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论文摘要

健康老年人口腔念珠菌与义齿修复的相关研究

Correlation of Oral Candida spp. and Denture-wearing in Healthy Elderly

作者:魏昕;周学东;李秉琦;李继遥;肖晓蓉

Author:WEI Xin1, ZHOU Xue-dong1, LI Bing-qi1, LI Ji-yao1, XIAO Xiao-rong2

收稿日期:2006-02-25          年卷(期)页码:2006,24(01):39-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:口腔念珠菌临床株,老年人,义齿修复,

Key words:oralCandidaspp,elderly,dentures,

基金项目:

国家自然科学基金资助项目(30430800)

中文摘要

目的 研究健康老年人群中口腔念珠菌的定植状况,分析义齿修复对老年人口腔念珠菌定植的影响。方法 212例健康老年人分为4组:A1组(男性,有义齿),B1组(男性,无义齿),A2组(女性,有义齿)和B2组(女性,无义齿)。标准含潄法取样,样本接种于沙堡琼脂培养基培养念珠菌,CHROMagar CandidaTM鉴定培养基鉴定白色念珠菌,碳水化合物同化反应鉴定体系鉴定念珠菌菌种。培养基中念珠菌菌落计数为每个样本的念珠菌检出强度。比较4组健康老年人念珠菌检出率和检出强度有无统计学差异。结果 212例老年人中116例检出念珠菌,检出率为54.72%。检出念珠菌包括白色念珠菌、近平滑念珠菌、克柔念珠菌、热带念珠菌等10个菌种。A1、B1、A2和B2组念珠菌检出率分别为66.67%,36.07%,64.15%和56.00%;白色念珠菌检出率分别为56.25%,21.31%,56.60%和38.00%。A1组念珠菌、白色念珠菌检出率高于B1组(P B2组高(P 口腔念珠菌检出率和检出强度的差异主要是白色念珠菌检出率和检出强度的差异所造成。

英文摘要

Objective To investigate the frequency and intensity of Candida spp. incidence from the oral cavities of the healthy elderly in Chengdu, and to study the role of the dentures in the distribution of oral Candida spp. Methods A total of 212 individuals(age >60 years) were divided into four groups: A1(48 man with dentures), B1(61 man without dentures), A2(53 women with dentures) and B2(50 women without dentures). Samples of their oral flora were obtained by rinsing with 10 mL PBS solution. The samples were centrifuged and resuspended in PBS(500 μL), and plated onto Sabouraud's dextrose agar. CHROMagar CandidaTM, sugar assimilation patterns(API 20C AUX tests) were used to determine Candida spp. The total number of yeast colonies on the plates was considered as the relative intensity of oral Candida. Results Candida spp. was isolated from 116 healthy elderly individuals(54.72%), such as C.albicans, C.parapsilosis, C. krusei, C.guilliermondii, C.tropicalis, etc. The frequency of Candida spp. in A1, B1, A2 and B2 was 66.67%, 36.07%, 64.15%, and 56.00%, respectively. The frequency of C. albicans in A1, B1, A2 and B2 was 56.25%, 21.31%, 56.60% and 38.00%, respectively. The frequency of Candida spp. and the intensity of Candida spp. were greater for individuals in the denture-wearing group than that in the control. Conclusion The frequency and intensity of Candida spp. incidence from the healthy elderly are closely correlated with denture-wearing, and the differences of the frequency and intensity of Candida spp. incidence in the elderly are due to the differences of frequency and intensity of C.albicans incidence.

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