母亲牙周炎对低出生体重早产儿关系的临床研究
发布时间:2018-02-20 04:20
本文关键词: 牙周炎 孕妇 低出生体重早产儿 出处:《遵义医学院》2014年硕士论文 论文类型:学位论文
【摘要】:目的:探讨母亲牙周炎与低出生体重早产儿发生的相关性。 方法:按纳入标准收集同期住院并以剖宫产术为生产方式的低出生体重早产儿(preterm low birth weight,PLBW)母亲和正常出生体重新生儿(normal birth weight,NBW)母亲各30例,记录两组母亲年龄、孕周、身高、体重、文化程度及产儿体重、阿普伽新生儿评分等相关资料,检查记录两组母亲10颗指数牙探诊深度、临床附着丧失、牙龈探诊出血等牙周临床状况及龈沟液分泌量并进行比较和统计分析。 结果:1、基本情况比较结果:NBW组母亲体重高于PLBW组母亲(P<0.05),但两组母亲之间年龄和身高差异无统计学意义。NBW母亲组的文化程度较PLBW母亲组高(P<0.05)。PLBW与NBW两组新生儿出生情况比较,两组间新生儿出生时体重和1分钟、5分钟、10分钟阿普伽新生儿评分均有显著性差异(P<0.05)。 2、牙周组织状况比较结果:PLBW组母亲与NBW组母亲探诊出血情况的差异无统计学意义(P>0.05),PLBW组母亲的龈沟液分泌量、牙周探诊深度、附着丧失水平均显著高于NBW组(P<0.05),与NBW组母亲比较PLBW组母亲的牙周炎的患病率更高(P<0.05),且患牙周炎的母亲相对牙周健康的母亲发生早产的危险度比值比OR值为7.20。产妇孕周与龈沟液分泌量呈负相关(r=-0.314,,P<0.05)、与牙周探诊深度呈负相关(r=-0.407,P<0.05)、与临床附着丧失水平呈负相关(r=-0.280,P<0.05)。 结论:PLBW组母亲的牙周状况明显差于NBW组母亲,而患牙周炎的母亲发生早产的危险度是牙周健康者的7.2倍。牙周炎可能是导致低出生体重早产儿的危险因素之一。
[Abstract]:Objective: to investigate the relationship between maternal periodontitis and low birth weight preterm infants. Methods: according to the inclusion criteria, 30 preterm low birth weight low mothers of preterm low birth and 30 normal birth weight nbw mothers who were hospitalized at the same time and who took cesarean section as the mode of production were collected. The age, gestational age and height of the two groups were recorded. Body weight, education level, infant weight, Apgar neonatal score and other related data were examined and recorded, and 10 index teeth were examined and recorded in the two groups, and the clinical attachment was lost. The clinical status of periodontal bleeding and gingival crevicular fluid secretion were compared and statistically analyzed. Results: 1. The results showed that the body weight of the mothers in the PLBW group was higher than that in the PLBW group (P < 0.05), but there was no significant difference in age and height between the two groups. The education level of the two groups was higher than that of the PLBW group (P < 0.05) and the birth status of the two groups was higher than that of the NBW group (P < 0.05), but there was no significant difference in age and height between the two groups (P < 0.05). There were significant differences in neonatal weight at birth and Apgar neonate score between the two groups (P < 0.05). 2. The results of periodontal tissue comparison showed that there was no significant difference between the mothers of NBW group and that of the two groups (P > 0.05) in the secretion of gingival crevicular fluid and the depth of periodontal diagnosis. The incidence of periodontitis in PLBW group was significantly higher than that in NBW group (P < 0.05), and the odds ratio of periodontitis to periodontal healthy mother was 7.200.The incidence of periodontitis in PLBW group was higher than that in PLBW group (P < 0.05). There was a negative correlation between gestational weeks and gingival crevicular fluid secretion (P < 0.05), a negative correlation with periodontal probing depth (P < 0.05), and a negative correlation with clinical attachment loss (P < 0.05). Conclusion the periodontal status of mothers in the NBW group was significantly lower than that in the control group, and the risk of preterm delivery in the mothers with periodontitis was 7.2 times higher than that in the healthy ones. Periodontitis may be one of the risk factors for preterm infants with low birth weight.
【学位授予单位】:遵义医学院
【学位级别】:硕士
【学位授予年份】:2014
【分类号】:R781.4
【参考文献】
相关期刊论文 前8条
1 沙月琴;黄振;陈智滨;康军;和璐;于晓潜;;孕妇牙周炎与新生儿早产低体重的关联[J];北京大学学报(医学版);2009年01期
2 陈智滨;和璐;康军;黄振;沙月琴;朱万孚;闫玲;;早产低体重儿与母亲唾液中牙周致病菌的关系[J];北京大学学报(医学版);2012年01期
3 林W
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