口腔医学研究 ›› 2017, Vol. 33 ›› Issue (11): 1173-1176.DOI: 10.13701/j.cnki.kqyxyj.2017.11.010

• 牙周组织研究 • 上一篇    下一篇

HIV感染者牙周健康情况的对比研究

杜飞1, 葛柳莹2, 何睿1, 李重熙3, 曾水芹1, 段开文1*   

  1. 1. 昆明医科大学附属延安医院口腔科,昆明市延安医院 云南 昆明 650051;
    2. 山东潍坊口腔医院 山东 潍坊 261011;
    3. 昆明市第三人民医院感染科 云南 昆明 650041
  • 收稿日期:2017-05-05 出版日期:2017-11-20 发布日期:2017-11-29
  • 通讯作者: 段开文,E-mail:kwduan@yahoo.com.cn
  • 作者简介:杜飞(1989~ ),女,云南省大理市人,硕士在读,主要从事口腔黏膜病及牙周病的防治。

Comparative Study of Periodontal Health in HIV Patients

DU Fei1, GE Liu-ying2, HE Rui1, LI Chong-xi3, Zeng Shui-qin1, DUAN Kai-wen1*   

  1. 1. Department of Stomatology, Affiliated Yanan Hospital of Kunming Medical University,Kunming 650051,China;
    2. Shandong Stomatological Hospital of Weifang, Weifang 261011,China;
    3. Department of Infectious Diseases, The Third People's Hospital of Kunming City,Kunming 650041,China
  • Received:2017-05-05 Online:2017-11-20 Published:2017-11-29

摘要: 目的:拟对HIV感染牙周健康情况进行分析,评价其牙周状况和危险因素。方法:对216例HIV感染者和76例非HIV感染者的牙周健康保健知识和行为以及牙周健康状态进行分析。结果:HIV感染者未使用、使用高效抗逆转录病毒治疗(HAART)组和对照组中,口腔保健方法和口腔治疗情况方面无显著性差别;其中HIV感染者与对照组相比更少的更换牙刷,组间差别均具有显著统计学意义(P<0.01),两者的牙线或牙签使用率组间差别具有统计学意义(P<0.05);所检测的牙周指数中,二者比较只有BOP牙数与牙周袋探诊深度之间的差异具有统计学意义(P<0.05);CD4+T细胞计数与CAL没有明显关系。结论:本组研究的HIV患者与普通人群相比口腔健康认知情况一般,少数反映牙周健康的指标较非感染者差。

关键词: 人类免疫缺陷病毒, 高效抗逆转录病毒治疗, 牙周病

Abstract: Objective: To explore the periodontal conditions of HIV patients, and to evaluate their periodontal conditions and risk factors. Methods: The periodontal health care knowledge and behaviors were analyzed, and the periodontal health status in 216 patients with HIV and 76 patients without HIV was checked, respectively. Results: There was no significant differences among the HIV patients with or without highly active antiretroviral therapy and the control group in oral health care and oral treatment methods. But the HIV patients were less often changing tooth brush, which had significant difference among different groups (P<0.01). In addition, HIV patients used tooth floss or toothpicks more frequent than control group, which had significant difference among different groups (P<0.05). In the examination of periodontal indexes, there were significant difference in BOP results and probing depth between the HIV+ patients and control group (P<0.05), but there was no correlation between the CD4+ T cell counts and CAL. Conclusion: In this questionnaire, the oral health cognition of the HIV patients was similar to general population, only a few of HIV patients had periodontal health worse than those of non HIV patients.

Key words: HIV, Highly active antiretroviral therapy, Periodontal disease

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