牙周病和冠心病相互关系的临床问卷研究

A clinical questionnaire about the relationship between the pe riodontal disease and coronary heart disease

目的 :通过临床问卷调查 ,初步探讨牙周病与心血管疾病的相互关系。方法 :选取第四军医大学西京医院和解放军 32 3医院心血管内科住院患者 2 82例 ,分为冠心病组 1 4 6例 (病例组 )和非冠心病组 1 36例 (对照组 ) ,均设计相同的问卷进行调查 ,比较两组牙周病患病率和牙周健康状况 (牙龈出血、牙齿松动、牙龈退缩、牙齿缺失 )的差异。结果 :冠心病组的牙周病患病率 (52 .0 5 % )高于非冠心病组 (32 .35 % ) ,冠心病组牙周健康状况也均差于非冠心病组。经统计学检验 ,两组间有显著性差异 (P <0 .0 1 ) ,牙周病 (OR =2 .2 70 ,P <0 .0 1 )和吸烟 (OR =1 .892 ,0 .0 1 <P <0 .0 5)为冠心病的可疑危险因素。结论

AIM:To investigate the relationship between p eriodontal disease and coronary heart disease (CHD) through a clinical questionn aire.METHODS:282 inpatients during June to August 2002 were en listed.They were divided into the group of coronary heart disease (146 CHD) and the control group(136 non-CHD).Same clinical questionnaires were completed. Prev alence rate of periodontal disease and status of periodontal tissue was compared in two groups.RESULTS:Prevalence rate of periodontal disease in the CHD group(52.05%) was far more than that in the control group(32.35%).The difference was significant after statistical analysis (P<0.01).Status of pe riodontal tissue in the CHD group was worse than that in the control group (P <0.01).The main risk factors of CHD were Periodontal disease(OR=2.270, P<0 .01) and smoke(OR=1.892, 0.01<P<0.05). CONCLUSION:There wa s significant association between periodontal disease and CHD.