歯科患者にみられた全身疾患の分類別，性・年代別各頻度の検討

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  • Statistical study to group the past and present medical illnesses in relation to the incidence of gender and age groups in dental patients.

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Since there have been only a few studies that examine the incidence of medical illnesses in dental patients, we investigated the incidence of past and present medical illnesses in relation to gender and age groups. Our subjects were 2147 first-time outpatients older than 10 years of age who were seen at the Department of Oral Diagnosis, Iwate Medical University in 1985. We modified 17 chapters of the ICD-9 into 17 therapeutic categories and selected 38 of these frequently encountered illnesses for our 38 subcategories.<BR>To easily understand the incidence of the many subdivided illnesses, we grouped 16 categories, which excluded venereal diseases, and 38 subcategories in relation to gender and age groups by principal component and cluster analysis, and finally the results were consistent with an analysis of each category or subcategory.<BR>1) In the 17 categories, the order of the incidence from most to least common was: digestive (37%); circulatory; otorhinolaryngeal; neoplasm; fracture; genitourinary; musculoskeletal; nervous; respiratory; blood; endocrine; eye; tuberculosis; skin; mental; collagen; venereal.<BR>2) The older patients commonly presented diseases of the circulatory system, which increased to 76% in patients over age 70.<BR>3) In the 38 subcategories, male patients commonly presented arteriovenous aneurysma, fracture, hepatitis, gastroduodenal ulcer, nephritis, and cirrhosis of the liver. Females presented asthma, anemia, otitis media, autonomic imbalance, diseases of the thyroid gland, and glaucoma.

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