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口腔健康与空气流量限制之间的关联:使用韩国全国调查进行的分析
Sun-Hyung Kim1, Seonhye Gu2, Jung-Ae Kim3
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
Journal of Korean medical science
|August 7, 2023
概括
糟糕的口腔健康,包括假牙和高的DMFT指数,与空气流量限制 (AFL) 有关. 较少的牙也与更严重的AFL有关,这凸显了在管理呼吸系统疾病时需要牙科护理的必要性.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 牙科公共卫生 公共卫生
背景情况:
- 口腔健康不佳是空气流量限制 (AFL) 个体的常见并发症.
- 口腔健康和AFL严重程度之间的关联需要全面评估.
- 现有研究尚未完全阐明口腔健康和AFL严重程度之间的联系.
研究的目的:
- 评估口腔健康与空气流量限制 (AFL) 的存在和严重程度之间的关联.
- 调查特定口腔健康指标与AFL之间的关系.
- 在AFL患者的口腔健康管理方面为临床实践提供信息.
主要方法:
- 利用来自31,839名参与者的基于人口的全国调查数据.
- 定义的AFL基于前支气管扩展剂在1秒内强制呼气量/强制生命能力<0.7.7.
- 采用多变量逻辑回归来分析AFL和口腔健康指标 (牙周炎,DMFT指数,假牙,剩余牙) 之间的关联.
主要成果:
- 14%的参与者患有AFL;与对照组相比,他们表现出更高的牙周炎,完全假牙使用率和高的DMFT指数.
- 假牙的使用,高的DMFT指数和剩余牙的减少与AFL有显著的关联.
- 严重到非常严重的AFL与更高的完全假牙的患病率和剩余牙显著减少 (0-19).
结论:
- 戴假牙,高DMFT指数和减少永久牙数量与空气流量限制 (AFL) 有关.
- 较少的永久牙数量 (0-19) 与AFL严重程度的增加有很强的相关性.
- 医疗保健提供者应考虑口腔健康状况在患者的管理中AFL,如慢性阻塞性肺病 (COPD).
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