Stroke：牙周病、常规牙科护理与缺血性卒中！

2018-01-16 xing.T MedSci原创

由此可见，该研究证实牙周病与卒中发生风险之间独立相关，特别是心源性和血栓性脑卒中亚型。此外，定期进行牙科护理可以降低卒中的风险。

牙周病与心血管疾病是独立相关的。牙周疾病被确定为缺血性卒中的一个危险因素有可能会使常规的牙科护理应用降低卒中风险。近日，卒中领域权威杂志Stroke上针对这一问题发表了一篇研究文章。

在社区动脉粥样硬化风险（ARIC）的研究中，牙科随访模式分为定期或偶尔的牙科保健。在ARIC的牙科分支研究中，接受全口腔每颗牙齿收集6个位点的ARIC受试者被选择，并且被分为7类牙周疾病类型（PPC）。

在ARIC研究的10362名无卒中参与者中，在15年随访期间，584人发生了缺血性中风。在牙科ARIC研究中，6736名牙科受试者使用PPC进行了牙周疾病状态评估，在15年期间，共有299人发生了缺血性中风。PPC的7个层次中，卒中风险存在增加的趋势（χ2趋势P＜0.0001）；PPC-A（健康）受试者缺血性卒中的发生率为1.29/1000人每年，PPC-B受试者为2.82，PPC-C受试者为4.80，PPC-D受试者为3.81，PPC-E受试者为3.50，PPC-F受试者为4.78和PPC-G（严重的牙周病）受试者为5.03。牙周病与心源性（风险比为2.6；95%可信区间为1.2-5.6）和血栓形成性（风险比为2.2；95%可信区间为1.3-3.8）脑卒中的亚型相关。定期牙科护理与较低的调整后卒中风险相关（风险比为0.77；95%可信区间为0.63-0.94）。

由此可见，该研究证实牙周病与卒中发生风险之间独立相关，特别是心源性和血栓性脑卒中亚型。此外，定期进行牙科护理可以降低卒中的风险。

原始出处：

Souvik Sen,et al. Periodontal Disease, Regular Dental Care Use, and Incident Ischemic Stroke.Stroke. 2017. https://doi.org/10.1161/STROKEAHA.117.018990

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2018-01-29 12498da4m32(暂无昵称)

#缺血性卒#

83 0
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2018-04-05 guihongzh

#缺血性#

83 0
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2018-01-25 12177770m58暂无昵称

学习新知识.应用新知识.感谢分享好文!

104 0
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2018-01-17 linagood

#牙周病#

79 0
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2018-01-17 liuyong2982

#牙周#

77 0
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2018-01-17 xzw115

#牙科#

0 0
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2018-01-16 明月清辉

谢谢分享.学习了

98 0
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2018-01-16 Y—xianghai

学习了新知识

89 0
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2018-01-16 龙胆草

学习谢谢分享

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