Hemodynamic Changes in Dental Practice for Elderly Patients at Home Comparison of Daily Living and Dental Treatment
Interest in home-bound geriatric dental patients has grown during the last ten years. On the other hand, the elderly are still at high risk to circulatory disease. We studied 34 home-bound dental patients (21 females, 13 males), who live in Toyonaka city. They are from 65 to 94 years of age. We divi...
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| Published in | Ronen Shika Igaku Vol. 10; no. 2; pp. 91 - 99 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Gerodontology
30.11.1995
一般社団法人 日本老年歯科医学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-3866 1884-7323 |
| DOI | 10.11259/jsg1987.10.91 |
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| Abstract | Interest in home-bound geriatric dental patients has grown during the last ten years. On the other hand, the elderly are still at high risk to circulatory disease. We studied 34 home-bound dental patients (21 females, 13 males), who live in Toyonaka city. They are from 65 to 94 years of age. We divided them into 2 groups: those with circulatory disease, and those with other chronic diseases. Both groups of subjects were subdivided into 2 groups: in daily living and under dental treatment. We observed their daily health judged by a basic physical list for a week before dental treatment. We investigated the change (means) and fluctuation (max-min) of hemodynamic parameters (systolic blood pressure, diastolic blood pressure and heart rate). The results were as follows: 1. The changes of hemodynamic parameters were not significantly different between the group with circulatory disease and the group with other chronic diseases. 2. The fluctuation of systolic blood pressure in circulatory disease slightly increased during dental treatment. 3. The fluctuation of heart rate in the circulatory disease group significantly increased during dental treatment. These results suggested that the mental stress of dental treatment of the home-bound elderly with circulatory disease markedly influenced their systolic blood pressure and heart rate. |
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| AbstractList | Interest in home-bound geriatric dental patients has grown during the last ten years. On the other hand, the elderly are still at high risk to circulatory disease.We studied 34 home-bound dental patients (21 females, 13 males), who live in Toyonaka city. They are from 65 to 94 years of age. We divided them into 2 groups: those with circulatory disease, and those with other chronic diseases.Both groups of subjects were subdivided into 2 groups: in daily living and under dental treatment. We observed their daily health judged by a basic physical list for a week before dental treatment. We investigated the change (means) and fluctuation (max-min) of hemodynamic parameters (systolic blood pressure, diastolic blood pressure and heart rate).The results were as follows: 1. The changes of hemodynamic parameters were not significantly different between the group with circulatory disease and the group with other chronic diseases.2. The fluctuation of systolic blood pressure in circulatory disease slightly increased during dental treatment.3. The fluctuation of heart rate in the circulatory disease group significantly increased during dental treatment.These results suggested that the mental stress of dental treatment of the home-bound elderly with circulatory disease markedly influenced their systolic blood pressure and heart rate.
一般に歯科治療は, 患者にとって何らかのストレス要因になっていることは周知の事実である。また, 高齢者においてはこの様なストレスから予期せぬ事態に発展することもしばしばありうる。なかでも循環器系合併症が最も多く見られる様である。このことは, 基礎疾患の種類や治療内容にもよるが, 高齢者における心肺機能の予備能力の低下が影響しているように思える。したがって, 高齢者, とりわけ在宅高齢者の歯科治療に際しては, 補綴治療といえども本来の基礎疾患はもちろん, 患者自身が受けるストレスについて評価する必要がある。このような視点より, 我々は健康記録票により, 患者の日常時の循環動態パラメータ (収縮期・拡張期血圧, 心拍数) および生活状態を把握し, 歯科治療時のそれらと比較することによって, ストレスを評価し, 未然に重篤な合併症へ移行するのを防いできた。今回は歯科治療中におけるストレスの程度をさらにくわしく知るたあに, 対象者を一般疾患群と循環器系疾患群とに分け, 各群の日常時および歯科治療時における循環動態パラメータについて比較検討を行い, 以下の結果を得た。1. 一般・循環器系両群の循環動態パラメータの平均値は, 日常時と治療時との間で変化はみられなかった。2. 循環器系群における収縮期血圧の変動値は, 治療時にやや増大が認められた。3. 循環器系群における心拍数の変動値は, 治療時で有意に増大が認められた。 