Shirmohammadi Adileh, Abdollahifard Sedigeh, Chitsazi Mohammad-Taghi, Behlooli Sepideh
Dental and Periodontal Research Center, Tabriz University of Medical Sciences Faculty of Dentistry, Tabriz, Iran.
J Periodontal Implant Sci. 2012 Dec;42(6):212-6. doi: 10.5051/jpis.2012.42.6.212. Epub 2012 Dec 31.
The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores.
One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson's correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student's t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13.
The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson's correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight.
The results of this study showed a significant relationship between periodontal disease and infant birth weight; in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.
本研究旨在通过阿氏评分评估孕产妇牙周疾病与新生儿健康状况之间的关系。
将100例患有牙周疾病的孕妇纳入病例组，另100例无牙周疾病的孕妇作为对照组。记录两组的探诊出血（BOP）、临床附着丧失（CAL）、探诊深度（PD）、出生体重和阿氏评分等牙周参数。采用t检验和Pearson相关系数确定出生体重比值比，以分析BOP、CAL和PD等牙周参数与阿氏评分低于7分之间的关系。使用SPSS 13.0软件，采用非配对学生t检验分析病例组和对照组之间的均值差异。
病例组和对照组在年龄、牙周袋深度、附着丧失、BOP区域、出生后5分钟阿氏评分和婴儿出生体重等方面的均值存在统计学显著差异。阿氏评分<7分与牙周疾病的比值为3.14；患有牙周疾病的母亲发生低出生体重风险与未患牙周疾病母亲的比值为2.74。Pearson相关系数显示婴儿出生体重与母亲的BOP、CAL和PD之间存在显著相关性。此外，阿氏评分与BOP、CAL和PD之间以及阿氏评分与婴儿出生体重之间也存在显著相关性。
本研究结果表明牙周疾病与婴儿出生体重之间存在显著关系；此外，BOP、CAL和PD等牙周指标与阿氏评分之间也存在显著关系。
