椅子边HbA1c值与牙周炎之间的关联
Mark Ide1, Giuseppe Mainas1, Neha Kansagra1
1Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom, SE1 9RT.
Journal of dentistry
|February 14, 2026
概括
一项研究发现,近三分之一的牙科患者没有诊断出高HbA1c水平,这表明糖尿病前期或糖尿病. 这突出了牙科设置.
科学领域:
- 口腔健康和全身性疾病
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 全球糖尿病和糖尿病前期病例的增加需要早期检测.
- 牙周炎是一种常见的口腔疾病,具有潜在的全身联系.
- 在非传统环境中对高血糖的查可以改善早期诊断.
研究的目的:
- 为了调查椅子上的HbA1c测量和牙周炎之间的关联.
- 评估椅子上的HbA1c测试对牙科诊所糖尿病查的有用性.
- 在二级护理牙科环境中识别未被诊断的高血糖患者.
主要方法:
- 在口腔,牙和面生物库中对911名患者进行了横截面研究.
- 收集自我报告的医疗/牙科病史和椅子上的HbA1c测量.
- 在HbA1c水平和牙周临床数据之间进行关联分析.
主要成果:
- 82.7%的患者患有牙周炎 (I-IV阶段).
- 除了自我报告的糖尿病患者外,28.7%的人患有糖尿病前期,7.3%的人患有糖尿病范围HbA1c.
- HbA1c水平显示出与牙周炎的边缘关联 (p=0.054) 和与年龄和BMI的显著关联.
结论:
- 牙医访问为早期发现未被诊断的高血糖症提供了关键的机会.
- 在牙科机构的椅子 HbA1c 测试可以识别需要进一步糖尿病评估的个人.
- 在二级牙科护理的患者中,有很大一部分患有未诊断的前糖尿病或糖尿病.
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