口腔功能和术后饮食方式对胃肠道手术患者唾液细菌计数影响的初步研究

IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Yuki Sakamoto , Makiko Moriyama , Arisa Tanabe , Madoka Funahara , Sakiko Soutome , Akira Imakiire , Masahiro Umeda , Yuka Kojima
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引用次数: 0

摘要

背景/目的围手术期口腔护理被广泛用于预防全麻手术患者术后肺炎和手术部位感染。然而,对于应该为不同的患者提供何种口腔护理,目前尚不清楚。本研究的目的是澄清影响胃肠道手术前后唾液细菌计数增加的因素,以确定有特殊口腔护理需求的患者。材料与方法对20例胃肠手术患者术前进行义齿使用情况、剩余牙数、常规口腔保健、口腔卫生指数-简化舌苔、舌压、咬压、咀嚼效率、口干等检查。分别于术前、术后禁食期及口服喂养期采集唾液样本。采用实时荧光定量PCR法测定细菌总数,并分析影响细菌总数的因素。结果舌压、咬压、咀嚼效率等口腔功能下降的患者在术前、禁食和口服喂养期唾液细菌计数较高。在术前和术后变化方面,禁食期唾液细菌计数较术前增加,而口服喂养期唾液细菌计数恢复到术前水平。结论口腔功能减退患者唾液中细菌数量较多,围手术期口腔护理十分重要。由于禁食期间唾液中的细菌数量增加,口腔护理很重要,应尽快重新开始口服喂养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of oral function and postoperative eating patterns on salivary bacterial counts in gastrointestinal tract surgery patients: A preliminary study

Background/purpose

Perioperative oral care is widely provided to prevent postoperative pneumonia and surgical site infections in patients undergoing surgery under general anesthesia. However, there is a lack of clarity regarding the kind of oral care that should be provided for different patients. The purpose of this study was to clarify the factors that influence the increase in salivary bacterial counts before and after gastrointestinal surgery to identify patients with a particular need for oral care.

Materials and methods

Twenty patients undergoing gastrointestinal surgery were examined before surgery for denture use, number of remaining teeth, regular dental care, Oral Hygiene Index-Simplfied tongue coating, tongue pressure, bite pressure, masticatory efficiency, and dry mouth. Saliva samples were collected before surgery, in the fasting period after surgery, and in the oral feeding period. Total bacterial counts were determined by real-time PCR, and factors associated with bacterial counts were investigated.

Results

Patients with decreased oral functions, such as tongue pressure, bite pressure, and masticatory efficiency, tended to have higher salivary bacterial counts in the preoperative, fasting, and oral feeding periods. Regarding the pre- and postoperative changes, salivary bacterial counts increased in the fasting period compared to the pre-operative period and returned to preoperative values in the oral feeding period.

Conclusion

Perioperative oral care is important for patients with reduced oral function because the number of bacteria in saliva tends to be higher in such patients. As the number of bacteria in saliva increases during the fasting period, oral care is important, and oral feeding should be restarted as soon as possible.

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来源期刊
Journal of Dental Sciences
Journal of Dental Sciences 医学-牙科与口腔外科
CiteScore
5.10
自引率
14.30%
发文量
348
审稿时长
6 days
期刊介绍: he Journal of Dental Sciences (JDS), published quarterly, is the official and open access publication of the Association for Dental Sciences of the Republic of China (ADS-ROC). The precedent journal of the JDS is the Chinese Dental Journal (CDJ) which had already been covered by MEDLINE in 1988. As the CDJ continued to prove its importance in the region, the ADS-ROC decided to move to the international community by publishing an English journal. Hence, the birth of the JDS in 2006. The JDS is indexed in the SCI Expanded since 2008. It is also indexed in Scopus, and EMCare, ScienceDirect, SIIC Data Bases. The topics covered by the JDS include all fields of basic and clinical dentistry. Some manuscripts focusing on the study of certain endemic diseases such as dental caries and periodontal diseases in particular regions of any country as well as oral pre-cancers, oral cancers, and oral submucous fibrosis related to betel nut chewing habit are also considered for publication. Besides, the JDS also publishes articles about the efficacy of a new treatment modality on oral verrucous hyperplasia or early oral squamous cell carcinoma.
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