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  本文關(guān)鍵詞： 牙周炎 孕婦 低出生體重早產(chǎn)兒　出處：《遵義醫(yī)學(xué)院》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：探討母親牙周炎與低出生體重早產(chǎn)兒發(fā)生的相關(guān)性。 方法：按納入標(biāo)準(zhǔn)收集同期住院并以剖宮產(chǎn)術(shù)為生產(chǎn)方式的低出生體重早產(chǎn)兒（preterm low birth weight，PLBW）母親和正常出生體重新生兒（normal birth weight，NBW）母親各30例，記錄兩組母親年齡、孕周、身高、體重、文化程度及產(chǎn)兒體重、阿普伽新生兒評分等相關(guān)資料，檢查記錄兩組母親10顆指數(shù)牙探診深度、臨床附著喪失、牙齦探診出血等牙周臨床狀況及齦溝液分泌量并進行比較和統(tǒng)計分析。 結(jié)果：1、基本情況比較結(jié)果：NBW組母親體重高于PLBW組母親（P＜0.05），但兩組母親之間年齡和身高差異無統(tǒng)計學(xué)意義。NBW母親組的文化程度較PLBW母親組高（P＜0.05）。PLBW與NBW兩組新生兒出生情況比較，兩組間新生兒出生時體重和1分鐘、5分鐘、10分鐘阿普伽新生兒評分均有顯著性差異（P＜0.05）。 2、牙周組織狀況比較結(jié)果：PLBW組母親與NBW組母親探診出血情況的差異無統(tǒng)計學(xué)意義（P＞0.05），PLBW組母親的齦溝液分泌量、牙周探診深度、附著喪失水平均顯著高于NBW組（P＜0.05），與NBW組母親比較PLBW組母親的牙周炎的患病率更高（P＜0.05），且患牙周炎的母親相對牙周健康的母親發(fā)生早產(chǎn)的危險度比值比OR值為7.20。產(chǎn)婦孕周與齦溝液分泌量呈負相關(guān)（r=-0.314，，P＜0.05）、與牙周探診深度呈負相關(guān)（r=-0.407，P＜0.05）、與臨床附著喪失水平呈負相關(guān)（r=-0.280，P＜0.05）。 結(jié)論：PLBW組母親的牙周狀況明顯差于NBW組母親，而患牙周炎的母親發(fā)生早產(chǎn)的危險度是牙周健康者的7.2倍。牙周炎可能是導(dǎo)致低出生體重早產(chǎn)兒的危險因素之一。
[Abstract]:Objective: to investigate the relationship between maternal periodontitis and low birth weight preterm infants. Methods: according to the inclusion criteria, 30 preterm low birth weight low mothers of preterm low birth and 30 normal birth weight nbw mothers who were hospitalized at the same time and who took cesarean section as the mode of production were collected. The age, gestational age and height of the two groups were recorded. Body weight, education level, infant weight, Apgar neonatal score and other related data were examined and recorded, and 10 index teeth were examined and recorded in the two groups, and the clinical attachment was lost. The clinical status of periodontal bleeding and gingival crevicular fluid secretion were compared and statistically analyzed. Results: 1. The results showed that the body weight of the mothers in the PLBW group was higher than that in the PLBW group (P < 0.05), but there was no significant difference in age and height between the two groups. The education level of the two groups was higher than that of the PLBW group (P < 0.05) and the birth status of the two groups was higher than that of the NBW group (P < 0.05), but there was no significant difference in age and height between the two groups (P < 0.05). There were significant differences in neonatal weight at birth and Apgar neonate score between the two groups (P < 0.05). 2. The results of periodontal tissue comparison showed that there was no significant difference between the mothers of NBW group and that of the two groups (P > 0.05) in the secretion of gingival crevicular fluid and the depth of periodontal diagnosis. The incidence of periodontitis in PLBW group was significantly higher than that in NBW group (P < 0.05), and the odds ratio of periodontitis to periodontal healthy mother was 7.200.The incidence of periodontitis in PLBW group was higher than that in PLBW group (P < 0.05). There was a negative correlation between gestational weeks and gingival crevicular fluid secretion (P < 0.05), a negative correlation with periodontal probing depth (P < 0.05), and a negative correlation with clinical attachment loss (P < 0.05). Conclusion the periodontal status of mothers in the NBW group was significantly lower than that in the control group, and the risk of preterm delivery in the mothers with periodontitis was 7.2 times higher than that in the healthy ones. Periodontitis may be one of the risk factors for preterm infants with low birth weight.
【學(xué)位授予單位】：遵義醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R781.4

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3 林W

本文編號：1518752