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非手术牙周治疗对慢性牙周炎患者血清白蛋白水平的影响。

Effect of non-surgical periodontal treatment on serum albumin levels in patients with chronic periodontitis.

作者信息

Shirmohammadi Adileh, Faramarzi Masoumeh, Salari Ashkan, Sadighi Shamami Mehrnoosh, Babaloo Amir Reza, Mousavi Zohreh

机构信息

Department of Periodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Periodontics, Dental School, Rasht University of Medical Sciences, Rasht, Iran.

出版信息

J Adv Periodontol Implant Dent. 2018 Jun 20;10(1):18-23. doi: 10.15171/japid.2018.004. eCollection 2018.

Abstract

BACKGROUND

Albumin is a protein whose serum levels decrease in inflammatory conditions such as periodontal diseases. This study was undertaken to evaluate changes in serum albumin levels in patients with and without periodontal diseases prior and subsequent to non-surgical periodontal treatment and its relationship with clinical parameters of periodontal disease.

METHODS

Twenty patients diagnosed as having chronic periodontitis and 20 periodontally healthy subjects, referring to Tabriz Faculty of Dentistry, were selected. Serum albumin levels and clinical variables of periodontal disease (probing pocket depth, gingival index, bleeding index, clinical attachment level and plaque index) were determined before treatment and three months subsequent to non-surgical periodontal treatment. Data were subjected to descriptive statistical analyses (mean ± SD). Serum levels of albumin and clinical parameters were compared between the two groups with independent-samples t-test. Paired-samples t-test was applied to compare the variables before and after treatment in the case group. Statistical significance was defined at P<0.05.

RESULTS

The mean serum albumin level of chronic periodontitis patients (3.62±0.11 mg/dL) exhibited a significantly lower value compared to subjects who were periodontally healthy (4.17±0.29 mg/dL), with the serum albumin levels increasing significantly three months postoperatively (3.78±0.33 mg/dL), approaching the level in subjects who were periodontally healthy (P<0.05).

CONCLUSION

Decreases and increases in serum albumin levels under the effect of periodontal disease and its treatment indicated an inverse relationship between the albumin levels of serum and chronic periodontitis.

摘要

背景

白蛋白是一种蛋白质,其血清水平在诸如牙周疾病等炎症状态下会降低。本研究旨在评估牙周疾病患者和无牙周疾病者在非手术牙周治疗前后血清白蛋白水平的变化及其与牙周疾病临床参数的关系。

方法

选取了20名被诊断为患有慢性牙周炎的患者以及20名牙周健康的受试者,这些受试者均来自大不里士牙科系。在治疗前以及非手术牙周治疗后三个月,测定血清白蛋白水平和牙周疾病的临床变量(探诊深度、牙龈指数、出血指数、临床附着水平和菌斑指数)。数据进行描述性统计分析(均值±标准差)。两组之间血清白蛋白水平和临床参数采用独立样本t检验进行比较。配对样本t检验用于比较病例组治疗前后的变量。统计学显著性定义为P<0.05。

结果

慢性牙周炎患者的平均血清白蛋白水平(3.62±0.11mg/dL)显著低于牙周健康的受试者(4.17±0.29mg/dL),术后三个月血清白蛋白水平显著升高(3.78±0.33mg/dL),接近牙周健康受试者的水平(P<0.05)。

结论

牙周疾病及其治疗影响下血清白蛋白水平的降低和升高表明血清白蛋白水平与慢性牙周炎之间呈负相关。

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