牙周炎与短暂性脑缺血发作的危险因素分析  

A investigation of the relationship and risk factors between periodontitis and transient ischemic attack (TIA)

作　　者：曾剑友 马国华[1] 何建军[1] 吴燕[1] 万志刚[1] 熊伟[1] 

机构地区：[1]监利县人民医院,湖北荆州433300

出　　处：《临床口腔医学杂志》2015年第3期178-180,共3页Journal of Clinical Stomatology

摘　　要：目的：分析牙周炎与短暂性脑缺血性发作（TIA）的关系及相关危险因素。方法：分析2007～2010年间216例TIA并发牙周炎的患者（病例组）和208例TIA未并发牙周炎的患者（对照组）的临床特点及实验室检查结果。结果：病例组患者的年龄，BMI，甘油三脂，高血压比例，收缩期血压值，糖尿病比例，吸烟人数均比对照组高，高密度脂蛋白较对照组低。病例组患者中，以牙槽骨吸收率评分＜0．5为参照，在患者的年龄，男性人数比例，BMI，总胆固醇，高密度脂蛋白，甘油三脂，高血压，糖尿病和吸烟等因素是脑血管疾病并发牙周炎的危险因素；而以探诊深度0－≤4 mm为参照，上述危险因素并未增加TIA并发牙周炎的发病率。结论：年龄，男性患者，BMI，总胆固醇，高密度脂蛋白，甘油三脂，高血压，糖尿病和吸烟是脑血管疾病并发牙周炎的危险因素。Objective：To investigate the relationship and risk factors between periodontitis and transient ischemic at-tack（TIA）. Method：Patients between 2007 and 2010 were divided into two groups：patients group（216 casas suffering from TIA and periodontitis） and control group（208 casas suffering from TIA without periodontitis）,the clinical characteristics and laboratory results were compared between the two groups with retrospective method. Result：The results demonstrated that the case group had higher level in BMI,triglyceride,ratio of hypertension,systolic pressure,ratio of hypertension and the number of smokers than the control group. Analysis of multi-factor regression on case group showed that age,proportion of male, BMI,total cholesterol,high-density lipoprotein,triglyceride,Hypertension,diabetes and smoking were the risk factors. But these risk factors did not increase the incidence of TIA and periodontitis when using the probing depth during 0~4 mm as reference. Conclusion：Age,male patients,BMI,total cholesterol,high desity lipoprotein triglyceride,hypertension,diabetes and smoking were risk factors for patients suffering from TIA complicated periodontitis.

关 键 词：牙周炎 TIA 危险因素 

分 类 号：R781.4[医药卫生—口腔医学]