J Diabetes Res:拔牙次数越多死亡率越高?

2017-07-22 MedSci MedSci原创

高敏C反应蛋白(hs-CRP)、拔牙次数和口腔感染对伴有或不伴有糖尿病的患者的死亡率的预测作用尚不清楚。该项前瞻性队列研究共纳入了12764名男性。通过问卷调查、血清测量、人体测量和血压测量获得了6434名老年男性的健康信息。其中425名男性检查为糖尿病患者。糖尿病和非糖尿病患者的基线特征有明显的差异。在糖尿病组,年龄和hs-CRP均有统计学意义,而在非糖尿病组则无此统计学意义,年龄、hs-CRP

高敏C反应蛋白(hs-CRP)、拔牙次数和口腔感染对伴有或不伴有糖尿病的患者的死亡率的预测作用尚不清楚。

该项前瞻性队列研究共纳入了12764名男性。通过问卷调查、血清测量、人体测量和血压测量获得了6434名老年男性的健康信息。


其中425名男性检查为糖尿病患者。糖尿病和非糖尿病患者的基线特征有明显的差异。在糖尿病组,年龄和hs-CRP均有统计学意义,而在非糖尿病组则无此统计学意义,年龄、hs-CRP、拔牙数,拔牙感染和口腔感染的结合,非空腹血糖、收缩压、总胆固醇、经常饮酒、每日吸烟和教育水平是独立的危险因素。

拔牙次数<5的情况下,与参与者死亡率呈负相关,而拔牙次数增加则会增加死亡率。多变量分析显示,糖尿病患者中,hs-CRP,拔牙次数和口腔感染是预测死亡率的重要因子,对于没有糖尿病的人来说,拔牙次数和hs-CRP则是预测死亡率的重要因子。

总之,该研究发现,无论是否患有糖尿病,感染和炎症均与死亡率相关。

原始出处:

Lise Lund Håheim, Kjersti S. Rønningen, et al., The Predictive Role of Tooth Extractions, Oral Infections, and hs-C-Reactive Protein for Mortality in Individuals with and without Diabetes: A Prospective Cohort Study of a 12 1/2-Year Follow-Up. J Diabetes Res. 2017; 2017: 9590740. Published online 2017 Jun 21. doi: 10.1155/2017/9590740.
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    2017-07-31 Coco5816

    意思是拔牙次数小于与5就没有什么影响?

    0

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    2017-07-24 xre2013
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    2017-07-22 131****1460

    学习了受益匪浅。

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