临床口腔医学杂志
臨床口腔醫學雜誌
림상구강의학잡지
JOURNAL OF CLINICAL STOMATOLOGY
2014年
6期
326-328
,共3页
先天性心脏病%婴幼儿龋%白色念珠菌%感染性心内膜炎
先天性心髒病%嬰幼兒齲%白色唸珠菌%感染性心內膜炎
선천성심장병%영유인우%백색념주균%감염성심내막염
congenital heart disease%early childhood caries%Candida albicans%infective endocarditis
目的:研究先天性心脏病儿童牙菌斑中白色念珠菌的携带情况。方法:根据WHO龋齿诊断标准,以115名2~5岁的先心病儿童作为研究对象,其中有龋组86人,无龋组29人,同时选取115例健康儿童为对照组,临床检查记录龋失补牙数(dmft)、龋失补牙面数(dmfs)及可视菌斑指数(VPI);采集龈上菌斑及龋坏组织,应用SYBR green I荧光定量PCR方法,对各组样本中白色念珠菌含量进行检测,所获得的数据进行统计学分析。结果:先心病组患龋率为74.8%,dmft、dmfs及VPI分别为5.69±5.69、11.83±15.14、43.8%±24.1%;对照组受检儿童患龋率为67.0%,dmft、dmfs、VPI分别为3.53±4.02、5.51±7.40、36.5%±24.1%。两组dmft,dmfs,VPI的差异有统计学意义。儿童牙菌斑中白色念珠菌的含量(Log10 copies/mL),先心病有龋组龋洞和牙颈部分别为6.71±2.92、5.64±3.11,无龋组为5.03±2.74;正常儿童有龋组龋洞和牙颈部分别为4.01±2.35、3.27±2.14,无龋组为3.43±2.56。先心病儿童与正常儿童牙菌斑中白色念珠菌含量差异具有统计学意义。结论:先心病儿童牙菌斑中白色念珠菌的含量高于正常儿童。口腔中的白色念珠菌,可能成为感染性心内膜炎的菌源之一,使先心病儿童成为感染心内膜炎的易感人群。
目的:研究先天性心髒病兒童牙菌斑中白色唸珠菌的攜帶情況。方法:根據WHO齲齒診斷標準,以115名2~5歲的先心病兒童作為研究對象,其中有齲組86人,無齲組29人,同時選取115例健康兒童為對照組,臨床檢查記錄齲失補牙數(dmft)、齲失補牙麵數(dmfs)及可視菌斑指數(VPI);採集齦上菌斑及齲壞組織,應用SYBR green I熒光定量PCR方法,對各組樣本中白色唸珠菌含量進行檢測,所穫得的數據進行統計學分析。結果:先心病組患齲率為74.8%,dmft、dmfs及VPI分彆為5.69±5.69、11.83±15.14、43.8%±24.1%;對照組受檢兒童患齲率為67.0%,dmft、dmfs、VPI分彆為3.53±4.02、5.51±7.40、36.5%±24.1%。兩組dmft,dmfs,VPI的差異有統計學意義。兒童牙菌斑中白色唸珠菌的含量(Log10 copies/mL),先心病有齲組齲洞和牙頸部分彆為6.71±2.92、5.64±3.11,無齲組為5.03±2.74;正常兒童有齲組齲洞和牙頸部分彆為4.01±2.35、3.27±2.14,無齲組為3.43±2.56。先心病兒童與正常兒童牙菌斑中白色唸珠菌含量差異具有統計學意義。結論:先心病兒童牙菌斑中白色唸珠菌的含量高于正常兒童。口腔中的白色唸珠菌,可能成為感染性心內膜炎的菌源之一,使先心病兒童成為感染心內膜炎的易感人群。
목적:연구선천성심장병인동아균반중백색념주균적휴대정황。방법:근거WHO우치진단표준,이115명2~5세적선심병인동작위연구대상,기중유우조86인,무우조29인,동시선취115례건강인동위대조조,림상검사기록우실보아수(dmft)、우실보아면수(dmfs)급가시균반지수(VPI);채집간상균반급우배조직,응용SYBR green I형광정량PCR방법,대각조양본중백색념주균함량진행검측,소획득적수거진행통계학분석。결과:선심병조환우솔위74.8%,dmft、dmfs급VPI분별위5.69±5.69、11.83±15.14、43.8%±24.1%;대조조수검인동환우솔위67.0%,dmft、dmfs、VPI분별위3.53±4.02、5.51±7.40、36.5%±24.1%。량조dmft,dmfs,VPI적차이유통계학의의。인동아균반중백색념주균적함량(Log10 copies/mL),선심병유우조우동화아경부분별위6.71±2.92、5.64±3.11,무우조위5.03±2.74;정상인동유우조우동화아경부분별위4.01±2.35、3.27±2.14,무우조위3.43±2.56。선심병인동여정상인동아균반중백색념주균함량차이구유통계학의의。결론:선심병인동아균반중백색념주균적함량고우정상인동。구강중적백색념주균,가능성위감염성심내막염적균원지일,사선심병인동성위감염심내막염적역감인군。
Objective:To detect the levels of Candida albicans(C. albicans) in dental plaque samples in children with congenital heart disease(CHD) by fluorescent quantitative PCR. Method:According to the World Health Organization crite-ria in 2003,115 children with CHD aged 2 to 5 years were selected and classified into two groups:the caries-active group and the caries-free group. Real-time PCR based on the SYBR green I was used to quantities the levels of C. albicans. Re-sult:The caries prevalence rate,dmft,dmfs and visible plaque index (VPI) of the CHD group were 74.8 %,5.69 ± 5.69,11.83 ±15.14,43.8 %±24.1 %. In control group,the caries prevalence rate,dmft,dmfs and VPI were 67.0 %,3.53 ± 4.02,5.51±7.40 and 36.5 %±24.1 %.There were significant differences in dmft,dmfs and VPI score between the two groups. Log10 C.albicans counts of caries-active group and the caries-free group in children with CHD was 6.71 ±2.92、5.64 ±3.11 and 5.03 ±2.7 respectively. And log10 C.albicans counts of those in normal children was 4.01 ±2.35、3.27 ±2.14 and 3.43 ± 2.56. There were significant differences in C.albicans counts between the CHD group and the control group. Conclusion:The level of C. albicans in children with CHD was higher than that of normal children. C. albicans may be a bacteria source of IE and make children with CHD vulnerable to IE.