牙损严重程度与中风风险之间的关联
Yukiko Ono1, Yu-Ching Chou2, Wu-Chien Chien2,3
1Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.
Oral diseases
|October 21, 2023
概括
严重的牙损伤显著增加了中风风险,特别是老年人缺血性中风和年轻人出血性中风. 这突显了口腔健康和脑血管事件之间的严重程度依赖的联系.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 牙科医学 牙科医学
背景情况:
- 牙腐烂和中风风险之间的联系尚未完全理解.
- 调查牙损伤严重程度对中风发病率的影响对于公共卫生至关重要.
- 之前的研究已经给出了关于这种关联的不确定的结果.
研究的目的:
- 为了确定牙损的不同严重程度是否会影响中风风险.
- 分析晚期/严重牙损伤与中风风险之间的关联.
- 根据的严重程度,探索中风亚型的潜在差异.
主要方法:
- 一项回顾性队列研究利用了台湾国家健康保险数据库 (2000-2013).
- 选择了23,662名患有晚期/严重牙损伤的患者和23,662名患有初始/中度牙损伤的患者 (2000-2006年).
- 考克斯的比例危险模型评估了牙损伤严重程度和中风风险之间的关联.
主要成果:
- 患有晚期/严重牙的患者表现出明显更高的中风风险 (调整HR,1.16;95%CI,1.03-1.31).
- 在40岁及以上的个体中,晚期/严重的牙损与缺血性中风风险增加相关.
- 在40岁以下的患者中,发达/严重的牙损伤和出血性中风风险之间发现了积极的关联.
结论:
- 牙腐烂和中风之间存在明显的严重程度依赖关系.
- 这些发现表明,严重的牙损是亚洲人口中风的重要危险因素.
- 这项研究强调了管理牙健康的重要性,以减轻脑血管疾病风险.
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