牙医诊所前的牙痛是否与第一次心肌梗塞的风险有关?
Dan Sebring1, Kåre Buhlin2,3, Thomas Kvist1
1Department of Endodontology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden.
Journal of clinical medicine
|October 16, 2025
概括
在第一次心肌梗塞 (MI) 之前寻求牙痛的牙科护理与心脏风险增加无关. 这项研究发现,患者因牙痛去看牙医和随后心脏病发作风险之间没有关联.
科学领域:
- 心脏病学 心脏病学
- 牙科医学 牙科医学
- 公共卫生 公共卫生
背景情况:
- 缺血性心脏病可能会出现不典型的症状,包括口腔面部疼痛,可能会延迟诊断,并导致不必要的牙科干预.
- 与心脏病相关的口腔面部症状需要仔细评估,以区别于初级牙科问题.
研究的目的:
- 为了调查牙痛或其他口腔问题的发生,在第一个心肌梗塞 (MI) 发生之前要求牙医访问.
- 为了确定寻求口腔疼痛的牙科护理是否与随后心脏病发作的风险增加有关.
主要方法:
- 一个病例控制研究 (PAROKRANK) 涉及805名因第一次心脏病入院的患者和805名匹配的对照.
- 参与者完成了关于使用牙科服务的调查,重点是最近去看牙医的原因,包括牙痛.
- 数据包括医疗和口腔检查,全景放射和血液采样.
主要成果:
- 自上次去看牙医以来的平均时间为1.08年,肌痛性心脏病患者和对照人群之间没有显著差异.
- 对于80.9%的受访者来说,例行牙科检查是访问的原因.
- 牙痛促使11.5%的受访者 (10.9%的患者,12.1%的对照群) 访问牙医,两组之间没有统计学上显著的差异 (p = 0.59).
结论:
- 寻求牙疼痛的牙科护理没有发现与第一次心肌梗塞的风险增加有关.
- 这项研究表明,在研究的局限范围内,促使牙医访问的口腔面部疼痛并不能作为未来心脏事件的预测因素.
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