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艾滋病人的口腔保健
2011年11月11日12:09 天津老年时报
有50%的艾滋病（AIDS）患者发病初期，在口腔内首先出现各种病损，此类患者的口腔保健，应给予重现。AIDS患者口腔病损多见有：1、口腔白色念珠菌病：白色念珠菌感染是最常见的，也是最早出现的口腔病损。好发于舌、软硬腭、颊、牙龈及口角部位。可延续数月之久。临床表现为假膜型、增生型、红斑（萎缩）型。2、毛状白斑：发生在舌侧边缘，多为双侧同存，病损呈条纹状白色斑块，是AIDS病人特有的病损。3、卡波济氏肉瘤：AIDS病人中，半数以上出现此型病损，为无痛性紫红色或紫褐色、大小不一、扁平或隆起的病损。好发于牙龈及硬腭部位。4、AIDS病相关性牙周炎：为本病患者特有的牙周组织的病损。临床表现为牙龈乳头溃疡，出血及坏死，伴有疼痛及口腔恶臭，短期内可破坏牙槽骨，造成牙齿松动脱落，发生颌骨坏死。
AIDS病人口腔病损的治疗：1、口腔白色念珠菌病，可局部或全身使用抗真菌药，口服氟康唑或酮康唑，可使用两性霉素B混悬液1~5ml，每日4次，也可使用碱性漱口液含漱。2、毛状白斑病损，可局部使用抗真菌治疗。临床多使用阿其洛韦或更昔洛韦局部涂敷。3、卡波济氏肉瘤：可行手术切除或采用冷冻、烧灼治疗，配合放疗或局部化疗。4、AIDS相关性牙周炎：可进行常规牙齿刮治术，术后使用0.1%洗必汰液或聚维酸碘液冲洗或含漱。
AIDS病人口腔保健：1、已确诊本病的患者，应搞好口腔卫生，防止口腔创伤。2、配合医生积极治疗口腔病损，坚持进行全身抗AIDS病毒治疗，防止口腔病损复发。3、口腔病损得到控制后，需坚持使用维持治疗用药，防止复发，不可中途停药。4、局部使用含氟漱口液或凝胶，防止龋齿发生。5、AIDS病口腔病损患者，严禁使用过氧化氢（双氧水）含漱，否则将导致口腔真菌感染而加重病情。
艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复
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| 图示∶2011年5月正式出版的《中国特色医疗金鉴》登载的刘君主任及其机构事迹 |
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艾滋病新鸡尾酒疗法 附 HIV感染者，早吃药早受益
Oral health of people with AIDS
At 12:09 on November 11, 2011 in Tianjin aged Times
50% of HIV (AIDS) patients in the early stages, first appeared in a variety of oral lesions, oral health care of such patients should be given to reproduce. More common in AIDS patients with oral lesions: 1, oral candidiasis: Candida albicans is the most common, is the earliest of oral lesions. Occur in the tongue, soft palate, cheek, gums and mouth parts. May be continued for several months. Clinical manifestations of pseudomembranous type, proliferative, erythematous (atrophic) type. 2, hairy leukoplakia: occurrence in the tongue side of the edge, mostly bilateral with the deposit, was striped white plaque lesions, lesions characteristic of AIDS patients. 3, Kaposi's sarcoma: AIDS patients, more than half of this type of lesions occur, painless purple or purple-brown, large and small, flat or elevated lesions. Occur in the gums and palate area. 4, AIDS-related disease periodontitis: a unique patient-centered periodontal lesions. Clinical manifestations of gingival papilla ulcers, hemorrhage and necrosis, accompanied by pain and oral odor, short-term can damage the bone, causing teeth fall off, the occurrence of ONJ.
AIDS patients in the treatment of oral lesions: 1, oral candidiasis, can be local or systemic use of antifungal agents, oral fluconazole or ketoconazole, amphotericin B suspension using 1 ~ 5ml, day 4 times, can also use alkaline mouthwash rinse. 2, hairy leukoplakia lesions can be topical antifungal therapy. A multi-clinical use of ganciclovir or partial coating of its Lowe. 3, Kaposi's sarcoma: surgical resection or the use of viable frozen, burn treatment, with radiotherapy or local chemotherapy. 4, AIDS-related periodontitis: can routine dental curettage, after the elimination of 0.1% chlorhexidine solution or povidone iodine wash or rinse acid.
AIDS patients with oral health: 1, patients have been diagnosed with the disease should improve oral hygiene, the prevention of oral trauma. 2, with the active medical treatment of oral lesions, persist in the body anti-AIDS virus treatment, to prevent the recurrence of oral lesions. 3, oral lesions have been controlled, the need to stick with medication maintenance therapy to prevent recurrence, not half-way stop. 4, topical fluoride rinse or gel, to prevent dental caries. 5, AIDS disease in patients with oral lesions, prohibited the use of hydrogen peroxide (hydrogen peroxide) rinse, otherwise it will lead to oral fungal infections and worse.
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