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评估急性冠状动脉综合征患者牙周炎和心血管疾病的共同因素。

Evaluation of Common Factors of Periodontitis and Cardiovascular Disease in Patients with the Acute Coronary Syndrome.

机构信息

Departament of Periodontology, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.

Specjalistyczne Centrum Stomatologii Elżbieta Dembowska, Bohaterów Warszawy 11b/5, 70-370 Szczecin, Poland.

出版信息

Int J Environ Res Public Health. 2022 Jul 2;19(13):8139. doi: 10.3390/ijerph19138139.

Abstract

Periodontitis is a multifactorial disease causing inflammatory destruction of supporting structures of the dentition and eventually leading to its loss. This study was designed to evaluate common risk factors for periodontitis and acute coronary syndrome in the study population and demonstrate the systemic impact of periodontitis on the occurrence of acute coronary syndrome. A total of 160 patients (35 female and 125 male) were enrolled in the study. Considering the age range, the largest group of patients (118 patients) was between 55 and 65 years, which accounted for 73.8% of the total study population. There were 35 patients (21.9%) in the age group of 45 to 54 years, while the youngest age group of 35 to 44 years had as many as seven patients. Medical history and physical examination, including periodontal status, were performed. API, PD, CAL, and CPITN were evaluated. Common risk factors for periodontitis and acute coronary syndrome were assessed. The study assessed risk factors such as hypertension, diabetes, dyslipidemia, general health, smoking, height, weight, and hip circumference. In light of the above-described etiopathogenesis of atherosclerotic disease and its association with periodontal disease, it is important to emphasize preventing and treating periodontitis, especially in patients in the so-called high-risk group for cardiovascular disease. Dentists' introduction of an appropriate prophylactic and therapeutic plan may constitute both primary and secondary prevention of cardiovascular diseases.

摘要

牙周炎是一种多因素疾病,可导致牙齿支持结构的炎症性破坏,并最终导致其丧失。本研究旨在评估研究人群中牙周炎和急性冠状动脉综合征的常见危险因素,并证明牙周炎对急性冠状动脉综合征发生的系统影响。共有 160 名患者(35 名女性和 125 名男性)入组本研究。考虑到年龄范围,最大的患者群体(118 名患者)年龄在 55 至 65 岁之间,占总研究人群的 73.8%。有 35 名患者(21.9%)年龄在 45 至 54 岁之间,而年龄最小的 35 至 44 岁组有 7 名患者。进行了病史和体格检查,包括牙周状况。评估了 API、PD、CAL 和 CPITN。评估了牙周炎和急性冠状动脉综合征的常见危险因素。研究评估了高血压、糖尿病、血脂异常、一般健康状况、吸烟、身高、体重和臀围等危险因素。鉴于动脉粥样硬化疾病的上述病因发病机制及其与牙周病的关联,重要的是要强调预防和治疗牙周炎,尤其是在所谓的心血管疾病高危人群中。牙医引入适当的预防和治疗计划可能构成心血管疾病的一级和二级预防。

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本文引用的文献

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Current Concepts in the Management of Periodontitis.牙周炎治疗的现状。
Int Dent J. 2021 Dec;71(6):462-476. doi: 10.1111/idj.12630. Epub 2021 Feb 19.
2
Periodontal therapy and cardiovascular risk.牙周病治疗与心血管风险。
Periodontol 2000. 2020 Jun;83(1):107-124. doi: 10.1111/prd.12299.
4
Periodontitis: facts, fallacies and the future.牙周炎:事实、谬论与未来。
Periodontol 2000. 2017 Oct;75(1):7-23. doi: 10.1111/prd.12221.

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