终末期肾衰竭患者口腔健康状况和口腔保健意识调查分析  

Oral health and hygiene behavior in chronic renal failure patients

作　　者：谢添 邓梦昭 康健[1] 陈瞰 姚金凤[1] 郑苍尚[1] XIE Tian;DENG Meng-zhao;KANG Jian;CHEN Kan;YAO Jin-feng;ZHENG Cang-shang(Department of Stomatology,The First Affiliated Hospital of Shenzhen University,Shenzhen Second People's Hospital.Shenzhen 518000,Guangdong Province,China)

机构地区：[1]深圳市第二人民医院口腔科,广东深圳518000

出　　处：《上海口腔医学》2023年第5期541-544,共4页Shanghai Journal of Stomatology

摘　　要：目的:调查深圳地区肾衰竭患者的口腔健康状况及其保健治疗意识,为提高肾衰竭教育的针对性提供依据。方法:采用问卷调查和口腔检查,对深圳市第二人民医院血液透析中心的336例衰竭患者进行肾衰病史、口腔卫生状况和口腔保健行为进行调查。结果:患者平均透析时间为3.2年;引起肾衰竭的原因中,肾小球肾炎占49.11%,高血压性肾病与糖尿病性肾病分别为19.35%和15.77%;77.8%的患者每天刷牙2次或2次以上;近12个月72.9%的患者出现牙疼等口腔问题,口腔科就诊率为21.7%。结论:肾衰竭患者口腔健康状况与第四次全国口腔流调中年组相比较差,日常护理行为较好但就医保健意识较差。在肾功能衰竭健康教育中,应增加对肾衰竭并发口腔疾病和正确保健就医等知识教育。PURPOSE:To investigate the oral health and hygiene behavior of chronic renal failure(CRF)patients in Shenzhen,so as to provide basis for formulating education for them.METHODS:The history of renal failure,oral health status and oral health care behavior of 336 patients with chronic renal failure(CRF)in the hemodialysis center of Shenzhen Second People's Hospital were investigated by questionnaire and oral examinations.RESULTS:At an average,dialysis was required for 3.2 years.The main cause of renal failure was glomerulonephritis in 49.11%of patients,hypertensive kidney lesion in 19.35%and diabetic nephropathy in 15.77%of patients;77.8%of them kept brushing teeth two or more than two times every day;72.9%patients suffered from oral problems such as toothache in recent 12 months.The rate of visiting a dentist when having complaints was 21.7%.CONCLUSIONS:The state of oral health of CRF is worse than the general population of comparable age in China,while their hygiene behavior is better than the corresponding reference general population.However,their consciousness of dental treatment is poor.Therefore,health education for CRF patients should include knowledge about oral diseases complicated with CRF and correct medical philosophy.

关 键 词：慢性肾衰竭 口腔健康 口腔健康状况 口腔保健意识 

分 类 号：R780.1[医药卫生—口腔医学]