妊娠期牙齦炎的臨床指數(shù)和風(fēng)險(xiǎn)因素
本文選題:妊娠期牙齦炎 切入點(diǎn):性激素 出處:《國(guó)際口腔醫(yī)學(xué)雜志》2017年02期
【摘要】:牙齦炎會(huì)增加不良妊娠的風(fēng)險(xiǎn),導(dǎo)致孕婦早產(chǎn)和流產(chǎn)以及新生兒低體重。牙齦指數(shù)和牙周袋深度在整個(gè)妊娠期明顯增高,探診出血在妊娠期增高不明顯,臨床附著喪失在妊娠期的變化迄今尚不確定,菌斑指數(shù)在整個(gè)妊娠期及產(chǎn)后均波動(dòng)較小且維持較低水平。孕婦機(jī)體內(nèi)的性激素血漿濃度可達(dá)非孕婦水平的10倍,高濃度的性激素可增加地諾前列酮和白細(xì)胞介素-6等炎癥遞質(zhì)的產(chǎn)生,從而加重妊娠期牙齦炎癥。由于孕婦的身體狀況特殊,因此妊娠期牙齦炎的治療難度較一般牙齦炎大。預(yù)防措施主要是積極宣傳口腔保健知識(shí),讓孕婦保持良好的口腔衛(wèi)生狀況,以降低發(fā)病率。探究妊娠期牙齦炎的發(fā)生發(fā)展規(guī)律,可為臨床醫(yī)生提供參考,幫助其減輕或消除妊娠期牙齦炎癥狀,保障孕婦和胎兒的身體健康。
[Abstract]:Gingivitis increases the risk of adverse pregnancy, leading to premature delivery and miscarriage and low birth weight. Gingival index and periodontal pocket depth are significantly increased throughout pregnancy, while bleeding from diagnosis is not significantly increased during pregnancy. The change of clinical attachment loss during pregnancy is uncertain, the plaque index fluctuates little throughout pregnancy and postpartum, and the plasma concentration of sex hormone in pregnant women is 10 times as high as that of non-pregnant women. High levels of sex hormones can increase the production of inflammatory transmitters such as denoprostone and interleukin-6, thereby exacerbating gingivitis during pregnancy. Therefore, the treatment of pregnancy gingivitis is more difficult than that of general gingivitis. The main preventive measures are to actively publicize oral health care knowledge, so that pregnant women can maintain a good oral health condition, so as to reduce the incidence of gingivitis during pregnancy, and explore the occurrence and development law of gingivitis during pregnancy. It can provide reference for clinicians to relieve or eliminate the symptoms of gingivitis during pregnancy and protect the health of pregnant women and fetuses.
【作者單位】: 口腔基礎(chǔ)醫(yī)學(xué)省部共建國(guó)家重點(diǎn)實(shí)驗(yàn)室培育基地和口腔生物醫(yī)學(xué)教育部重點(diǎn)實(shí)驗(yàn)室武漢大學(xué)口腔醫(yī)學(xué)院;武漢市急救中心;
【基金】:武漢大學(xué)2014年大學(xué)生科研項(xiàng)目(S2014841)~~
【分類號(hào)】:R781.41;R714.2
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