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J Periodontol：菌斑控制对类风湿关节炎与牙周健康程度之间关系的影响

2018-05-27 lishiting MedSci原创

菌斑控制RA牙周病
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伴随指关节功能障碍的风湿性关节炎(RA)患者由于菌斑控制较差，会影响其口腔卫生和牙周状态。这篇研究的目的是为了调查菌斑控制对RA患者的RA严重性与牙周状态之间关系的影响。

伴随指关节功能障碍的风湿性关节炎(RA)患者由于菌斑控制较差，会影响其口腔卫生和牙周状态。这篇研究的目的是为了调查菌斑控制对RA患者的RA严重性与牙周状态之间关系的影响。研究招募了89名RA患者，自述对口腔保健均无障碍。研究用4种指数评估RA的严重程度：Steinbrocker阶段和分级、健康评定问卷(HAQ)和疾病活性评分(DAS)。探诊深度(PD)， 临床附着水平(CAL)和探诊出血(BOP)作为牙周病状态的参数指标。使用菌斑指数(PlI)评估口腔健康状况。使用多变量线性回归分析评估RA严重程度与牙周病参数之间的关系。结果显示，在不包括PII的多变量线性回归分析中，Steinbrocker阶段在III-IV患者的PII得分和PD均显著高于阶段为I的患者。另外，分级为III-IV患者的PII得分及PD均明显增高。HAQ评分≥ 0.5的患者其PII得分明显高于HAQ评分为0的患者。然而，当PlI被添加到每个多变量模型中作为一个独立变量时，RA严重程度和牙周病状态之间没有明显关联。结论：这篇研究表明，当在RA患者中评估RA严重性和牙周健康状况之间关系的时候，考虑菌斑控制的影响十分重要。原

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    2019-01-18 wrj0131

    #菌斑#

    0

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    2019-04-18 12498c32m80暂无昵称

    #牙周健康#

    0

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level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Jun 06 20:38:54 CST 2018, time=2018-06-06, status=1, ipAttribution=)]
    2018-10-09 feather89

    #PE#

    0

  4. 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level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Jun 06 20:38:54 CST 2018, time=2018-06-06, status=1, ipAttribution=)]
    2018-06-06 Y—xianghai

    学习了长知识

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1694335, encodeId=5e441694335ae, content=<a href='/topic/show?id=9b558805847' target=_blank style='color:#2F92EE;'>#菌斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88058, encryptionId=9b558805847, topicName=菌斑)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a9729602115, createdName=wrj0131, createdTime=Fri Jan 18 22:28:00 CST 2019, time=2019-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1764319, encodeId=c3821e643197b, content=<a href='/topic/show?id=554b6e498a9' target=_blank style='color:#2F92EE;'>#牙周健康#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67498, encryptionId=554b6e498a9, topicName=牙周健康)], attachment=null, authenticateStatus=null, createdAvatar=null, 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level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Jun 06 20:38:54 CST 2018, time=2018-06-06, status=1, ipAttribution=)]
    2018-06-06 Y—xianghai

    学习了长知识

    0

  6. 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level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Jun 06 20:38:54 CST 2018, time=2018-06-06, status=1, ipAttribution=)]
    2018-06-06 Y—xianghai

    学习了长知识

    0

  7. 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    2018-06-06 Y—xianghai

    学习了长知识

    0

  8. 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level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Jun 06 20:38:54 CST 2018, time=2018-06-06, status=1, ipAttribution=)]
    2018-06-06 Y—xianghai

    学习了长知识

    0

  9. 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    2018-06-06 Y—xianghai

    学习了长知识

    0

  10. 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    2018-06-06 Y—xianghai

    学习了长知识

    0

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