由于慢性牙周炎而失去牙和下尿道症状之间的关系
Tomohiro Matsuo1, Shota Kakita1, Hiroyuki Honda1
1Department of Urology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8501, Japan.
Medicina (Kaunas, Lithuania)
|November 27, 2024
概括
牙疾病导致的牙损失与更严重的下泌尿道症状 (LUTS) 有关,包括过度活动的膀 (OAB). 保持口腔健康可以降低OAB和尿道问题的风险.
科学领域:
- 口腔卫生和泌尿病学
- 牙周病学 牙周病学
- 老年医学 老年医学
背景情况:
- 下尿道症状 (LUTS) 显著影响生活质量.
- 慢性牙周炎和随后的牙损失是普遍存在的疾病.
- 口腔健康和LUTS之间的潜在联系需要进一步调查.
研究的目的:
- 为了研究由于慢性牙周炎而导致的牙脱落与LUTS之间的关联.
- 确定牙脱落是否是过度活跃膀 (OAB) 的独立风险因素.
主要方法:
- 评估了232名40岁以上的LUTS患者.
- 评估剩余的牙,LUTS严重程度 (使用OABSS,IPSS) 和尿动力学测试.
- 采用多变量分析和倾向得分匹配的统计学严谨性.
主要成果:
- 在OAB患者中,牙显著减少 (p < 0.001).
- 较少的牙与增加的LUTS严重程度 (紧急性,频率,夜尿) 和较差的客观膀测量相关.
- 失去牙 (<21颗牙) 是OAB的一个独立风险因素 (p < 0.001).
结论:
- 牙损失与LUTS严重程度密切相关,影响储存和空白症状.
- 良好的口腔健康可以减轻OAB风险并改善尿功能.
- 牙护理对于管理和预防LUTS至关重要.
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