绝经后妇女的激素替代疗法和牙周炎进展:一项前性队列研究
Ying Man1, Cui Zhang2, Cheng Cheng3
1Department of Stomatology, Shengli Oilfield Central Hospital, Dongying, Shandong Province, China.
Journal of periodontal research
|March 24, 2024
概括
激素替代疗法 (HRT) 可以缓解牙周炎症,并减少带膜骨损失,在绝经后妇女有牙周炎. HRT还降低了临床依恋水平在两年内增加的发生率.
科学领域:
- 牙周病学 牙周病学
- 内分泌学 在内分泌学.
- 老年学是一门学科.
背景情况:
- 激素替代疗法 (HRT) 被广泛用于更年期症状管理.
- 对于HRT对牙周环境的影响,尤其是在患有牙周炎的绝经后妇女身上,尚不清楚.
研究的目的:
- 调查绝经后妇女对HRT的牙周反应.
- 评估HRT对牙周炎和膜骨健康的影响.
主要方法:
- 对97名接受HRT的绝经后妇女和97名对照者的前性队列研究.
- 牙周参数 (SBI,BOP,PPD,CAL),炎症标志物 (IL-6,TNF-α) 和骨状况 (ABH,BMD) 被测量.
- 随访包括在一年和两年后的测量.
主要成果:
- 在没有牙周炎的女性中,HRT没有显著改变牙周参数.
- 在患有II期牙周炎的女性中,HRT在一年和两年后显著降低了SBI,BOP,IL-6和TNF-α.
- 与对照组相比,HRT在第二年导致了较低的CAL和ABH,以及较高的BMD.
- 在两年内,HRT显著降低了临床依恋水平增加的发生率.
结论:
- 在患有II期牙周炎的绝经后妇女中,HRT可以在两年内缓解牙周炎症.
- 在第二年,HRT促进了膜骨损失的缓解.
- HRT可以通过抑制炎症和骨损失来降低临床附着水平进展的发生率.
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