艾滋病患者的口腔损害及其在艾滋病诊断中的作用  

Oral Lesions in AIDS Patients and Its Implication in AIDS Diagnosis

作　　者：贺凌飞[1] 陈建刚[1] 

机构地区：[1]武汉大学中南医院口腔科,武汉430071

出　　处：《华中科技大学学报（医学版）》2002年第3期346-348,352,共4页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：对 7例艾滋病患者 (HIV抗体阳性 )进行口腔检查 ,以了解口腔损害与艾滋病的关系 ,为研究口腔损害作为艾滋病的临床标志物提供资料。结果表明 :7例艾滋病患者的主要口腔损害是 :口腔溃疡 6例、白色念珠菌病 4例、牙周炎4例、卡波济氏肉瘤 3例、带状疱疹 3例、毛状白斑 2例、单纯疱疹性口炎 2例以及淋巴结肿大 3例。口腔溃疡患病率最高 ,白色念珠菌病最明显 ,其次为牙周炎。研究提示 ,艾滋病患者可以出现明显的口腔损害 ,了解艾滋病患者的口腔损害不仅利于艾滋病患者的早期发现和正确处理 ,也有利于口腔医务人员自身的防护。In order to investigate the relationship between oral lesion and AIDS and study the feasibility of oral lesion as a potential clinical marker of AIDS, 7 cases of AIDS were inspected in stomatology. The results showed that main oral lesions in AIDS patients included oral ulceration (6 cases), oral candidiasis (4 cases), periodontitis gingivitis (4 cases), Kaposi's sarcoma (3 cases), herpes zoster (3 cases), hairy leukoplakia (2 cases), herpes simplex (2 cases) and lymph node swelling (3 cases) and so on. The incidence of oral ulceration was the highest in all the patients, while the most serious manifestation was oral candidiasis. It was suggested that AIDS patients had obvious oral lesions. The knowledge of oral lesion in AIDS patients was useful not only in early discovery and early diagnosis as well as right treatment for AIDS patients, but also in self protection of medical staff at department of stomatology.

关 键 词：艾滋病 口腔损害 诊断 口腔溃疡 白色念珠菌病 毛状白斑 

分 类 号：R512.91[医药卫生—内科学]