口腔功能和术后饮食模式对胃肠道外科手术患者的唾液细菌计数的影响:一项初步研究
Yuki Sakamoto1, Makiko Moriyama1, Arisa Tanabe1
1Department of Dentistry and Oral Surgery, Kansai Medical University Medical Center, Osaka, Japan.
Journal of dental sciences
|July 22, 2024
概括
术后口腔护理对于口腔功能受损的患者至关重要,因为他们往往具有更高的唾液细菌数量. 在禁食期间,细菌数量会增加,这凸显了及时进行口腔护理和恢复食的必要性.
科学领域:
- 口腔卫生 口腔卫生
- 胃肠道手术 胃肠道手术
- 微生物学 微生物学
背景情况:
- 术后口腔护理是预防肺炎等术后并发症的标准.
- 目前的实践缺乏针对不同患者需求的具体指导.
- 了解影响唾液细菌的因素至关重要.
研究的目的:
- 确定影响唾液细菌数量的因素在胃肠道手术前后.
- 确定需要特定口腔护理干预的患者.
- 为量身定制的术后口腔护理策略提供信息.
主要方法:
- 在手术前评估了20名胃肠道手术患者的口腔健康指标.
- 在三个时间点收集唾液样本:手术前,手术后禁食和手术后食.
- 使用实时PCR的量化总细菌计数.
主要成果:
- 减少口腔功能 (舌头/咬牙压力,效率) 与较高的手术前和手术后唾液细菌数相关.
- 在术后禁食期间,唾液细菌的数量显著增加.
- 一旦口服养恢复,细菌数量恢复到手术前的水平.
结论:
- 由于唾液细菌的增加,口腔功能受损的患者需要专注的术后口腔护理.
- 禁食期间是细菌繁殖的关键窗口,需要谨慎的口腔卫生.
- 在手术后迅速恢复口服养,有助于使唾液细菌水平正常化.
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