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唾液幽门螺杆菌感染与口腔疾病的关联:一项中国人群的横断面研究

Association of Salivary Helicobacter pylori Infection with Oral Diseases: a Cross-sectional Study in a Chinese Population.

作者信息

Ding Yi-Jian, Yan Tian-Lian, Hu Xin-Lan, Liu Jian-Hua, Yu Chao-Hui, Li You-Ming, Wang Qun-Yan

机构信息

1. Department of Stomatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

2. Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

出版信息

Int J Med Sci. 2015 Sep 5;12(9):742-7. doi: 10.7150/ijms.11050. eCollection 2015.

Abstract

OBJECTIVE

The aim of this study was to detect the prevalence of oral H.pylori among adults and to investigate the correlation between H.pylori infection and common oral diseases.

STUDY DESIGN

A cross-sectional study was performed among adults Chinese who took their annual oral healthy examination at The First Affiliated Hospital, Zhejiang University School of Medicine, China.

RESULTS

The study included 1050 subjects in total and oral H.pylori infection occurred in 60.29% of the subjects. The prevalence rates of oral H.pylori in patients with periodontal diseases (63.42%) and caries (66.91%) were significantly increased than those without oral diseases (54.07%), respectively (P < 0.05), while the difference between subjects with recurrent aphthous stomatitis and controls was not significant. In addition, the differences of positive rates of H.pylori with or without history of gastric ulcer were statistically significant (69.47% vs 58.26%, P<0.05). Presenting with periodontal diseases (OR 1.473;95% CI 1.021 to 2.124), caries (OR 1.717; 1.127 to 2.618), and having history of gastric ulcer (OR 1.631; 1.164 to 2.285) increased the risk of H.pylori infection.

CONCLUSIONS

Oral H.pylori infection is common in adult Chinese, which is significantly associated with oral diseases including periodontal diseases and caries.

摘要

目的

本研究旨在检测成年人口腔幽门螺杆菌的感染率,并调查幽门螺杆菌感染与常见口腔疾病之间的相关性。

研究设计

对在中国浙江大学医学院附属第一医院进行年度口腔健康检查的成年中国人进行了一项横断面研究。

结果

该研究共纳入1050名受试者,口腔幽门螺杆菌感染率为60.29%。牙周病患者(63.42%)和龋齿患者(66.91%)的口腔幽门螺杆菌感染率分别显著高于无口腔疾病者(54.07%)(P<0.05),而复发性阿弗他口炎患者与对照组之间的差异不显著。此外,有或无胃溃疡病史的幽门螺杆菌阳性率差异具有统计学意义(69.47%对58.26%,P<0.05)。患有牙周病(OR 1.473;95%CI 1.021至2.124)、龋齿(OR 1.717;1.127至2.618)以及有胃溃疡病史(OR 1.631;1.164至2.285)会增加幽门螺杆菌感染的风险。

结论

口腔幽门螺杆菌感染在成年中国人中很常见,与包括牙周病和龋齿在内的口腔疾病显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf5/4571552/025fc6905df8/ijmsv12p0742g001.jpg

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