CAJ | 학술논문

目的:研究孕产妇牙周疾病与早产低体重儿的相关性. 方法:采用横断面调查的方法,根据随机原则并按照纳入标准抽取2006-05～2007-02间在湖北省妇幼保健院进行生产的已作婚姻登记的,并且孕前1 年内及孕期未曾患有下生殖泌尿系统性疾病的妇女432 名.调查方法包括问卷和临床检查:调查问卷为被调查人员相关情况的结构式问题调查;牙周检查项目包括软垢指数、龈沟出血指数、牙周袋探诊深度及临床附着丧失水平等,同时记录新生儿体重和分娩时孕周.运用卡方检验及Logistic回归分析的统计学方法对数据进行分析.结果:分娩出早产低体重儿的孕产妇53 名,占12.3%;正常分娩的孕产妇379 名,占87.7%.早产低体重组孕产妇牙龈炎的患病率为86.6%,牙周炎的患病率为64.2%,正常分娩组的分别为73.6%和32.7%.患有牙龈炎孕产妇分娩出早产低体重儿的OR值为1.30, 95%CI为0.53～3.22;患有牙周炎的孕产妇分娩出早产低体重儿的OR值为2.69, 95%CI为1.37～5.27.结论:孕产妇牙周疾病是引起早产低体重儿的主要危险因素之一.
목적:연구잉산부아주질병여조산저체중인적상관성. 방법:채용횡단면조사적방법,근거수궤원칙병안조납입표준추취2006-05～2007-02간재호북성부유보건원진행생산적이작혼인등기적,병차잉전1 년내급잉기미증환유하생식비뇨계통성질병적부녀432 명.조사방법포괄문권화림상검사:조사문권위피조사인원상관정황적결구식문제조사;아주검사항목포괄연구지수、간구출혈지수、아주대탐진심도급림상부착상실수평등,동시기록신생인체중화분면시잉주.운용잡방검험급Logistic회귀분석적통계학방법대수거진행분석.결과:분면출조산저체중인적잉산부53 명,점12.3%;정상분면적잉산부379 명,점87.7%.조산저체중조잉산부아간염적환병솔위86.6%,아주염적환병솔위64.2%,정상분면조적분별위73.6%화32.7%.환유아간염잉산부분면출조산저체중인적OR치위1.30, 95%CI위0.53～3.22;환유아주염적잉산부분면출조산저체중인적OR치위2.69, 95%CI위1.37～5.27.결론:잉산부아주질병시인기조산저체중인적주요위험인소지일.
Objective:To assess the periodontal diseases as a possible risk factor for preterm and low birth weight. Methods: A population-based, cross-sectional study was carried out in Hubei. The samples were chosen randomly by the rule of admittance. Socio-demographic information relating to health and maternal habits was collected through a questionnaire. The clinical parameters were debris index-simplified (DI-S), sulcus bleeding index (SBI), probing pocket depth (PD) and clinical attachment loss (CAJ). The birth time and weight were recorded. The result was analyzed with chi-square test and logistic regression analysis.Results: The incidence of preterm low birth weight was 12.3%. The gingivitis and periodontitis were diagnosed in 86.6% and 64.2% of preterm low birth weight cases. The odds ratio of having gingivitis and preterm low birth weight was 1.30(95%confidence interval: 0.53-3.22). The odds ratio of having periodontitis and preterm low birth weight was 2.69(95%confidence interval: 1.37-5.27). Conclusion: The periodontal diseases of pregnancy can be regarded as an important risk factor for preterm low birth weight.