常见老年病与口腔疾病关系的辩证思考及处置.pdfVIP

临床医生论坛 医学与哲学 2016 年 3 月第 31 巷第 3B 期总第 545 期 常见老年病与口腔疾病关系的辩证思考及处置 赵旭①汤晨①郑立娟② 摘要:老年口腔疾病患者常令并心脑血管等全身系统性疾病，且其发生、发展及治疗也与全身疾病密切相关，例如:牙周病 是冠心病发病的危险因素;糖尿病又可加重牙周病;牙周局部治疗有利于全身血糖的控制:牙病治疗时易引起高血压患者 血压暂时升高，应及时进行风险防范。本文通过揭示二者的辩证关系，全面分析全身病史，综合评估治疗风险，制定整体 治疗方案，并施，以个性化人文关怀，为老年口腔疾病科学的临床诊疗决策，提供合理思路。 关键词:系统疾病，老年口腔疾病，牙周病 申图分类号 :R787 文献标识码 :A 文章编号: 1002-0772(2016)03 一 0078 一 04 DOI: 10. 12014!j. issn. 1002-0772. 2016. 03b. 24 DialectiωI Consideration 姐d Di.耶路al of Common Oral Disωes and Geriatric Relationship ZHAO Xu. TANG Ch凹， ZHENG Li-juan. Liaoning Medical University , ] inzhou 121001. China Abstract: Elderly patients with oral disease is often associated with cardiovascular and other systernic diseases. The development and treatment is also closely associated with systemic disease, for example: periodontal disease is a risk factor for coronary heart disease; diabetes also can increase the periodontal disease; periodontal treatment in favor of local control of blood sugar body; the blood pressure can be increased ternporarily during the dental treatment when the patients have hypertensive, and the risk prevention should be tirnely. This article reveals the dialectical relationship between them, a cornprehensive analysis of systern?c history, a cornprehensive assessment of the risks of treatment, the development of the overall treatment plan, and to irnpose a personalized human care. To provìde a reasonable idea for older clinical diagnosis and treatment of oral diseases and scientific decision-making. Key WOI也: systemic diseases, elderly oral disease. perioclontal disease 随着中国进入老龄化社会，老年人口腔疾病发病率 三叉神经痛是多发于中老年女性的神经性疾病，表现为 亦日趋增高，且老年口腔在病患者，常伴发全身系统性 面部电击样疼痛，起初会认为是急性牙髓炎引起;上领 疾病，多种疾病相互交错，其特征