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Dental Treatment in a Nursing Home -Relationship between General Condition and Oral Status-

疗养院的牙科治疗 -一般状况与口腔状况之间的关系-

基本信息

批准号：
08457547
负责人：
MATSUURA Hideo
金额：
$ 4.29万
依托单位：
Osaka University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
1996
资助国家：
日本
起止时间：
1996 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08457547/
关键词：
Geriatric Dentistry Oral Function ADL

项目摘要

In this study, the relationship between general condition and oral status was investigated in the geriatric subjects who were staying in a nursing home. Most of them suffered from cardiovascular disease such as hypertension, cerebrovascular accident, and ischemic heart disease and 80% of them showed abnormal electrocardiogram. It became apparent that the lower activity of daily life (ADL) was, the poor oral status and oral function were. The rate of partial denture was remarkably low in the patient with hemiplegia because of the difficulty in setting and putting off it. In the patient with ischemic heart disease, oral status was very poor because dentists hesitated to perform aggressive dental treatment. Loss of appetite was often induced by oral disease in the patient with dementia.We performed dental treatment on 156 patients in this nursing home for 2.5 years. The mean age of the patients was 79.7 years old. More than half patients complained of the trouble associated with denture. During this period, 19 patients died from various reasons. The oral status and general condition in patients staying in the nursing home is generally poor. Therefore the role of dental service in the nursing home care is very important because a patient can be followed regularly and dental care can be planed according with patients's general and oral condition.Blood pressure and electrocardiogram were monitored during dental treatment in 21 patients with cardiovascular disease in this nursing home. Arrhythmias such as premature ventricular or attrial contraction were often presented during dental treatment even in the patient who presented normal electrocardiogram at rest. The elevation of blood pressure tended to occur during dental treatment.

在这项研究中，调查了住在疗养院的老年受试者的一般状况与口腔状况之间的关系。高血压、脑血管意外、缺血性心脏病等心血管疾病占绝大多数，心电图异常占80%。日常生活活动能力（ADL）较低，口腔状况及功能较差。偏瘫患者的局部义齿安装率低，因为安装和拆卸困难;缺血性心脏病患者的口腔状况很差，因为牙科医生不愿进行积极的牙科治疗。痴呆症患者常因口腔疾病而引起食欲不振，我们对156名痴呆症患者进行了为期2.5年的牙科治疗。患者的平均年龄为79.7岁。超过一半的患者抱怨与义齿有关的问题。在此期间，19名患者死于各种原因。住在疗养院的病人的口腔状况和一般状况普遍较差。本文对21例心血管病患者在牙科治疗过程中的血压和心电图进行了监测。心律失常，如室性或房性期前收缩，经常出现在牙科治疗期间，即使在病人谁提出了正常的心电图在休息。血压升高倾向于发生在牙科治疗期间。