作　　者： ; ; ; ; ;

机构地区： 南方医科大学附属深圳市妇幼保健院

出　　处： 《实用口腔医学杂志》 2019年第1期109-113,共5页

摘　　要： 目的:调查妊娠期妇女的牙周状况并分析相关影响因素。方法:纳入20～43岁、10～35孕周的健康妊娠期妇女380名,进行问卷调查及临床牙周检查,对比分析不同年龄、孕周、学历对牙周状况的影响。结果:妊娠期牙周病患病率为87. 1%;孕早(10～15周)、孕中(16～27周)、孕晚期(28～35周)的牙周探诊(PD)深度(mm)分别为2. 48±0. 54、2. 60±0. 54、2. 71±0. 48(P <0. 05); PD≥4 mm的位点为2个的患者百分比分别为76. 5%、84. 1%和93. 5%(P <0. 05);牙龈指数(GI)、出血指数(BI)在孕周组间差异无显著性(P>0. 05); 20～27岁、28～35岁和36～43岁组患者的PD分别为2. 39±0. 51、2. 61±0. 53和2. 62±0. 56(P <0. 05)。年龄与GI和PD呈正相关(P <0. 05),与BI无相关性(P> 0. 05);孕周与PD呈正相关(P <0. 05),与GI和BI无相关性(P> 0. 05)。结论:妊娠期妇女牙周病患病率高,且随着妊娠妇女年龄及孕周的增大,牙周炎症状况加重。 Objective: To evaluate periodontal status of 380 pregnant women and its related factors. Methods: 380 healthy pregnant women aged 20 to 43 at 10-35 weeks of gestation were enrolled and received a questionnaire and a periodontal examination,in order to compare and analyse the effects of different ages,gestational weeks and educational levels on periodontal condition. Results: The prevalence of periodontal disease of the subjects was 87. 1%. In first( 10-15 weeks),second( 16-27 weeks) and third( 28-35 weeks) trimester PD( mm) was 2. 48 ± 0. 54,2. 60 ± 0. 54 and 2. 71 ± 0. 48 respectively( P < 0. 05);the percentage of PD≥4 mm in 2 or more sites were 76. 5%,84. 1% and 93. 5% respectively( P < 0. 05);GI and BI did not show significant differences among of the 3 groups trimester stages( P > 0. 05);PD in maternal age( year) 20-27,28-35 and 36-43 years was2. 39 ± 0. 51,2. 61 ± 0. 53 and 2. 61 ± 0. 56 respectively( P < 0. 05). A significantly positive linear trend was observed between age and GI( P < 0. 05) or PD( P < 0. 05),but without significant correlation between age and BI. Significant correlation was found between pregnant weeks and PD( P < 0. 05),but without correlation between pregnant weeks and GI( P > 0. 05) or BI( P > 0. 05).Conclusion: The prevalence of periodontal disease during pregnancy is high. Meanwhile,the periodontal inflammation is increasing worse with the increase of gestational weeks and maternal age.

关 键 词： 妊娠 牙周指数 牙周炎症

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