慢性腎不全患者 (非透析例) の口腔症状 : その1: スクリーニング結果

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A total of 24 non-dialysis patients with chronic renal failure were screened foe symptoms of the oral and maxillofacial regions. 1) In the questionnaire, six of the 24 patients complained of xerostomia. The symptom followed the manifestation of renal failure in five patients, suggesting its intimate association with the morbidity of renal failure. 2) In the physical findings, as many as 25% of the patients presented with the anemic color of the oral mucosa which seemed to reflect the anemia complicating chronic renal failure. Xerostomia and dry lip were seen in relatively high percentages, 16.7% and 25.0%, respectively. It was thus made clear that such dryness developed prior to the initiation of dialysis. 3) The average amount of mixed salivation of 17 patient who had been put at rest for 10 minutes stood at 1.45ml+0.69ml (mean+S.D.), a value that was slightly lower than normal. In addition, an inverse correlation between salivary flow and the history of renal failure was noted and thus it was supposed that the morbidity and the progress of renal failure had some effect on the salivary secretion. 4) The blood examination did not reveal any conspicuous findings but ones characteristic of renal failure. The degree of anemia in the gingiva was in an inverse correlation with RBC and thus the anemic color of the gingiva seemed to help estimate the condition of anemia, a complication frequently found in renal failure patients. 5) When compared with dialysis patients, it was supposed that xerostomia developed before the initiation of dialysis therapy. Regarding bone abnormalities and paresthesia, there were no findings characteristic of non-dialysis patiens, but further investigation is necessary in this respect.

慢性腎不全患者 (非透析例) の口腔症状 : その1: スクリーニング結果

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