[阻塞性睡眠呼吸暂停患者的牙周健康状况]
R Ghandour1, A K Singh1, B Grift2
1The Department of Innovations in Preventive Care of the Oral Health Care Program in Utrecht and the Department of Oral and Maxillofacial Surgery of the Diakonessenhuis Utrecht/Zeist, the Netherlands.
Nederlands tijdschrift voor tandheelkunde
|February 4, 2026
概括
阻塞性睡眠呼吸暂停 (OSA) 与牙周健康状况较差有关,显示临床附着性降低和出血增加. 共同的风险因素可能会影响睡眠呼吸暂停和牙疾病之间的这种关联.
科学领域:
- 睡眠医学 睡眠医学
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍存在的与睡眠有关的呼吸障碍.
- 睡眠暂停症的严重程度通过呼吸暂停-呼吸暂停指数 (AHI) 来量化.
- 牙周病影响了成年人口的很大一部分.
研究的目的:
- 系统地审查关于阻塞性睡眠呼吸暂停和牙周健康之间的联系的科学文献.
- 为了确定可能受到OSA影响的特定牙周参数.
主要方法:
- 使用PubMed和牙科和口腔科学数据库进行了系统的文献审查.
- 四项涉及462名参与者 (18-77岁) 的横截面研究,在选236个结果后,满足了纳入标准.
- 两个研究人员进行独立的选择和质量评估,然后进行描述性比较.
主要成果:
- 呼吸暂停-呼吸暂停指数 (AHI) ≥5的参与者显示,临床依恋水平显著下降.
- 在患有OSA (AHI ≥5) 的人群中,观察到在探测时出血的倾向增加.
- 患有OSA的患者通常表现出牙周健康受损,特别是在临床附着和出血倾向方面.
结论:
- 阻塞性睡眠呼吸暂停和牙周健康受损之间存在潜在的关联.
- 临床依恋丧失和增加出血倾向是这种关联的关键指标.
- 共同的风险因素可能在OSA和牙周病之间的关系中发挥作用.
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