J Clin Periodontol:牙周炎患者的糖尿病患病率如何?

2017-11-14 MedSci MedSci原创

目的:糖尿病和牙周炎都是复杂的慢性疾病,目前已确定二者可相互影响。本次系统性回顾旨在评估牙周炎患者伴有糖尿病的患病率。方法:检索MEDLINE-PubMed,CENTRAL和EMBASE数据库。提取或者如果可能的话计算牙周炎患者中糖尿病的患病率。结果:从搜索出来的803个标题和摘要中,有29个符合最初的标准。牙周炎患者糖尿病患病率为9.4%,无牙周炎患者为12.8%。根据亚分析,对于牙周炎患者,自

目的:


糖尿病和牙周炎都是复杂的慢性疾病,目前已确定二者可相互影响。本次系统性回顾旨在评估牙周炎患者伴有糖尿病的患病率。

方法:

检索MEDLINE-PubMed,CENTRAL和EMBASE数据库。提取或者如果可能的话计算牙周炎患者中糖尿病的患病率。

结果:

从搜索出来的803个标题和摘要中,有29个符合最初的标准。牙周炎患者糖尿病患病率为9.4%,无牙周炎患者为12.8%。根据亚分析,对于牙周炎患者,自我报告糖尿病者,糖尿病患病率为6.5%,而临床评估糖尿病的患病率为17.3%。在来自亚洲国家的研究中,牙周炎患者的糖尿病患病率最高(17.2%,n = 16647),欧洲人群的研究中患病率最低(4.3%(7858))。糖尿病患者有牙周炎无牙周炎的总体比值比为2.59(95%CI [2.12; 3.15])。牙周炎的定义,以及自我报告和临床评估的糖尿病存在显著差异,再加上纳入研究中糖尿病控制缺乏混杂性导致了估计偏差。

结论:

与没有牙周炎的人相比,牙周炎患者中糖尿病的整体患病率更高。与临床评估的情况相比,患者自我报告的糖尿病患病率较低。研究中还发现存在地理差异:在亚洲进行的研究中观察到牙周炎受试者中糖尿病患病率最高,而欧洲的研究则是最低的。

原始出处:

Ziukaite L, Slot DE, Van der Weijden FA. Prevalence of Diabetes Mellitus in People Clinically Diagnosed with Periodontitis: A Systematic Review and Meta-analysis of Epidemiologic Studies.  J Clin Periodontol. 2017 Nov 10. doi: 10.1111/jcpe.12839.

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