Interest in home-bound geriatric dental patients has grown during the last ten years. On the other hand, the elderly are still at high risk to circulatory disease. We studied 34 home-bound dental patients (21 females, 13 males), who live in Toyonaka city. They are from 65 to 94 years of age. We divided them into 2 groups: those with circulatory disease, and those with other chronic diseases. Both groups of subjects were subdivided into 2 groups: in daily living and under dental treatment. We observed their daily health judged by a basic physical list for a week before dental treatment. We investigated the change (means) and fluctuation (max-min) of hemodynamic parameters (systolic blood pressure, diastolic blood pressure and heart rate). The results were as follows: 1. The changes of hemodynamic parameters were not significantly different between the group with circulatory disease and the group with other chronic diseases. 2. The fluctuation of systolic blood pressure in circulatory disease slightly increased during dental treatment. 3. The fluctuation of heart rate in the circulatory disease group significantly increased during dental treatment. These results suggested that the mental stress of dental treatment of the home-bound elderly with circulatory disease markedly influenced their systolic blood pressure and heart rate. |
| Author | Torii, Norishige Itoh, Tsuneo Takase, Toshiyuki Okada, Yukiaki Ikeoka, Noriyuki Okazaki, Yoshitaka Okada, Yoshifumi Kida, Tadayoshi Katagiri, Tomoyuki Kuragano, Isao Katoh, Takamasa Takegoshi, Masanori |
| Author_FL | 竹腰 将典 鳥居 則成 岡崎 吉孝 木田 正芳 池岡 憲之 伊藤 恒生 高瀬 俊幸 岡田 好史 岡田 幸明 片桐 知之 加藤 隆正 倉賀野 勲 |
| Author_FL_xml | – sequence: 1 fullname: 木田 正芳 – sequence: 2 fullname: 岡田 幸明 – sequence: 3 fullname: 竹腰 将典 – sequence: 4 fullname: 伊藤 恒生 – sequence: 5 fullname: 加藤 隆正 – sequence: 6 fullname: 池岡 憲之 – sequence: 7 fullname: 倉賀野 勲 – sequence: 8 fullname: 鳥居 則成 – sequence: 9 fullname: 片桐 知之 – sequence: 10 fullname: 岡田 好史 – sequence: 11 fullname: 岡崎 吉孝 – sequence: 12 fullname: 高瀬 俊幸 |
| Author_xml | – sequence: 1 fullname: Okazaki, Yoshitaka organization: Toyonaka Dental Association – sequence: 1 fullname: Kida, Tadayoshi organization: Toyonaka Dental Association – sequence: 1 fullname: Itoh, Tsuneo organization: Toyonaka Dental Association – sequence: 1 fullname: Takase, Toshiyuki organization: Department of Dentistry, Toyonaka Metropolitan Hospital – sequence: 1 fullname: Katoh, Takamasa organization: Toyonaka Dental Association – sequence: 1 fullname: Okada, Yoshifumi organization: Toyonaka Dental Association – sequence: 1 fullname: Okada, Yukiaki organization: Toyonaka Dental Association – sequence: 1 fullname: Katagiri, Tomoyuki organization: Toyonaka Dental Association – sequence: 1 fullname: Takegoshi, Masanori organization: Toyonaka Dental Association – sequence: 1 fullname: Torii, Norishige organization: Toyonaka Dental Association – sequence: 1 fullname: Ikeoka, Noriyuki organization: Toyonaka Dental Association – sequence: 1 fullname: Kuragano, Isao organization: Toyonaka Dental Association |
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| References | 7) 入沢宏: 心臓の生理学, 第一版, P.234-236, 岩波書店, 東京, 1982. 2) 日野原重明: 老いと病いと死, 老年歯科医学, 5: 1-5, 1991. 3) 佐藤雅志, 鈴木俊夫編: 在宅老年者の歯科診療入門, 第一版, P.177-233, 医歯薬出版, 東京, 1991. 9) 勝沼英宇, 長谷川恒雄編: 老人の診療-その特性と周辺-, 第一版, P.11-16, 南山堂, 東京, 1988. 5) 松浦英夫, 岡本吉彦, 広田康晃, 清光義隆, 渋谷徹: 内科的基礎疾患を持つ歯科患者の全身管理-特に予後について-, 日歯医師会誌, 44: 25-683-30-688, 1991. 4) 池岡憲之: 在宅歯科医療の問題点・歯科医師会活動としての在宅歯科診療, 老年歯科医学, 7: 116-120, 1993. 8) 的場恒著: 心臓病の診療マニュアル, 第二版, P.179-180, 医歯薬出版, 東京, 1989. 1) 新庄文明: 在宅ねたきり老人対策の現状と展望, 老年歯科医学, 4: 8-13, 1990. 6) 木田正芳, 池岡憲之, 加藤隆正, 片桐知之, 倉賀野勲ほか: 豊中市における在宅者歯科診療の現況, 老年歯科医学, 6: 86-92, 1991. |
| References_xml | – reference: 4) 池岡憲之: 在宅歯科医療の問題点・歯科医師会活動としての在宅歯科診療, 老年歯科医学, 7: 116-120, 1993. – reference: 9) 勝沼英宇, 長谷川恒雄編: 老人の診療-その特性と周辺-, 第一版, P.11-16, 南山堂, 東京, 1988. – reference: 3) 佐藤雅志, 鈴木俊夫編: 在宅老年者の歯科診療入門, 第一版, P.177-233, 医歯薬出版, 東京, 1991. – reference: 6) 木田正芳, 池岡憲之, 加藤隆正, 片桐知之, 倉賀野勲ほか: 豊中市における在宅者歯科診療の現況, 老年歯科医学, 6: 86-92, 1991. – reference: 7) 入沢宏: 心臓の生理学, 第一版, P.234-236, 岩波書店, 東京, 1982. – reference: 5) 松浦英夫, 岡本吉彦, 広田康晃, 清光義隆, 渋谷徹: 内科的基礎疾患を持つ歯科患者の全身管理-特に予後について-, 日歯医師会誌, 44: 25-683-30-688, 1991. – reference: 1) 新庄文明: 在宅ねたきり老人対策の現状と展望, 老年歯科医学, 4: 8-13, 1990. – reference: 2) 日野原重明: 老いと病いと死, 老年歯科医学, 5: 1-5, 1991. – reference: 8) 的場恒著: 心臓病の診療マニュアル, 第二版, P.179-180, 医歯薬出版, 東京, 1989. |
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| Snippet | Interest in home-bound geriatric dental patients has grown during the last ten years. On the other hand, the elderly are still at high risk to circulatory... |
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| SubjectTerms | Circulatory disease Hemodynamic change Hme-bound dental treatment Mental stress 在宅歯科診療 循環動態 循環器疾患 情動刺激 |
| Subtitle | Comparison of Daily Living and Dental Treatment |
| Title | Hemodynamic Changes in Dental Practice for Elderly Patients at Home |
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