体外授精-胚胎移植孕妇牙周健康状况调查

Investigation on Periodontal Health Status of Pregnant Women Undergoing In Vitro Fertilization-Embryo Transfer

目的:了解人工辅助生育的孕妇牙周健康状况与影响因素。方法:抽取2019年9月-2021年9月在柳州市人民医院生殖科就诊的进行体外受精-胚胎移植怀孕的孕妇100例作为观察组,选择在妇产科就诊的自然怀孕的孕妇100例作为对照组,进行口腔问卷调查和临床牙周检查。比较两组孕妇一般情况和孕期使用外源性孕激素情况。结果:观察组的平均年龄高于对照组,受教育程度高于对照组,家庭经济收入高于对照组,差异均有统计学意义(P<0.05)。观察组每天刷牙2次的人数高于对照组,饭后漱口、使用牙线、定期进行口腔检查及洗牙的人数高于对照组,差异均有统计学意义(P<0.05)。观察组的Ⅱ度牙石和软垢检出率占75%,高于对照组的47%,Ⅲ度牙石和软垢检出率占15%,低于对照组的38%,观察组探诊出血、牙周溢脓、根分叉病变、附着丧失的牙周诊断率均高于对照组,差异均有统计学意义(P<0.05)。观察组使用性激素进行促排卵、使用孕激素保胎、使用孕激素黄体酮、注射人绒毛膜促性腺激素的人数均高于对照组,差异均有统计学意义(P<0.05)。结论:观察组孕妇由于平均年龄较大,孕早期使用外源性孕激素剂量较多,比对照组孕妇罹患牙周炎的危险性更大,因此应加强观察组孕妇孕期口腔卫生宣教。

Objective:To investigate the periodontal health status and influencing factors of pregnant women with artificial assisted childbirth.Methods:One hundred pregnant women who underwent in vitro fertilization and embryo transfer in the Reproductive Department of Liuzhou People's Hospital from September 2019 to September 2021 were selected as the observation group,and 100 pregnant women who underwent natural pregnancy in the Department of Obstetrics and Gynecology were selected as the control group.Oral questionnaire survey and clinical periodontal examination were conducted.The general conditions of pregnant women and the use of exogenous progesterone during pregnancy were compared between the two groups.Results:The average age of the observation group was higher than that of the control group,the educational level was higher than that of the control group,and the family economic income was higher than that of the control group,and the differences were statistically significant(P<0.05).The number of people who brushed their teeth twice a day in the observation group was higher than that in the control group,and the number of people who rinsed their mouths after meals,used dental floss,performed regular oral examinations and teeth cleaning was higher than that in the control group,and the differences were statistically significant(P<0.05).The detection rate of grade Ⅱ calculus and soft scale in the observation group was 75%,which was higher than 47%in the control group,and the detection rate of grade Ⅲ calculus and soft scale was 15%,which was lower than 38% in the control group.The periodontal diagnosis rates of probing bleeding,periodontal discharge,furcation lesions and attachment loss in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The number of people in the observation group who used sex hormones for ovulation induction,progesterone to prevent miscarriage,progesterone,and injection of human chorionic gonadotropin was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:Pregnant women in the observation group have a higher risk of periodontitis than those in the control group due to their higher average age and higher dose of exogenous progesterone in early pregnancy.Therefore,oral health education in pregnant women of the observation group should be strengthened.