布鲁克斯症患者的心血管风险概况:使用QRISK3评分的病例对照研究
Tolga Bayar1, Sezer Markirt2, Kadir Bıyıklı3
1Oral and Maxillofacial Surgery, Private Practice, Şırnak, TUR.
Cureus
|October 27, 2025
概括
与对照组相比,布鲁克斯症的成年人估计10年内患心血管疾病 (CVD) 的风险更高. Bruxism 严重程度与这种心血管疾病风险增加有关,建议对心血管健康进行牙科查.
科学领域:
- 心脏病学 心脏病学
- 口腔医学是指口腔医学.
- 公共卫生 公共卫生
背景情况:
- Bruxism 与自主功能障碍和炎症有关,这可能导致心血管疾病 (CVD) 风险.
- 之前的研究没有使用经过验证的模型量化布鲁克西斯症患者的心血管疾病风险.
- 这项研究通过评估布鲁克斯症成人心血管疾病风险来弥补这一差距.
研究的目的:
- 使用QRISK3算法,比较布鲁克斯症成年人和匹配的对照人群之间的10年心血管疾病风险.
- 评估布鲁克斯症严重程度与心血管风险之间的关联.
- 为了确定布鲁克斯症是否是高心血管疾病风险的独立预测因素.
主要方法:
- 一个匹配的病例控制研究,涉及92名患有牛症的成年人和108名对照.
- 参与者根据年龄,性别,BMI,吸烟状况,高血压和糖尿病进行了匹配.
- 使用 Bruxism Severity Questionnaire (BSQ) 评估 Bruxism 严重程度;使用 QRISK3.3 计算心血管疾病风险.
主要成果:
- 与对照组相比,布鲁克斯症的成年人平均QRISK3得分 (8.2%对6.1%) 和高心血管疾病风险的患病率 (28.3%对14.8%) 显著高于对照组.
- 用BSQ测量布鲁克斯症的严重程度,与QRISK3得分 (r=0.36) 有中等的相关性.
- 在对多种心血管风险因素进行调整后, Bruxism 被确定为高心血管疾病风险的独立预测因素 (OR 2.30).
结论:
- 患有乳症的成年人与不患乳症的同行相比,估计10年内心血管疾病风险增加.
- 布鲁克斯症的严重程度和计算的心血管风险之间存在相关性.
- 建议将心血管风险评估纳入布鲁克斯症患者的牙科护理.
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