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探讨血液透析患者牙周病与血清生物标志物的相关性。

Exploring the correlation between periodontal disease and serum biomarkers in haemodialysis patients.

机构信息

Periodontology Department, Faculty of Dentistry, Sana'a University, Sana'a, Yemen.

Department of Periodontology and Oral Medicine, Faculty of Dentistry, Ibb University, Ibb, Yemen.

出版信息

BMC Oral Health. 2024 Sep 11;24(1):1066. doi: 10.1186/s12903-024-04826-1.

Abstract

BACKGROUND

Patients undergoing haemodialysis are more susceptible to infectious diseases, including periodontitis. This study aimed to investigate the Correlation between periodontal disease and serum markers in Yemeni haemodialysis patients.

METHODS

A cross-sectional study was conducted on a sample of 70 haemodialysis patients. Patient interviews, clinical examinations, and laboratory tests were performed to collect data. Serum levels of albumin, calcium, phosphorus, haemoglobin, ferritin, and creatinine were measured, with separate measurements for cystatin C The association between categorical variables was assessed using the chi-square test and Pearson's correlation coefficient, considering a significance level of p < 0.05.

RESULTS

Significant correlations were found between serum biomarkers and periodontal clinical parameters. Phosphorus, creatinine, albumin, ferritin, and creatinine levels correlated significantly with the Plaque Index (p < 0.001, p < 0.001, p = 0.015, p = 0.018, and p = 0.03). While the Ferritin level showed significant correlations with both the Plaque Index and Miller Classes (r = 0.281, p = 0.018 and r = 0.258, p = 0.031), respectively. The Calcium level showed a significant correlation with the Gingival Index (r = 0.266, p = 0.027). Cystatin C level was statistically correlated with mobility (r = 0.258, p = 0.031). Also, the result showed a significant correlation between Creatinine levels and Periodontitis (r = 0.26, p = 0.03).

CONCLUSION

This study provides evidence of a strong association between periodontal disease and chronic kidney disease in Yemeni haemodialysis patients. The findings emphasize the significance of maintaining good oral health in the care of haemodialysis patients.

摘要

背景

接受血液透析的患者更容易感染疾病,包括牙周炎。本研究旨在探讨也门血液透析患者牙周病与血清标志物之间的关系。

方法

对 70 名血液透析患者进行横断面研究。通过访谈患者、临床检查和实验室检查收集数据。测量血清白蛋白、钙、磷、血红蛋白、铁蛋白和肌酐水平,并分别测量胱抑素 C。使用卡方检验和 Pearson 相关系数评估分类变量之间的关系,置信水平为 p<0.05。

结果

发现血清生物标志物与牙周临床参数之间存在显著相关性。磷、肌酐、白蛋白、铁蛋白和肌酐水平与菌斑指数显著相关(p<0.001、p<0.001、p=0.015、p=0.018 和 p=0.03)。而铁蛋白水平与菌斑指数和 Miller 分级均有显著相关性(r=0.281,p=0.018 和 r=0.258,p=0.031)。钙水平与牙龈指数有显著相关性(r=0.266,p=0.027)。胱抑素 C 水平与松动度有统计学相关性(r=0.258,p=0.031)。此外,研究结果表明,肌酐水平与牙周炎之间存在显著相关性(r=0.26,p=0.03)。

结论

本研究为也门血液透析患者牙周病与慢性肾脏病之间存在强相关性提供了证据。研究结果强调了维持血液透析患者口腔健康的重要性。

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