老年人萎缩性舌炎与大细胞性贫血的关系  

The relationship between atrophic glossitis and megalocytic anemia in geriatrics

作　　者：唐国瑶[1] 许国祺[1] 等 

机构地区：[1]上海第二医科大学附属第九人民医院,上海200011

出　　处：《临床口腔医学杂志》2001年第2期145-146,共2页Journal of Clinical Stomatology

摘　　要：目的　探讨萎缩性舌炎与大细胞性贫血的关系。方法　回顾性分析 1986～ 1999年本科具有完整病历记录的萎缩性舌炎病例。结果　在 117例萎缩性舌炎患者中 ,60岁以上 74例 (64 .3 % ) ,男∶女 =1∶2 .2 5。 61例测定红细胞平均体积 ,测定值大于正常者 43例 (70 .5 % ) ,小于正常者 1例 (1.6% )。全身性疾病以胃炎、消化性溃疡最多 ,占 40 % (47/117)。治疗方法为补充叶酸、维生素B12 ,同时治疗胃炎、消化性溃疡。在 77例完成疗效观察的患者中 ,痊愈 (舌乳头全部恢复 ) 2 9例 ,有效 (部分恢复 ) 3 3例 ,有效率 (痊愈加有效 )为 80 .5 %。结论　大部分萎缩性舌炎与大细胞性贫血密切相关。Objective To study the relationship between atrophic glossitis and megalocytic anemia. Methods The clinical status in atrophic glossitis documented completely ranged from 1986～1999 were analyzed retrospectively . Results Seventy-four (64.3%) subjects with atrophic glossitis were above 60 years. Sixty-one subjects underwent determination of mean corpuscular volume . Forty-three (70.5%) of the subjects had laboratory evidence suggesting above abnormal value. Forty-seven patients were accompanied by chronic gastritis and peptic ulcer . The patients with atrophic glossitis were supplied with folic acid and vitamin B_ 12, as well as treated for accompanied chronic gastritis and peptic ulcer. Except 40 patients to discontinue their follow-up, seventy-seven patients were finished the evaluation on curative effect. Both the total and part recovery of atrophic tongue papillary were achieved in 62 subjects (80.5%).Conclusion Most subjects of atrophic glossitis are caused by megalocytic anemia .

关 键 词：萎缩性舌炎 大细胞性贫血 老年病学 

分 类 号：R781.57[医药卫生—口腔医学] R566.2[医药卫生—临床医学]