BMC Oral Health:舌下静脉曲张与高血压有关吗?

2015-09-30 MedSci MedSci原创

BMC Oral Health:舌下静脉曲张与高血压有关吗?既往研究表明,舌下静脉曲张与年龄、吸烟以及心血管疾病有关。本研究旨在探究舌下静脉曲张是否与高血压有关。在此观察性临床研究中,研究人员共纳入了431例口腔科患者,记录其舌及血压的情况,拍摄了所有患者舌侧缘数码照片以对其舌下静脉进行评分,并测量了所有患者的血压。对于既往无高血压史,而诊室测量其血压 ≥ 140 mmHg和/或 ≥ 90 mmH

既往研究表明,舌下静脉曲张与年龄、吸烟以及心血管疾病有关。本研究旨在探究舌下静脉曲张是否与高血压有关。

在此观察性临床研究中,研究人员共纳入了431例口腔科患者,记录其舌及血压的情况,拍摄了所有患者舌侧缘数码照片以对其舌下静脉进行评分,并测量了所有患者的血压。对于既往无高血压史,而诊室测量其血压 ≥ 140 mmHg和/或 ≥ 90 mmHg的患者,一周之内于其家中再次测量血压。对于家中血压测量平均值≥135 mmHg 和/或≥85 mmHg的患者已转诊至初级卫生保健中心,在此患者接受3次血压 ,每次间隔一周。两位独立的单盲检查者对所拍摄的舌侧缘照片进行评分,舌下静脉曲张的分级为无/少(0分),中/重度(1分)。采用皮尔森卡方检验、t检验,多元线性回归分析对数据进行分析。

结果发现,舌下静脉曲张确与高血压有关(OR = 2.25, p < 0.002)。平均收缩压为123及132 mmHg的患者其舌下静脉评分分别为0和1 分(p < 0.0001, CI 95 %)。平均舒张压为80 及83 mmHg的患者其评分分别为0和1分(p < 0.005, CI 95 %)。舌下静脉曲张对高血压的阳性预测值为0.5,阴性预测值为0.8。

总而言之,该研究发现舌下动脉曲张确与高血压有关。检查舌侧缘的操作比较简单,不仅对舌无损伤,还可作为牙科专业人员积极参与预防保健的一个有价值的手段。

原始出处:

Lennart Hedström; Margit Albrektsson; Håkan Bergh. Is There a Connection Between Sublingual Varices and Hypertension? BMC Oral Health. 2015;15(78)

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    2015-10-07 shizhenshan
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    2016-04-07 小几洁
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    2016-04-04 fusion
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