怀化地区侗族和汉族冠心病伴牙周炎的危险因素研究

Investigation on the Risk Factors for Dong and Han Cardiovascular Disease with Periodontitis in Huaihua.

目的：调查怀化地区侗族、汉族冠心病患者的牙周状况，并对其危险因素进行单因素和多因素分析。方法：采用随机整群抽样的方法选择2012年1月～2012年12月怀化地区通道县、麻阳县和溆浦县人民医院明确诊断为冠心病患者246人作为研究对象，采用SOSERVER2000软件建立数据库，分别对性别、年龄、吸烟、饮酒、口腔卫生习惯和民族等与冠心病伴牙厨炎的相关性进行单因素和多因素分析。结果：冠心病伴牙周炎总患病率为54．2％，单因素分析结果显示年龄、吸烟、口腔卫生习惯和民族是冠心病伴牙周炎的危险因素（OR值分别为2．30、1．65、3．67、2．06，P〈O．05）。以民族分层进行多因素分析结果显示，吸烟和口腔卫生习惯（OR值分别为2．03、1．60，P〈O．05）为侗族冠心病伴牙周炎的危险因素，同时，吸烟也是汉族冠心病伴牙周炎的危险因素（OR=1．69，P〈O．05）。结论：冠心病伴牙周炎的危险因素较多，不同民族之间存在一定的差异，吸烟和口腔卫生不良可增加怀化地区侗族冠心病并发牙周炎的风险。

Objective： To study the periodontal status and risk factors for periodontitis in cardiovascular disease pa- tients at different nationality in Huaihua. Methods： From January 2012 to December 2012, the cross--sectional sur- vey on periodontal conditions of 246 cases in the People＇s Hospital of Tongdao County, Mayang County and Xupu county was carried out with random cluster sampling method. Database was created by SQSERVER2000 and SPSS- 11.0 was used for statistical analysis. The relationship of cardiovascular disease with periodontitis with age, gender, smoking, drinking, oral hygiene habits and nation was analyzed by univariate and multivariate logistic regression a- nalysis. Results： The prevalence of cardiovascular disease with periodontitis was 54. 2%. Univariate analysis re- vealed that age, smoking, oral hygiene habits and nation were related factors for cardiovascular disease with peri- odontitis （OR= 2.30,1.65,3.67,2.06, P ~ 0.05）. Meanwhile, after stratification by natibn, multivariate analysis showed that smoking and oral hygiene habits were the independent risk factors for Dong cardiovascular disease with periodontitis （OR= 2.03,1.60, all P%0.05）, and smoking was also the independent risk factor for Han cardiovascu- lar disease with periodontitis （OR= 1.69, P〈0.05）. Conclusion： There are many risk factors for caI＂diovascular dis- ease with periodontitis and there are some differences between different ethnic groups. Smoking and oral hygiene play a major role in the development of Dong cardiovascular disease with periodontitis in Huaihua.