the periodontal pocket was determined by sequential measurements. The results of the study. In 100% of patients in a psychiatric hospital, periodontal tissue damage was detected, of which 86.5% in the form of chronic periodontitis. The maximum number of patients with periodontitis was detected in the age group of 51–60 years. The largest number of teeth removed in patients over 70 years of age. There was a direct strong correlation between age and the number of teeth removed (rp = 0.923; p < 0.001). The maximum depth of the periodontal pocket was also in the age group of 51–60 years and amounted to 4,25 ± 1,14 mm. A direct strong correlation of the depth of the periodontal pocket with the number of teeth removed was revealed. The deeper the patient has pathological pockets, the more teeth are removed (rp = 0.892). Conclusions. The results of the study suggest the need to develop training programs for patients and psychiatric hospital staff to improve the quality of life of patients and general health.
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