Đánh giá kết quả điều trị viêm quanh răng ở bệnh nhân bệnh thận mạn tính giai đoạn 5 lọc máu chu kỳ

Abstract

Objective: To survey the results of treatment periodontitis in patients with stage 5 chronic kidney disease on maintenance hemodialysis. Subject and method: Prospective, cross-sectional, longitudinal study after intervention to treat periodontitis in 59 patients with stage 5 chronic kidney disease on maintenance hemodialysis. Result: The proportion of patients with symptoms of bad breath, pain and bleeding gums significantly decreased, p<0.001. The mean values of residue index, tartar index, oral hygiene score, basal periodontal index, gingival index, and degree of tooth mobility after treatment were lower than before treatment, p<0.001. The number of WBC, N and the rate of increase of WBC, N as well as the concentration of CRP as well as the rate of increase of plasma CRP were significantly lower than that before treatment, p<0.001. The rate of patients regrow bacteria after 1 week of treatment was low, only 10.2%. Gum pocket depth > 6.75mm; hemoglobin < 80g/l had a predictive value of still having bacteria after 1 week of treatment, p<0.001. Conclusion: Treatment of periodontitis in patients with stage 5 chronic kidney disease on maintenance hemodialysis gave good results.