牙周干预对慢性阻塞性肺疾病急性发作频率的影响  

Preventive effect of periodontal intervention to acute exacerbation frequency of chronic obstructive pulmonary disease

作　　者：胡坤娥[1] 胡坤娥[1] 刘志强[2] 胡坤娥 刘岩[2] 胡坤娥 周璿[3] 胡坤娥[1] 王左敏[2] 

机构地区：[1]北京煤炭总医院口腔科,100028 [2]首都医科大学附属北京朝阳医院口腔科 [3]不详

出　　处：《中华临床医师杂志（电子版）》2012年第19期5821-5825,共5页Chinese Journal of Clinicians(Electronic Edition)

基　　金：北京市科技计划课题(Z101107050210031)

摘　　要：目的通过比较慢性阻塞性肺疾病(COPD)伴慢性牙周炎患者在进行牙周干预治疗前后COPD急性发作(AECOPD)频率的变化,探讨牙周干预治疗对AECOPD的预防作用。方法对43例COPD伴慢性牙周炎的患者进行牙周干预治疗,分别记录干预前及干预一年后患者的菌斑指数(PLI)、出血指数(BI)及牙周附着丧失(AL);回顾性调查患者干预前一年并随访观察干预后一年患者AECOPD的次数、因AECOPD住院的次数以及累计住院天数。结果牙周干预治疗前后患者的PLI分别为2.24±1.16,1.36±0.73(P<0.05);BI分别为3.25±1.04,2.13±1.49(P<0.05);AL分别为(4.16±1.05)mm与(3.01±0.55)mm(P<0.05)。牙周干预治疗前一年及牙周干预治疗后一年患者的平均AECOPD次数分别为(4.1±0.9)次,(2.8±0.8)次;因AECOPD住院的平均次数分别为(2.2±0.8)次,(1.5±0.5)次;累计平均住院天数分别为(27.8±10.2)d,(20.3±7.9)d(P均<0.05)。结论牙周干预治疗促进了患者的口腔卫生及牙周健康状况,并降低了COPD伴慢性牙周炎患者AECOPD的发生频率,提示牙周干预治疗可能成为预防AECO-PD的新的辅助方法。Objective To research the preventive effect of periodontal intervention to acute exacerbation of chronic obstructive pulmonary disease(AECOPD),through comparing the AECOPD frequency before and after periodontal intervention applied to chronic obstructive pulmonary disease(COPD)patients with chronic periodontal disease(CP).Methods A total of 43 COPD patients with CP were applied with periodontal intervention.Plaque index(PLI),blood index(BI)and attachment loss(AL)of all patients were measured at the baseline and one year after periodontal intervention respectively.AECOPD frequency,hospitalization frequency due to AECOPD and total length of hospital stay of all patients one year before and after periodontal intervention were recorded through retrospective and follow-up survey.Results PLI of all patients before and after periodontal intervention were 2.24±1.16 and 1.36±0.73(P<0.05),BI were 3.25±1.04 and 2.13±1.49(P<0.05),and AL were(4.16±1.05)mm and(3.01±0.55)mm(P<0.05).AECOPD frequency of all patients one year before and after periodontal intervention were 4.1±0.9 and 2.8±0.8 respectively;hospitalization frequency due to AECOPD were 2.2±0.8 and 1.5±0.5;and total length of hospital stay were(27.8±10.2)d and(20.3±7.9)d(all P<0.05).Conclusions The oral hygiene and periodontal health of COPD patients with CP were improved and AECOPD frequency was decreased by periodontal intervention.It suggests that periodontal intervention maybe a new auxiliary way for AECOPD prevention.

关 键 词：牙周炎 肺疾病 慢性阻塞性 急性发作 牙周干预 

分 类 号：R781.4[医药卫生—口腔医学] R563.9[医药卫生—临床医学]