牛皮关节炎和牛皮的牙周状况和疾病活动:一个横截面研究
Bulent Akyuz1, Hazal Durmus2, Huseyin Baytımur3
1Department of Rheumatology, Akdeniz University Hospital, Antalya, Türkiye.
Archives of rheumatology
|January 31, 2026
概括
牙周炎在牛皮性关节炎 (PsA) 患者中更为常见,与其存在相关的疾病活性得分更高. 牙周查对于管理牛皮病至关重要,特别是在活跃病例中.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 牙周病学 牙周病学
背景情况:
- 牛皮关节炎 (PsA) 和牛皮 (PS) 是具有全身影响的慢性炎症疾病.
- 在PS和PSA患者中,并发症很常见.
- 牙周炎是一种普遍存在的口腔炎症状况.
研究的目的:
- 调查PS和PSA患者牙周炎的发生情况.
- 在这些患者群体中评估牙周炎与临床/人口因素之间的关联.
主要方法:
- 128名参与者 (62名PS,66名PsA) 接受了全面的评估.
- 疾病活动使用马斯特里赫特化脊柱炎发热点评分 (MASES) 和牛皮关节炎和复合牛皮疾病活动指数 (CPDAI) 来评估.
- 记录了皮肤和牙周的参数;参与者按牙周炎状态分组.
主要成果:
- 牙周炎的患病率在PsA (46.97%) 比PS (30.65%) 高,尽管在统计学上不显著 (P = .058).
- 升高的CPDAI (OR: 1.38;P = .001) 和MASES (OR: 1.39;P < .001) 评分与PsA患者的牙周炎有显著的相关性.
- 较高的疾病活动得分与牙周炎的存在相关.
结论:
- 牙周炎与牛皮病中疾病活性增加有关.
- 牙周评估应纳入PS和PsA的多学科管理.
- 活跃疾病需要特别注意牙周查.
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