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之前的慢性牙周炎与慢性鼻炎有关:基于人口的病例控制研究
Tzong-Hann Yang1,2,3,4,5, Yen-Fu Cheng4,5,6,7,8, Herng-Ching Lin9,10,11
1Department of Otorhinolaryngology, Taipei City Hospital, Taipei, Taiwan.
Journal of periodontology
|March 28, 2025
概括
患有慢性鼻炎 (CRS) 的个体具有明显更高的以前慢性牙周炎 (CP) 的患病率. 这表明牙周健康可能会影响鼻炎的发展,强调需要综合护理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 牙周病学 牙周病学
- 流行病学 流行病学
背景情况:
- 慢性鼻炎 (CRS) 和慢性牙周炎 (CP) 是常见的炎症性疾病,具有重大健康影响.
- 现有的研究表明存在潜在的联系,可能是通过牙产生途径,但基于人口的有力的证据是有限的.
- 这项研究调查了CRS和CP史之间的关联.
研究的目的:
- 为了确定被诊断为CRS的个人是否更有可能有慢性牙周炎 (CP) 的病史.
- 量化CRS和以前的CP在一个大群体队列中的关联.
主要方法:
- 一项基于人口的病例控制研究利用了台湾的纵向健康保险数据库.
- 52,733名CRS患者与158,199名没有CRS的匹配对照进行了比较.
- 使用ICD代码识别了先前存在的CP;根据共变量调整后的后勤回归模型.
主要成果:
- 与对照组 (22.14%;p < 0.001) 相比,在CRS组中,先前CP的患病率明显高 (30.49%).
- 在CRS患者中,先前CP的调整后几率比为1.550 (95% CI:1.5161.584),表明中度相关性.
- 这种关联在性别特定分析中保持一致,男性显示调整后OR为1.622.2.
结论:
- 慢性鼻炎 (CRS) 和慢性牙周炎 (CP) 的病史之间存在显著的关联.
- 牙周健康可能在鼻炎的发病或恶化中发挥作用.
- 临床管理CRS应考虑牙周健康评估和综合护理方法.
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