慢性牙周炎患者病情严重程度的相关影响因素研究

Study on the factors influencing the severity of chronic periodontitis

目的探究慢性牙周炎患者病情严重程度的相关影响因素。方法回顾性分析2020年1月至2021年1月本院治疗的170例慢性牙周炎患者的临床资料作为研究组,另选取同期接受健康口腔体检100例健康人作为对照组。采用单因素和多因素Logistic回归分析慢性牙周炎患者病情严重程度。结果单因素分析结果显示,研究组牙龈出血指数(BI)、菌斑指数(PLI)、附着丧失(AL)水平及年龄均高于对照组,有吸烟情况、患有糖尿病的患者占比均高于对照组,PD深于对照组,差异有统计学意义(P<0.05)。多因素非条件Logistic回归分析结果显示,BI、PLI、AL水平高,年龄较高,有吸烟情况,患有糖尿病、PD深均为影响慢性牙周炎患者病情严重程度的危险因素(OR>1,P<0.05)。结论BI、PLI、AL水平高、年龄较高、有吸烟情况、患有糖尿病、PD深均为影响慢性牙周炎患者病情严重程度的危险因素,临床需依据其制订预防举措,预防牙周炎的发生。

Objective To explore the factors influencing the severity of chronic periodontitis.Methods The clinical data of 170 subjects were retrospectively analyzed.All patients with chronic periodontitis were selected from January 2020 to January 2021,and they were selected as the study group,and 100 healthy patients who received oral examination during the same period were selected as the control group.Univariate and multivariate Logistic regression were used to analyze the severity of chronic periodontitis.Results The results of univariate analysis showed that the levels of bleeding index(BI),plaque index(PLI)and attachment loss(AL)in the study group were higher than those in the control group,the proportion of patients with smoking and diabetes were higher than those in the control group,PD was deeper than the control group,and the differences were statistically significant(P<0.05).Multivariate unconditional Logistic regression analysis showed that high levels of BI,PLI and AL,older age,smoking and diabetes,PD deeper were all risk factors affecting the severity of chronic periodontitis(OR>1,P<0.05).Conclusion High levels of BI,PLI and AL,older age,smoking and diabetes,PD deeper are all risk factors affecting the severity of chronic periodontitis.Clinically,it is necessary to formulate preventive measures to prevent periodontitis.