Oral complications in anorexia nervosa.

Oral complications in anorexia nervosa.
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神经性厌食症的口腔并发症。

DOI:
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发表时间:
1977
期刊:
Scandinavian journal of dental research
影响因子:
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通讯作者:
Ingrid Hellström
Ingrid Hellström
中科院分区:
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文献类型:
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作者:
Ingrid Hellström

文献摘要

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神经性厌食症(AN)是一种主要影响年轻女性的心身疾病,其特征是有意识的饥饿,过量碳水化合物摄入的时期,往往故意呕吐。病史,牙科检查,和唾液测试的39例患者,年龄14至42岁,患有AN的时间为1至20年,显示龋齿,由于过量的碳水化合物消耗,在所有科目,往往在猖獗的形式。在有强烈呕吐史的患者(27例)中,几乎总是存在严重的舌-咬合侵蚀(perimylolysis)。口腔糜烂,主要是由于大量食用酸性水果和饮料,以缓解脱水引起的口渴,呕吐患者比非呕吐患者更常见。由于脱水或口腔干燥症诱导药物,大多数病例的唾液属性值低于正常值;最低值发生在呕吐病例中。协会AN -呕吐- perimylolysis进行了讨论,以及预防和治疗措施。一个医疗,精神病学和牙科调查的AN。
Anorexia nervosa (AN), a psychosomatic disease mainly affecting young women, is characterized by conscious starvation, periods of excessive carbohydrate intake and often deliberate vomiting. Medical history, dental examination, and saliva tests of 39 patients aged 14 to 42 years, having suffered from AN for periods of 1 to 20 years, showed dental caries, due to excessive carbohydrate consumption, in all subjects, often in a rampant form. In patients with a history of intense vomiting (27 cases) severe lingual-occlusal erosion (perimylolysis) was nearly always present. Buccal erosion, mainly due to high consumption of acid fruits and drinks to relieve thirst caused by dehydration, was more frequent in vomiting than in non-vomiting patients. Subnormal values of saliva properties, owing to dehydration or xerostomia-inducing medication, were present in the majority of cases; the lowest values occurred in those vomiting. The association AN - vomiting - perimylolysis is discussed, as well as prophylactic and therapeutic measures. A medical, psychiatric, and dental survey of AN is presented.