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牙周基础治疗对老年牙周炎伴高血压患者菌斑指数及抗心磷脂抗体IgG、IgM等的影响
Effect of periodontal therapy on plaque index and anticardiolipin antibody IgG and IgM of elderly patients with periodontitis and hypertension

内科 201813卷03期 页码:323-325+332

作者机构:1 甘肃省民勤县社区卫生服务中心,民勤县733300;2 甘肃省武威市凉州区第三人民医院,武威市733000;3 甘肃省武威市民勤县妇幼保健站,民勤县733300

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2018.03.14

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨牙周基础治疗对老年牙周炎伴高血压患者菌斑指数及血清抗心磷脂抗体IgG、IgM含量等的影响。方法选取2015年12月至2017年3月在我院口腔门诊治疗的老年牙周炎伴高血压患者47例为研究对象,对患者进行牙周基础治疗。比较治疗前后患者牙周探诊深度(PD)、龈沟出血指数(BI)、临床附着水平(CAL)和牙菌斑指数(PLI)等的变化;比较治疗前后患者牙齿松动情况;比较治疗前后患者血清抗心磷脂抗体IgG(ACA-IgG)、IgM(ACA-IgM)以及血清C反应蛋白(CRP)和白细胞介素-6(IL-6)水平;评价临床治疗效果。结果随着治疗时间的延长,患者的PLI、BI、PD和CAL值不断降低,治疗前后比较差异有统计学意义(P<0.05);患者牙齿松动程度不断减轻,治疗前后患者牙齿松动程度比较差异有统计学意义(P<0.01);治疗6个月以后,无牙齿松动患者所占比例达82.98%,无Ⅲ度松动患者;患者血清的ACA-IgG、ACA-IgM、CRP、IL-6水平均显著下降,与治疗前比较差异有统计学意义(P<0.05);患者治疗总有效率达 93.62%。结论对老年牙周炎伴高血压患者进行牙周基础治疗,可改善患者牙周炎和牙齿松动情况,缓解患者疼痛,有助于改善患者高血压。
ObjectiveTo investigate the effect of periodontal therapy on plaque index and serum anticardiolipin antibody IgG and IgM in elderly patients with periodontitis and hypertension. Methods47 elderly patients with periodontitis and hypertension from December 2015 to March 2017 were treated with periodontal basic treatment. The changes of periodontal probing depth (PD), sulcus bleeding index (BI), clinical attachment level (CAL), plaque index (PLI) and dental loosening were compared before and after treatment. The serum anticardiolipin antibody IgG (ACA-IgG), IgM (ACA-IgM), serum C reactive protein (CRP) and interleukin-6 (IL-6) and clinical therapeutic effect were observed before and after comparative treatment. ResultsThe PLI, BI, PD and CAL values of patients decreased continuously with the prolongation of treatment time , and the difference was statistically significant before and after treatment (P<0.05). The degree of tooth loosening decreased, and there was a significant difference in the degree of tooth loosening before and after treatment (P<0.01). After 6 months of treatment, the proportion of patients without tooth loosening was 82.98%, and there were no third degree loosening. The levels of ACA-IgG, ACA-IgM, CRP and IL-6 in the serum of the patients were significantly decreased compared with those before treatment (P<0.05). The total effective rate of patients was 93.62%. ConclusionPeriodontal treatment for elderly patients with periodontitis and hypertension can improve the condition of periodontitis and tooth loosening, relieve the pain of the patients and help to improve the patient’s hypertension.

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