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題名 | Dental Considerations for Patient with Type 1 Diabetes Mellitus--A Case Report=對第一型糖尿病患者牙科治療之考量--病例報告 |
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作者 | 王爾均; 王姻麟; 張曉華; 黃桂芬; 郭敏光; | 書刊名 | 臺灣兒童牙醫學雜誌 |
卷期 | 14:4 2014.12[民103.12] |
頁次 | 頁129-133 |
分類號 | 417.69 |
關鍵詞 | 第一型糖尿病; 牙科治療; Type 1 diabetes mellitus; Dental treatment; |
語文 | 英文(English) |
中文摘要 | 第一型糖尿病是由於胰島素的缺乏,進而造成高血糖的症狀,只能以注射胰島素的方式控制血糖。大多數病患缺乏胰島素的原因是自體免疫系統破壞胰臟的beta細胞,以致造成沒有或極低量的胰島素生成。第一型糖尿病常見的急性併發症有:低血糖及酮酸中毒,其餘也有慢性的全身性及口腔併發症。因此在治療第一型糖尿病病人在約診前、治療中及治療後皆有許多應注意的事項。這個案例報告為一位五歲的男童,要在牙科門診治療多顆齲齒及其他口腔疾病。他有第一型糖尿病,但血糖相對控制得不錯。治療牙齒的時間安排及使用的藥物及治療中的身體狀況要特別注意,以免發生緊急的生命狀況,也給予口腔衛教指導及飲食建議,並安排每三個月回診一次。 |
英文摘要 | Type 1 diabetes mellitus (DM) is characterized by insulin deficiency, hence resulting in hyperglycemia. The phenotype of insulin deficiency mostly results from autoimmune beta cell destruction. Blood sugar level of type 1 DM can only be controlled by insulin injection. Patient with type 1 DM is at risk of acute complications such as diabetic hypoglycemia or diabetic ketoacidosis, other chronic and oral complications were also stated in previous literature. This case report presents a 5-year-old boy with type 1 DM, with relatively well controlled blood sugar. However, some precautions and considerations should be taken for the safety of life for this patient during dental treatment. Multiple caries were treated in clinic. Oral hygiene instruction and dietary counseling had been emphasized. Regular recall appointments were arranged at 3 months intervals. |
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