中国寄生虫学与寄生虫病杂志 ›› 1985, Vol. 3 ›› Issue (2): 104-106.

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齿龈内阿米巴的致病性的初步探讨

吴之芳,林仲民   

  1. 南京铁道医学院寄生虫学教研室; 南京铁道医学院口腔学教研室
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1985-05-31 发布日期:2017-01-12

A PRELIMINARY STUDY ON THE PATHOGEN1CITY OF ENTAMOEBA GINGIVALIS

  • Received:2017-01-12 Revised:2017-01-12 Online:1985-05-31 Published:2017-01-12

摘要: 240例口腔科门诊病人调查结果,发现齿龈内阿米巴的寄生率为44.2%,其中以牙周炎与冠周炎患者最高,各为60%和55.9%,兼患龋齿或单纯龋齿者较低,各为27.5%和15.6%,口腔卫生差者寄生率较高,检出率与年龄、性别、婚姻状况、职业和饮食无密切关系。多数伴有细菌感染。甲硝咪唑治疗有效。

关键词: 齿龈内阿米巴, 致病性, 检出率, 阿米巴滋养体, 冠周炎, 口腔卫生, 牙周炎, 致病作用, 龋齿, 显著差异

Abstract: A survey of E. gingivalis infestation was conducted in 230 dental patients. The total detection rate was 44.2%. The incidence in the patients with parodontitis and pericoronitis was 60% and 55.8% respectively. But in those with dental caries associated with parodomitis or dental caries alone, E. gingivalis was found only in 27.5% and 14.3% respectively. No significant correlation exists between the detection rate and the age, sex, marriage, occupation or the dietary habits.Observation was also made in 74 normal subjects and the incidence was 32.4%. Significant correlation was found between the rate and the age, marriage and occupation, students being the most affected, probably because they live collectively and share the same dishes at table.This paper discusses whether E. gingivalis is the pathogen of parodontosis. Although a high rate of E. gingivalis infestation was detected in cases of parodontopathy, there is no conclusive evidence to show its pathogenicity.