摘要
目的慢性根尖周炎发病危险因素目前尚无定论,多数认为与患者生活习惯、饮食习惯和口腔卫生习惯等有关,本研究主要分析慢性根尖周炎感染病原学分布情况,并探讨其相关危险因素。方法以2016-01-01-2018-09-30河南省淅川县中医院收治的口腔科门诊或住院患者240例为研究对象,其中40例确诊为慢性根尖周炎感染者,总结致病菌分布情况,对入组者年龄、性别、刷牙时间、刷牙方式、是否嚼食槟榔、是否合并糖尿病、是否长期应用抗菌药物、是否喜欢食用甜食、是否合并龋病等,进行单因素分析与多因素Logistic分析,确定其危险因素。结果慢性根尖周炎检出革兰阳性菌29例(72.5%),革兰阴性菌11例(27.5%)。单因素分析结果显示,刷牙时间≥3min(χ~2=8.808,P=0.003)、刷牙方式不正确(χ~2=29.486,P<0.001)、嚼食槟榔(χ~2=31.228,P<0.001)、合并糖尿病(χ~2=10.101,P=0.001)、长期应用抗菌药物(χ~2=6.498,P=0.011)和龋齿(χ~2=18.552,P<0.001)为慢性根尖周炎感染的相关危险因素。多因素分析结果显示,龋齿为慢性根尖周炎感染发生的独立危险因素,OR=10.827,95%CI为1.766~66.366,P=0.001。结论慢性根尖周炎患者厌氧性革兰阳性菌感染较多见,龋病为发生慢性根尖周炎的独立危险因素。
OBJECTIVE The risk factors of chronic apical periodontitis are still inconclusive,and most of them are related to patients' living habits,eating habits,oral hygiene habits,etc.This study mainly analyzes the pathogen distribution of chronic apical periodontitis infection and explore the relevant risk factors.METHODS A total of 240 stomatological outpatients or inpatients admitted in Traditional Chinese Medicine Hospital of Xichuan County were enrolled from January 1,2016 to September 30,2018.40 cases were diagnosed with chronic apical periodontitis.The data were collected of the 40 cases including distribution of pathogens,the age,sex,time of brushing teeth,ways of brushing teeth,whether to chew betel nut,whether to have diabetes,whether to apply antibiotics for a long time,whether to like sweets,whether to combine with cries,etc.The univariate analysis and multivariate logistic analysis were performed to determine the risk factors.RESULTS Totally 29 cases(72.5%)of Gram-positive bacteria and 11 cases(27.5%)of Gram-negative bacteria were detected in chronic apical periodontitis.Univariate analysis showed that the brushing time less than 3 minutes(χ^2=8.808,P=0.003),the incorrect brushing method(χ^2=29.486,P<0.001),chewing betel nut(χ^2=31.228,P<0.001),diabetes(χ^2=10.101,P=0.001),long-term application of antibiotics(χ^2=6.498,P=0.011)and cries(χ^2=18.552,P<0.001)were the risk factors associated with chronic apical periodontitis infection.Multivariate analysis showed that dental caries was the independent risk factor for chronic apical periodontitis infection(OR=10.827,95%CI:1.766-66.366,P=0.001).CONCLUSION In patients with chronic apical periodontitis,anaerobic gram-positive bacteria are more common in infection,and cries are independent risk factors for chronic apical periodontitis.
作者
袁翔
徐小龙
YUAN Xiang;XU Xiao-long(Department of Stomatology,Xichuan County Hospital of Traditional Chinese Medicine,Xichuan 474450,P.R.China)
出处
《社区医学杂志》
2018年第23期1724-1726,1730,共4页
Journal Of Community Medicine
关键词
慢性根尖周炎
感染
病原菌分布
危险因素
chronic apical periodontitis
infection
distribution of pathogens
risk factors
