牙损是大脑内出血的危险因素
Elizabeth A LaValley1, Souvik Sen1, Emma Mason1
1Department of Neurology, University of South Carolina, School of Medicine, Columbia, South Carolina, USA.
Cerebrovascular diseases (Basel, Switzerland)
|May 26, 2023
概括
牙损显著增加了脑内出血 (ICH) 的风险. 这项研究发现,患有牙腐烂的人患上ICH的风险几乎是牙腐烂的四倍,这突显了潜在的公共卫生问题.
科学领域:
- 神经学 神经学
- 牙科 牙科是指牙科的专业.
- 公共卫生 公共卫生
背景情况:
- 牙损伤的原因是Streptococcus mutans,它具有一个原结合蛋白 (Cnm),并影响血小板聚合和矩阵金属蛋白酶-9的激活.
- 这种细菌与实验性脑内出血 (ICH) 的恶化有关,可能是ICH的危险因素.
研究的目的:
- 调查牙损伤的存在与脑内出血 (ICH) 的发生率之间的联系.
主要方法:
- 社区牙动脉样硬化风险研究 (DARIC) 对没有中风或ICH史的参与者评估了牙损伤和牙周病.
- 参与者被跟踪了10年,以记录发生的ICH事件.
- 根据牙科评估,使用考克斯回归分析计算ICH的原始和调整的危险比率 (HR).
主要成果:
- 在6315名受试者中,1338名 (27%) 患有牙损伤. 在10年内,ICH事件发生在7 (0.5%) 患有虫的人群和10 (0.2%) 没有虫的人群中.
- 与没有牙的人相比,患有牙的人更年轻,更有可能是男性,非洲裔美国人,高血压.
- 在牙损伤和ICH (原始HR2.69) 之间发现了显著的关联,在调整后加强了 (调整后HR3.88).
结论:
- 牙损成为发生脑内出血 (ICH) 的潜在危险因素.
- 需要进一步的研究来探索治疗牙损伤是否可以减轻ICH的风险.
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