56例老年人口腔出血的原因分析  

Analysis of 56 cases of oral bleeding in the elderly

作　　者：王鸿玉 王婧[1] 

机构地区：[1]甘肃省白银市第二人民医院口腔科,主任副主任医师甘肃730900

出　　处：《中华老年口腔医学杂志》2017年第3期142-144,共3页Chinese Journal of Geriatric Dentistry

摘　　要：目的:探讨老年人口腔出血的病因病机。方法:依据56例老年人口腔出血的临床特点、发病原因展开病因病机分析。结果:通过56例老年人口腔出血病例统计出血部位:牙龈42例,颊粘膜5例,唇部5例,舌部4例;出血原因:牙周疾病15例,不良修复体27例,静脉畸形6例,牙合创伤5例,其他原因3例;经查56例患者中,有心脑血管病史者43例,需长期服抗凝药物治疗者;8例糖尿病史,仅5例患者否认有相关病史。结论:老年人口腔出血原因复杂,既有全身因素也有局部因素。大力加强老年人口腔保健意识,有效防治老年人口腔疾病,是预防老年人口腔出血的关键。Objective： To investigate the etiology and pathogenesis of oral bleeding in the elderly. Method： Clinical characteristics, aetiological agents from 56 oral bleeding cases of the elderly patients were studied to analyze the reason and pathogenesis. Results： The bleeding points were statistically counted from the 56 cases, in which 42 cases were from gingiva, 5 of them were from buccal mucosa, 5 of them were from lips and the rest 4 of them were from tongue. For the reason of bleeding： periodontal disease took up 5 cases, ill-fitted prosthesis took up 27 cases,venous malformations took up 6 cases, and occlusal trauma caused 5 bleeding cases, the rest of the 3 cases attributed to other reasons. After investigation, 43 out of 56 cases had cardiovascular disorder history, and accepting medical treatment, 8 cases had diabetes history. Only 5 of the cases denied relevant medical history. Conclusion： The reason of oral mucosa bleeding among aged population are complicated, caused by both local and systemic factors. It is important to prevent oral cavity bleeding in the elderly to strengthen the awareness of oral health care for the elderly, and effectively prevent and cure oral diseases in the elderly.

关 键 词：老年人 口腔黏膜 出血 病因 

分 类 号：R781[医药卫生—口腔医学]