摘要
目的探讨牙周病与妊娠不良事件的关系。方法前瞻性比较2008年6月-2009年12月间中山三院产检并分娩的66例确诊牙周病的孕妇(观察组)及同期80例口腔健康的孕妇(对照组)的临床资料,比较两组妊娠并发症、合并症及围产儿结局等的差异。结果观察组细菌性阴道炎、早产、胎儿发育迟缓、胎膜早破和新生儿低体质量(SGA)的发生率分别为63.60%(42/66)、12.12%(8/66)、13.60%(9/66)、34.80%(23/66)和7.58%(5/66),对照组为31.25%(25/80)、3.75%(3/80)、2.27%(2/80)、16.25%(13/80)和2.50%(2/80),两组间比较差异有统计学意义(P<0.01)。结论牙周病孕妇的并发症(细菌性阴道炎、早产、胎儿发育迟缓、胎膜早破)和新生儿低体质量(SGA)发生率明显高于口腔健康的妇女,临床上应给予重视,加强孕前及妊娠期间的口腔保健,提高围产质量。
Objective To explorer the relationship between periodontal disease and adverse pregnant outcomes.Methods The clinical data of 66 cases with diagnosed periodontal disease（observed group）and 80 cases with oral health（control group）in our hospital from Jun.2008 to Dec.2009 were analyzed,and the pregnancy complication,accompanying diseases and perinatal outcome were compared between the two groups.Results Incidence of bacterial vaginosis（63.6% vs 8%）,preterm labor（12.12% vs 3.65%）,intrauterine growth retardation of the fetus（13.60% vs 2.27%）,preterm rupture of membrane 34.8% vs 16.25%）,small-for gestational age（SGA）fetus（7.58% vs 2.50%）in observed group were much higher than that in control group,and the differences had statistical significant.Conclusion The incidence rate of complications（bacterial vaginosis,preterm labor,fetal growth retardation,preterm rupture of membrane）and SGA in pregnant women with periodontal disease was much higher than that in oral health women.More attentions should be paid to the oral health care in preconceptional stage and pregnancy duration in hopes of improving the perinatal quality.
出处
《中华全科医学》
2010年第9期1091-1091,1150,共2页
Chinese Journal of General Practice
关键词
牙周病
妊娠
合并症
口腔保健
Periodontal Disease
Pregnancy
Complications
Oral health care
