确定阻塞性睡眠呼吸暂停和慢性牙周病之间的关联:一个横截面研究
Kumari Pallavi1, B J Janardhana Amaranath1, Neelam Das1
1Department of Periodontology, Rama Dental College Hospital and Research Centre, Rama University, Kanpur, Uttar Pradesh, India.
Journal of pharmacy & bioallied sciences
|February 10, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 与严重的牙周病有关. 这项研究发现,严重的OSA显著恶化牙疾病,中度至严重OSA患者的并发病率更高.
科学领域:
- 口腔健康 口腔健康
- 睡眠医学 睡眠医学
- 心血管健康 心血管健康
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 和慢性牙周炎具有共同的炎症途径.
- 这种共享的炎症可能会使OSA患者的牙周病严重程度恶化.
研究的目的:
- 调查阻塞性睡眠呼吸暂停严重程度与慢性牙周炎之间的关联.
- 为了确定与OSA和牙周病相关的并发症和副功能习惯.
主要方法:
- 一项对500名患有睡眠障碍的患者进行的横截面研究.
- 通过多睡眠学和呼吸暂停-呼吸暂停指数 (轻度,中度,重度) 评估OSA的严重程度.
- 使用临床参数 (OHI,GI,PPD,CAL,衰退) 评估牙周状况.
主要成果:
- 严重的OSA (78.4%) 与中度 (35.4%) 和轻度 (20.3%) 的OSA相比,与更严重的牙周病有关.
- 中度和严重的OSA阶段显示出伴随疾病的高患病率:高血压 (100%),冠心病 (90.5%),糖尿病 (71.6%) 和肥胖 (51.4%).
- 在OSA严重程度,年龄,性别,吸烟和口腔呼吸之间发现了显著的关联.
结论:
- 轻微的OSA,随着年龄和男性的增加,和慢性牙周病之间存在显著的关联.
- 严重的OSA显示出更大程度的牙周破坏.
- OSA的严重程度与显著的并发病的患病率增加有关.
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