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韩国成年人牙周病与未破裂脑动脉瘤发生的相关性:一项全国范围内基于人群的队列研究

Association of Periodontal Disease with the Occurrence of Unruptured Cerebral Aneurysm among Adults in Korea: A Nationwide Population-Based Cohort Study TRANSLATE with x EnglishArabicHebrewPolishBulgarianHindiPortugueseCatalanHmong DawRomanianChinese SimplifiedHungarianRussianChinese TraditionalIndonesianSlovakCzechItalianSlovenianDanishJapaneseSpanishDutchKlingonSwedishEnglishKoreanThaiEstonianLatvianTurkishFinnishLithuanianUkrainianFrenchMalayUrduGermanMalteseVietnameseGreekNorwegianWelshHaitian CreolePersian// TRANSLATE with COPY THE URL BELOW Back EMBED THE SNIPPET BELOW IN YOUR SITE Enable collaborative features and customize widget: Bing Webmaster PortalBack//.

机构信息

Department of Neurology, Kyung Hee University College of Medicine, Seoul 02447, Korea.

Department of Neurology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul 07985, Korea.

出版信息

Medicina (Kaunas). 2021 Aug 30;57(9):910. doi: 10.3390/medicina57090910.

DOI:10.3390/medicina57090910
PMID:34577833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8465273/
Abstract

Cerebral aneurysms can cause disability or death during rupture, but information on the etiology of cerebral aneurysms is currently lacking. Periodontal disease causes both systemic inflammation and local inflammation of the oral cavity. Systemic inflammation is a major cause of cerebral aneurysms. The aim of our study was to determine whether the presence of periodontal disease is related to the occurrence of unruptured cerebral aneurysms in a nationwide population-based cohort. We analyzed data on demographics, previous medical history, and laboratory test results of 209,620 participants from the Korean National Health Insurance System-Health Screening Cohort. The presence of periodontal disease and oral hygiene parameters, including the number of lost teeth, tooth brushing frequency per day, dental visits for any reason, and expert teeth scaling, were investigated. The occurrences of unruptured cerebral aneurysms (I67.1) were defined according to the International Statistical Classification of Diseases Related Health Problems-10. The mean age of the participants was 53.7 ± 8.7 years, and 59.4% were male. Periodontal disease was found in 20.9% of the participants. A total of 2160 (1.0%) cases of unruptured cerebral aneurysms developed after 10.3 years of median follow up. In multivariate analysis, the presence of periodontal disease was significantly associated with an increased risk of unruptured cerebral aneurysms (hazard ratio: 1.21, 95% confidence interval: 1.09-1.34, < 0.001). The presence of periodontal disease could be associated with the occurrence of unruptured cerebral aneurysms. It should be noted that when periodontal diseases are present, the risk of aneurysms is increased in the future.TRANSLATE with x EnglishArabicHebrewPolishBulgarianHindiPortugueseCatalanHmong DawRomanianChinese SimplifiedHungarianRussianChinese TraditionalIndonesianSlovakCzechItalianSlovenianDanishJapaneseSpanishDutchKlingonSwedishEnglishKoreanThaiEstonianLatvianTurkishFinnishLithuanianUkrainianFrenchMalayUrduGermanMalteseVietnameseGreekNorwegianWelshHaitian CreolePersian// TRANSLATE with COPY THE URL BELOW Back EMBED THE SNIPPET BELOW IN YOUR SITE Enable collaborative features and customize widget: Bing Webmaster PortalBack//.

摘要

脑动脉瘤破裂可导致残疾或死亡,但目前对脑动脉瘤的病因知之甚少。牙周病会引起全身炎症和口腔局部炎症。全身炎症是脑动脉瘤的主要病因。本研究旨在确定牙周病的存在是否与全国人群队列中未破裂脑动脉瘤的发生有关。

我们分析了韩国国家健康保险系统-健康筛查队列中 209620 名参与者的人口统计学、既往病史和实验室检查结果的数据。调查了牙周病的存在以及口腔卫生参数,包括失牙数量、每天刷牙次数、因任何原因就诊次数和专家洁牙次数。未破裂脑动脉瘤(I67.1)的发生根据国际疾病相关健康问题统计分类-10 定义。参与者的平均年龄为 53.7±8.7 岁,其中 59.4%为男性。20.9%的参与者患有牙周病。中位随访 10.3 年后,共发生 2160 例(1.0%)未破裂脑动脉瘤。多变量分析显示,牙周病的存在与未破裂脑动脉瘤的风险增加显著相关(风险比:1.21,95%置信区间:1.09-1.34,<0.001)。

牙周病的存在可能与未破裂脑动脉瘤的发生有关。值得注意的是,当存在牙周病时,未来发生动脉瘤的风险会增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9912/8465273/381bd104c726/medicina-57-00910-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9912/8465273/0627448d47c6/medicina-57-00910-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9912/8465273/381bd104c726/medicina-57-00910-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9912/8465273/0627448d47c6/medicina-57-00910-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9912/8465273/381bd104c726/medicina-57-00910-g002.jpg

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2
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Diabetologia. 2020 May;63(5):924-933. doi: 10.1007/s00125-020-05112-9. Epub 2020 Mar 2.
3
Role of oral pathogens in the pathogenesis of intracranial aneurysm: review of existing evidence and potential mechanisms.
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Diabetes Metab J. 2024 Nov;48(6):1093-1104. doi: 10.4093/dmj.2023.0243. Epub 2024 May 21.
4
Bioinformatics analysis revealed the potential crosstalk genes and molecular mechanisms between intracranial aneurysms and periodontitis.生物信息学分析揭示了颅内动脉瘤和牙周炎之间潜在的串扰基因和分子机制。
BMC Med Genomics. 2024 Apr 29;17(1):114. doi: 10.1186/s12920-024-01864-0.
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Association between changes in predicted body composition and occurrence of heart failure: a nationwide population study.预测身体成分变化与心力衰竭发生的关系:一项全国性人群研究。
Front Endocrinol (Lausanne). 2023 Oct 23;14:1210371. doi: 10.3389/fendo.2023.1210371. eCollection 2023.
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J Pers Med. 2023 Feb 15;13(2):340. doi: 10.3390/jpm13020340.
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