博帕尔政府医学院HIV患者接受抗逆转录病毒治疗的口腔健康状况及治疗需求的横断面研究

V. Vishnu, V. Saxena, Hemant Verma, Vijayta Sharva, N. Jain, Mrinal Sathpathy
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引用次数: 2

摘要

印度是世界上第三大艾滋病流行国。艾滋病毒/艾滋病是对发展和社会进步的最严峻挑战之一。抗逆转录病毒疗法(ART)是向艾滋病毒/艾滋病患者提供的最常见的治疗方法。口腔病变与艾滋病毒/艾滋病密切相关。此外,没有任何证据记录表明在博帕尔接受复古病毒治疗的艾滋病患者有任何研究。因此,对ART cell, G.M.C Bhopal接受抗逆转录病毒治疗的患者的口腔健康状况和治疗需求进行了初步的评估。材料与方法:采用描述性横断面研究设计。共检查320例患者。本研究纳入近3年来在本单位就诊的所有患者。数据收集和记录使用印刷形式。由1997年世界卫生组织口腔健康评估表组成。对收集到的数据进行编码,统计分析采用社会科学统计软件包(SPSS Version 22)卡方、T检验、未配对T检验、方差分析。统计学意义为0.05。结果:共纳入研究对象320例,其中男性202例(63.1%),女性118例(36.8%)。朱砂边溃疡糜烂124例(38.75%)。145例(45.3%)艾滋病患者有颞下颌关节疼痛症状。恶性肿瘤7例(2.1%),白斑11例(3.2%),计划地衣18例(5.8%),溃疡98例(30.06%),念珠菌病67例(20%),脓肿57例(17.8%)。牙周病总患病率为78.8%。DMFT平均为3.50±2.18,其中50例(15.6%)有牙外伤。总的来说,单面充填、双面充填、拔牙和牙髓护理修复是最常见的治疗需求。结论:HIV阳性患者口腔健康状况较差。抗逆转录病毒药物的使用进一步损害了他们的口腔健康,并导致牙周病、龋齿和口腔黏膜病变的发生。*通信:Vijayta Sharva,印度博帕尔人民牙科学院公共卫生牙科高级讲师,E-mail: vijaytasharva@gmail.com
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Oral health status & treatment needs of patient attending anti retro-viral therapy among HIV patient in Government Medical College, Bhopal - A cross-sectional study
India has the third largest HIV epidemic in the world. The HIV/AIDS epidemic constitutes one of the most formidable challenges to development and social progress. Antiretroviral therapy (ART) is the most common treatment provided to HIV/AIDS patients. Oral lesions strongly associated to HIV/AIDS. Moreover, no evidential record of any study on AIDS patients attending retro viral therapy at Bhopal is present. So, a pioneer attempt has been made to assess the oral health status & treatment needs of patients attending anti-retro viral therapy in ART cell, G.M.C Bhopal. Material & methods: A Descriptive cross-sectional study design was employed. Total 320 patients were examined. All patient who reported in unit, since last 3 year were included in the study. data was collected and recorded using printed proforma. Consisted of WHO Oral Health Assessment form 1997. The collected data were coded, and statistical analysis was carried out using Statistical Package of Social Science (SPSS Version 22) chi-square, T test, unpaired T test, ANOVA is used. The statistical significance was fixed at 0.05. Results: A total of 320 study subjects were examined, 202(63.1%) were male and 118(36.8%) were females. 124(38.75%) had ulceration erosion on vermillion border. Total 145(45.3%) AIDS Patients had TMJ symptoms of pain. 7(2.1%) had malignant tumor, 11(3.2%) had leukoplakia, 18(5.8%) had lichen plannus, 98(30.06%) had ulceration, 67(20%) had candidiasis, 57(17.8%) had abscess. Total periodontal disease prevalence was 78.8 %,. Mean DMFT was 3.50±2.18, 50(15.6%) had dental trauma. Overall, one surface filling, two surface filling, extraction & pulp care restorations were most frequent treatment need. Conclusion: The study shows that HIV positive patients have poor oral health status. The use of antiretroviral drugs further depletes their oral health and is responsible for development of periodontal diseases, dental caries and oromucosal lesions. *Correspondence to: Vijayta Sharva, Senior Lecturer, Public Health Dentistry, Peoples Dental Academy, Bhopal (M.P.), India, E-mail: vijaytasharva@gmail.com
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