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高血压患者营养管的发生率：一项影像学研究。

Incidence of nutrient canals in hypertensive patients: A radiographic study.

作者信息

Kumar Vinod R, Naik Raghavendra Mahadev, Singh Rajesh T, Guruprasad Yadavalli

机构信息

Department of Oral Medicine and Radiology, Saraswathi Dhanavantri Dental College, Parbhani, Maharashtra, India.

Department of Oral Medicine and Radiology, Vishnu Dental College and Hospital, Bhimavaram, Andhra Pradesh, India.

出版信息

J Nat Sci Biol Med. 2014 Jan;5(1):164-9. doi: 10.4103/0976-9668.127318.

DOI:10.4103/0976-9668.127318
PMID:24678218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3961925/
Abstract

OBJECTIVES

To determine if any correlation exists in the presence of nutrient canals in hypertensive patients and nonhypertensive patients, to compare the incidence of nutrient canals in different age groups, and also to compare the incidence of nutrient canals between dentulous and edentulous patients.

MATERIALS AND METHODS

This study was carried out on patients, who were divided into a control group comprising of healthy individuals, without history of hypertension and a study group of patients with the history of hypertension. The necessary information like age of the patient, presence or absence of hypertension, its duration, and blood pressure were recorded. An intraoral periapical radiograph of lower anterior region was made using bisecting angle technique and was interpreted. The presence or absence of nutrient canals, bone loss, and the levels of bone loss were recorded. The results so obtained were subjected to statistical analysis.

RESULTS

We found that the incidence of nutrient canals was statistically higher in the study group (55.2%) as compared to the control group (36.2%). The incidence of nutrient canals was also found to be increased with, the age till 60 years, amount of alveolar bone loss and in edentulous patients.

CONCLUSION

Hypertension being one of the most commonly encountered medical problems in dental practice and many cases being undiagnosed, the presence of nutrient canal though not entirely indicative of hypertension, should increase the suspicion of the condition to be investigated further.

摘要

目的

确定高血压患者和非高血压患者中滋养管的存在是否存在相关性，比较不同年龄组中滋养管的发生率，以及比较有牙患者和无牙患者中滋养管的发生率。

材料与方法

本研究针对患者开展，将其分为一个由无高血压病史的健康个体组成的对照组和一个有高血压病史的患者研究组。记录患者的年龄、是否患有高血压、患病时长及血压等必要信息。使用分角线投照技术拍摄下颌前部区域的口内根尖片并进行解读。记录滋养管的有无、骨质流失情况及骨质流失程度。对所得结果进行统计分析。

结果

我们发现，研究组中滋养管的发生率（55.2%）在统计学上高于对照组（36.2%）。还发现滋养管的发生率随着年龄增长至60岁、牙槽骨流失量以及无牙患者而增加。

结论

高血压是牙科实践中最常遇到的医学问题之一，且许多病例未被诊断出来，滋养管的存在虽不能完全表明患有高血压，但应增加对该病症进行进一步调查的怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/f77cb2a7347c/JNSBM-5-164-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/6d2d83570a04/JNSBM-5-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/028178afa21d/JNSBM-5-164-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/989902c4e571/JNSBM-5-164-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/0470ad220d7e/JNSBM-5-164-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/309201fd9431/JNSBM-5-164-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/62b98ed94504/JNSBM-5-164-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/435f3802775a/JNSBM-5-164-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/f77cb2a7347c/JNSBM-5-164-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/6d2d83570a04/JNSBM-5-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/028178afa21d/JNSBM-5-164-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/989902c4e571/JNSBM-5-164-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/0470ad220d7e/JNSBM-5-164-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/309201fd9431/JNSBM-5-164-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/62b98ed94504/JNSBM-5-164-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/435f3802775a/JNSBM-5-164-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/3961925/f77cb2a7347c/JNSBM-5-164-g016.jpg

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本文引用的文献

1
Incidence of mandibular nutrient canals in hypertensive patients: a radiographic study.高血压患者下颌骨滋养管的发生率：一项影像学研究。
Indian J Dent Res. 2007 Oct-Dec;18(4):181-5. doi: 10.4103/0970-9290.35829.
2
Relationship between mandibular nutrient canals and hypertension.下颌骨滋养管与高血压之间的关系。
J Int Med Res. 2003 Mar-Apr;31(2):123-5. doi: 10.1177/147323000303100208.
3
Radiographic study of mandibular nutrient canals.下颌骨滋养管的影像学研究。
Oral Surg Oral Med Oral Pathol. 1982 Jul;54(1):118-22. doi: 10.1016/0030-4220(82)90426-1.
4
Incidence of nutrient canals in hypertensive patients: a radiographic study.高血压患者营养管的发生率：一项影像学研究。
Oral Surg Oral Med Oral Pathol. 1985 Feb;59(2):206-11. doi: 10.1016/0030-4220(85)90020-9.
5
[Incidence of nutrient canals in hypertensive patients with alveolar bone loss. A radiographic study].[高血压伴牙槽骨吸收患者营养管的发生率。一项影像学研究]
Hell Period Stomat Gnathopathoprosopike Cheir. 1989 Sep;4(3):149-52.
6
A radiographic study of nutrient canals.一项关于滋养管的影像学研究。
Oral Surg Oral Med Oral Pathol. 1976 Nov;42(5):693-701. doi: 10.1016/0030-4220(76)90220-6.
7
A study of human mandibular nutrient canals.一项关于人类下颌骨滋养管的研究。
Oral Surg Oral Med Oral Pathol. 1977 Oct;44(4):635-45. doi: 10.1016/0030-4220(77)90310-3.