Journal Article 脳卒中患者の口腔内所見と歯科介入の有用性について
Oral Status and Usefulness of Dental Intervention in Stroke Patients
ノウソッチュウ カンジャ ノ コウクウナイ ショケン ト シカ カイニュウ ノ ユウヨウセイ ニツイテ

山村, 佳子  ,  青田, 桂子  ,  武川, 大輔  ,  十川, 悠香  ,  山ノ井, 朋子  ,  高野, 栄之  ,  可児, 耕一  ,  松本, 文博  ,  桃田, 幸弘  ,  河野, 文昭  ,  松尾, 敬志  ,  東, 雅之

28 ( 1 )  , pp.37 - 41 , 2015-07-10 , 四国歯学会
We analyzed the need for dental intervention in patients with acute cerebral vascular disorders. In this study, we enrolled 43 individuals in SCU (male: 28, female: 15) in need of oral health management. The mean age of the patients was 68.0 ± 14.9. They had been diagnosed as cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage, or transient ischemic attack. Thirteen subjects were affected with pneumonia and could not handle self-care management. Furthermore, 10 subjects had poor oral hygiene. There were clearly more pneumonia patients in the intubation group compared to the non-intubation group. In addition, 18 cases (41.9%) needed dental treatment, and 5 cases received dental treatment. Patients with acute stroke had poor oral hygiene with disturbance of consciousness and paralysis, suggesting a possible cause of pneumonia in these patients. Half of patients required dental intervention, indicating that oral management may be necessary for stroke patients to prevent the occurrence of pneumonia.

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