CAJ | 학술논문

目的:初步探讨牙周炎与慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)的关系.方法:选择符合纳入标准的受试者498 名,其中轻度、中度及重度牙周炎组分别为77 人(15.5%),143 人(28.7%),278 人(55.8%).牙周检查包括:牙周探诊深度(probing depth, PD),牙周附着丧失(attachment loss, AL),龈沟出血指数(sulcus bleeding index, SBI),菌斑指数(plaque index, PLI),牙槽骨吸收水平.通过支气管舒张剂吸入试验测定受试者肺功能水平.结果:COPD组的AL、PLI及牙槽骨吸收水平显著高于非COPD组.其中不同程度牙周炎组之间第1 秒用力呼气容积占预计值的百分比(FEV1%预计值)(F=3.59,P=0.028)及第1秒用力呼气容积占用力肺活量的百分比(FEV1/FVC)(F=4.84,P=0.008)的差异有统计学意义.支气管舒张剂后"FEV1%预计值"及"FEV1/FVC"与牙周检查指标(AL,PLI,牙槽骨吸收水平)之间均有显著负相关关系.结论:COPD与牙周检查指标(AL,PLI,牙槽骨吸收水平)之间存在相关性.
목적:초보탐토아주염여만성조새성폐질병(chronic obstructive pulmonary disease, COPD)적관계.방법:선택부합납입표준적수시자498 명,기중경도、중도급중도아주염조분별위77 인(15.5%),143 인(28.7%),278 인(55.8%).아주검사포괄:아주탐진심도(probing depth, PD),아주부착상실(attachment loss, AL),간구출혈지수(sulcus bleeding index, SBI),균반지수(plaque index, PLI),아조골흡수수평.통과지기관서장제흡입시험측정수시자폐공능수평.결과:COPD조적AL、PLI급아조골흡수수평현저고우비COPD조.기중불동정도아주염조지간제1 초용력호기용적점예계치적백분비(FEV1%예계치)(F=3.59,P=0.028)급제1초용력호기용적점용력폐활량적백분비(FEV1/FVC)(F=4.84,P=0.008)적차이유통계학의의.지기관서장제후"FEV1%예계치"급"FEV1/FVC"여아주검사지표(AL,PLI,아조골흡수수평)지간균유현저부상관관계.결론:COPD여아주검사지표(AL,PLI,아조골흡수수평)지간존재상관성.
Objective:To explore the relationship between Chronic Obstructive Pulmonary Disease (COPD) and periodontitis. Methods: 498 subjects were recruited in this study and were divided into three groups: mild periodontitis group (77, 15.5%), moderate periodontitis group (143, 28.7%), and severe periodontitis group (278, 55.8%). Clinical examination indexes included probing depth (PD), attachment loss (AL), sulcus bleeding index (SBI), plaque index (PLI) and the level of the alveolar resorption. Lung function of each subjects were also examined. Results: The levels of AL, PLI and alveolar resorption in COPD group were higher than non-COPD group. Significant differences of "FEV1% pre"(F=3.59,P=0.028) and "FEV1/FVC"(F=4.84,P=0.008) were found among different degrees of periodontitis. Negative relationship was found between the level of "FEV1% pre" and the periodontal index (AL, PLI, alveolar resorption), and the same relationship was found for "FEV1/FVC". Conclusion: Correlation is found between COPD and the periodontitis index (AL, PLI, alveolar resorption).