妊娠期牙龈炎的临床指数和风险因素

发布时间：2018-03-25 08:39

本文选题：妊娠期牙龈炎　切入点：性激素　出处：《国际口腔医学杂志》2017年02期

【摘要】：牙龈炎会增加不良妊娠的风险,导致孕妇早产和流产以及新生儿低体重。牙龈指数和牙周袋深度在整个妊娠期明显增高,探诊出血在妊娠期增高不明显,临床附着丧失在妊娠期的变化迄今尚不确定,菌斑指数在整个妊娠期及产后均波动较小且维持较低水平。孕妇机体内的性激素血浆浓度可达非孕妇水平的10倍,高浓度的性激素可增加地诺前列酮和白细胞介素-6等炎症递质的产生,从而加重妊娠期牙龈炎症。由于孕妇的身体状况特殊,因此妊娠期牙龈炎的治疗难度较一般牙龈炎大。预防措施主要是积极宣传口腔保健知识,让孕妇保持良好的口腔卫生状况,以降低发病率。探究妊娠期牙龈炎的发生发展规律,可为临床医生提供参考,帮助其减轻或消除妊娠期牙龈炎症状,保障孕妇和胎儿的身体健康。
[Abstract]:Gingivitis increases the risk of adverse pregnancy, leading to premature delivery and miscarriage and low birth weight. Gingival index and periodontal pocket depth are significantly increased throughout pregnancy, while bleeding from diagnosis is not significantly increased during pregnancy. The change of clinical attachment loss during pregnancy is uncertain, the plaque index fluctuates little throughout pregnancy and postpartum, and the plasma concentration of sex hormone in pregnant women is 10 times as high as that of non-pregnant women. High levels of sex hormones can increase the production of inflammatory transmitters such as denoprostone and interleukin-6, thereby exacerbating gingivitis during pregnancy. Therefore, the treatment of pregnancy gingivitis is more difficult than that of general gingivitis. The main preventive measures are to actively publicize oral health care knowledge, so that pregnant women can maintain a good oral health condition, so as to reduce the incidence of gingivitis during pregnancy, and explore the occurrence and development law of gingivitis during pregnancy. It can provide reference for clinicians to relieve or eliminate the symptoms of gingivitis during pregnancy and protect the health of pregnant women and fetuses.
【作者单位】：口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室武汉大学口腔医学院;武汉市急救中心;
【基金】：武汉大学2014年大学生科研项目(S2014841)~~
【分类号】：R781.41;R714.2

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