CAJ | 학술논문

目的探讨农村维吾尔族成人慢性牙周炎与高血压的相关性.方法采用分层随机抽样的方法从新疆维吾尔自治区墨玉县364个自然村按容量比例概率抽样,随机抽取1415名维吾尔族成人(≥18岁),进行问卷调查、体格测量、实验室检查及口腔检查.依据慢性牙周炎的诊断标准,将调查对象分为牙周炎组和非牙周炎组,其中牙周炎组按其严重程度进一步分为:轻度牙周炎组,中度牙周炎组和重度牙周炎组.牙周炎与高血压的关系采用Spearman相关分析.应用logistic回归模型对高血压相关影响因素进行分析.结果慢性牙周炎患病粗率为66.0％( 934/1415),高血压患病粗率为33.8％ (478/1415),非牙周炎及轻度、中度、重度牙周炎组高血压的患病比例为18.7％(90/481),35.1％ (131/373),32.3％ (62/192),52.8％ (195/369).Speaman相关分析结果显示牙周炎与高血压呈正相关(rs =0.273,P＜0.01).校正年龄、性别、体质指数、腰围、糖代谢异常、高脂血症、慢性肾脏病后,多因素logstic回归分析显示牙周炎组高血压患病风险为非牙周炎组的1.75倍(OR= 1.75,95％CI:1.30 ～2.36,P＜0.01),轻度牙周炎组高血压患病风险为非牙周炎组的1.76倍(OR=1.76,95％ CI:1.26 ～2.48,P＜0.01),中度牙周炎组高血压患病风险为非牙周炎组的1.21倍(OR= 1.21,95％ CI:0.80～1.84,P＞0.05),重度牙周炎组高血压患病风险为非牙周炎组的2.26倍(OR =2.26,95％ CI:1.57 ～3.26,P＜0.01).结论农村维吾尔族成人慢性牙周炎与高血压独立相关.
목적 탐토농촌유오이족성인만성아주염여고혈압적상관성.방법 채용분층수궤추양적방법종신강유오이자치구묵옥현364개자연촌안용량비례개솔추양,수궤추취1415명유오이족성인(≥18세),진행문권조사、체격측량、실험실검사급구강검사.의거만성아주염적진단표준,장조사대상분위아주염조화비아주염조,기중아주염조안기엄중정도진일보분위:경도아주염조,중도아주염조화중도아주염조.아주염여고혈압적관계채용Spearman상관분석.응용logistic회귀모형대고혈압상관영향인소진행분석.결과 만성아주염환병조솔위66.0％( 934/1415),고혈압환병조솔위33.8％ (478/1415),비아주염급경도、중도、중도아주염조고혈압적환병비례위18.7％(90/481),35.1％ (131/373),32.3％ (62/192),52.8％ (195/369).Speaman상관분석결과현시아주염여고혈압정정상관(rs =0.273,P＜0.01).교정년령、성별、체질지수、요위、당대사이상、고지혈증、만성신장병후,다인소logstic회귀분석현시아주염조고혈압환병풍험위비아주염조적1.75배(OR= 1.75,95％CI:1.30 ～2.36,P＜0.01),경도아주염조고혈압환병풍험위비아주염조적1.76배(OR=1.76,95％ CI:1.26 ～2.48,P＜0.01),중도아주염조고혈압환병풍험위비아주염조적1.21배(OR= 1.21,95％ CI:0.80～1.84,P＞0.05),중도아주염조고혈압환병풍험위비아주염조적2.26배(OR =2.26,95％ CI:1.57 ～3.26,P＜0.01).결론 농촌유오이족성인만성아주염여고혈압독립상관.
Objective To explore the association between chronic periodontitis and hypertension in rural adult Uygur residents.Methods A total of 1415 Uygur residents aged 18 and over were selected by random multistage and probability proportional to size from 364 villages in Moyu county of Xinjiang Uygur autonomous region,all subjects received questionnaire,physical examination and biochemical analysis and oral examination.The subjects were categorized as periodontitis group and no periodontitis group,the periodontitis group was further categorized as mild,moderate and severe periodontitis subgroup.The relationship between chronic periodontitis with hypertension was analyzed by Spearman correlation.Binary logistic regression was used to calculate the influential factors for hypertension.Results The prevalence rates of chronic periodontitis and hypertension were 66.0％ (934/1415) and 33.8％ (478/1415),respectively.The prevalence rates of hypertension were 18.7％ ( 90/481 ),35.1％ ( 131/373 ),32.3％(62/192),52.8％ (195/369) in no periodontitis,mild,moderate and severe periodontitis groups,respectively.Spearman correlation showed an association of chronic periodontitis with hypertension (rs =0.273,P ＜ 0.01 ).After adjustment for age,gender,body mass index,waist circumference,glycometabolism disorder,hyperlipidemia,chronic kidney disease,multiple logistic regression analysis showed that periodontitis was significantly associated with hypertension ( OR = 1.75,95％ CI:1.30 - 2.36,P ＜0.01 ).Compared with no periodontitis,mild ( OR = 1.76,95％CI:1.26 -2.48,P ＜0.01 ) and severe ( OR = 2.26,95％ CI:1.57 - 3.26,P ＜ 0.01 ) periodontitis were significantly associated with hypertension while moderate periodontitis was not significantly associated with hypertension ( OR = 1.21,95％ CI:0.80 - 1.84,P ＞ 0.05 ).Conclusion This study showed an independent association of periedontitis with hypertension in this study cohort.