[肝硬化患者牙周状况的评估]
E Y Diachkova1, S V Tarasenko1, Ch S Pavlov1
1I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Stomatologiia
|May 30, 2025
概括
这项研究发现,肝硬化患者的牙周健康状况较差,更严重的肝硬化与更糟糕的结果相关. 牙状况,包括牙周组织,受到肝病进展的重大影响.
科学领域:
- 口腔医学是指口腔医学.
- 肝病学 肝病学是一种肝病学.
- 牙周病学 牙周病学
背景情况:
- 肝硬化严重影响全身健康,可能影响口腔组织.
- 牙周病是一种常见的炎症状况,具有全身影响.
研究的目的:
- 评估诊断为肝硬化患者的牙状况和牙周组织状况.
- 调查肝硬化严重程度与牙周健康参数之间的相关性.
主要方法:
- 对52名患有不同病因的肝硬化患者进行了牙科检查.
- 肝硬化严重程度使用血液的生物化学参数和超声波进行分类,将患者分类为儿童-普格类A,B和C.
主要成果:
- 在Child-Pugh等级 (p<0.05) 中观察到牙周指数的显著差异,Child-Pugh C (59%) 的患病率最高,Child-Pugh A (36.4%) 的患病率最低.
- 与轻度肝硬化 (Child-Pugh A) 患者相比,患有严重肝硬化 (Child-Pugh C) 的患者的牙周口袋深度 (PD) 和临床附着损失 (CAL) 显著增加.
- 在儿童-皮格C患者中,最大PD为4.02毫米,最大CAL为-4.1毫米,而在儿童-皮格A患者中分别为2.96毫米和-2.8毫米.
结论:
- 这项研究表明牙周炎与肝硬化症的严重程度之间存在直接关联.
- 牙周健康评估可能是管理肝硬化患者的重要组成部分.
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