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目的调查沈阳城区老年急性心肌梗死(AMI)患者各类口腔疾病症状表现及患病率。方法连续选择2013年1月~12月在本院老年病科住院救治的老年AMI 74例,均为沈阳城区常住人口,在病情平稳后接受了口腔及牙周检查,对照组选择同期参加体检、同龄、结论健康老年人79例,比较两组对象各类口腔疾病症状表现及患病率指标。结果老年AMI组各类口腔疾病患病率如下:龋齿22.88%(35例)、牙周炎22.88%(35例)和牙周病18.95%(29例),均明显高于对照组(91例,5.95%,χ2=29.80和66例,3.13%,χ2=22.61;P均<0.01)。各类口腔疾病症状表现观察指标比较中,老年AMI组的牙龈出血、牙齿松动、牙龈萎缩、牙结石及牙龈肿痛等症状表现发生率均明显高于对照组(P均<0.01)。结论沈阳城区老年AMI各类牙周疾病症状表现较多,龋齿、牙周炎及牙周病患病率较高,相应的口腔干预较为重要。
Objective To investigate the symptoms and prevalence of various oral diseases in elderly patients with acute myocardial infarction (AMI) in Shenyang city. Methods Seventy-four elderly AMI patients were hospitalized in our hospital from January 2013 to December 2013. All of them were resident population in Shenyang city. They received oral and periodontal examination after the disease was stable. The control group chose to participate in physical examination, The same age, the conclusion of 79 cases of healthy elderly, the two groups were compared various types of oral disease symptoms and prevalence indicators. Results The prevalence of various oral diseases in AMI group was 22.88% (35 cases), periodontitis 22.88% (35 cases) and periodontal disease 18.95% (29 cases), which were significantly higher than those in control group (91 cases , 5.95%, χ2 = 29.80 and 66 cases, 3.13%, χ2 = 22.61; P <0.01). Among the observed indicators of various oral disease symptoms, the incidence of symptoms such as gingival bleeding, loose teeth, gingival recession, dental calculus and gingivalgia in aged AMI group were significantly higher than those in control group (all P <0.01). Conclusion The symptoms of various periodontal disease in elderly AMI in Shenyang are more than normal. The prevalence of caries, periodontitis and periodontal disease is high, and corresponding oral intervention is more important.