过早分娩和低出生体重与母亲慢性牙周炎之间的关联:一项基于医院的病例控制研究
Neeta Vijay Bhavsar1, Sakshee Trivedi1, Kirti Suresh Vachhani1
1Department of Periodontology, Government Dental College and Hospital, Ahmedabad, India.
Dental and medical problems
|June 19, 2023
概括
怀孕期间口腔卫生不良,如高斑块指数和深厚牙周口袋,显著增加了早产和低出生体重的风险.
科学领域:
- 产科和妇科 产科和妇科
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 牙周病 (PDs) 是一种常见的慢性疾病,影响口腔功能.
- 自20世纪90年代末以来,研究了它们与不良妊娠结果 (APO) 的联系.
研究的目的:
- 调查母亲慢性牙周炎 (CP) 与不良妊娠结果 (APO),特别是早产 (PTB) 和低出生体重 (LBW) 之间的关联.
- 为了比较正常分娩,PTB和LBW的母亲的牙周参数.
主要方法:
- 一项基于医院的病例控制研究,涉及1200名分娩后的母亲.
- 牙周状况,包括斑块指数 (PI) 和口袋探测深度 (PPD),在分娩后3天内进行评估.
- 使用多变量后勤回归分析来确定PTB和LBW的调整几率比率 (AOR),控制混因素.
主要成果:
- 高斑块指数 (PI) 与PTB (AOR=1.61) 和LBW (AOR=2.02) 有着强烈的关联.
- 平均口袋探测深度 (PPD) ≥4毫米显示与PTB有很强的关联 (AOR=4.32) 和更强的关联与LBW (AOR=8.70).
- 高PI和PPD≥4mm都被确定为PTB和LBW的独立风险因素.
结论:
- 怀孕期间不充分的斑块控制和深层牙周口袋的存在是妊娠不良结果的重要风险因素.
- 这些发现强调了母亲口腔健康在预防PTB和LBW方面的重要性.
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