口腔护理对急性冠状动脉综合征患者内皮功能障碍的影响

IF 1.2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS International heart journal Pub Date : 2024-05-31 DOI:10.1536/ihj.23-553
Shunichi Imamura, Masaaki Miyata, Masakazu Ogawa, Naoya Oketani, Shuichi Hamasaki, Narihiro Hirahara, Yuichi Ninomiya, Mitsuru Ohishi
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引用次数: 0

摘要

牙周炎是一种常见的慢性感染,与心血管疾病有关。本研究评估了针对牙周病的基本口腔护理是否能改善急性冠状动脉综合征(ACS)患者的内皮功能。本研究招募了 54 名入住鹿儿岛市立医院并接受经皮冠状动脉介入治疗的急性冠状动脉综合征患者。在出院前(初始 FMD)和经皮冠状动脉介入治疗后 8 个月(随访 FMD)测量了血流介导的内皮依赖性扩张(FMD)。还测量了以下牙周特征:牙周袋深度(PPD,毫米)、牙菌斑控制记录(%)和探诊出血(%)。所有患者都接受了牙医的基本口腔护理指导。参与者的口腔健康状况普遍较差,其中有 24 名患者(44.4%)的牙周袋深度严重超标。尽管进行了基本口腔护理干预,但牙周特征在研究期间并未得到改善;初始 FMD 和随访 FMD 没有显著差异(4.38 ± 2.74% 对 4.56 ± 2.51%,P = 0.562)。然而,重度 PPD 患者(≥ 6.0 mm,n = 24)的随访 FMD 明显低于非重度 PPD 患者(≤ 5.0 mm,n = 30)(FMD:3.58 ± 1.91% 对 5.37 ± 2.67%,P = 0.007)。重度 PPD 患者的 FMD 往往比无重度 PPD 患者差(ΔFMD:-0.55 ± 2.12 对 0.81 ± 2.77 %,P = 0.055)。总之,在使用基本口腔护理的过程中,未患严重口腔疾病的患者的内皮功能有所改善,而患严重口腔疾病的患者的内皮功能则有所恶化。
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Effect of Oral Care on Endothelial Dysfunction in Patients with Acute Coronary Syndrome

Periodontitis is a common chronic infection and is associated with cardiovascular disease. This study evaluated whether basic oral care for periodontal disease could improve endothelial function in patients with acute coronary syndrome (ACS).

This study enrolled 54 patients with acute coronary syndrome admitted to Kagoshima City Hospital and who had undergone percutaneous coronary intervention. Flow-mediated endothelium-dependent dilatation (FMD) was measured before discharge (initial FMD) and at 8 months after percutaneous coronary intervention (follow-up FMD). The following periodontal characteristics were measured: periodontal pocket depth (PPD, mm), plaque control record (%), and bleeding on probing (%). All patients received basic oral care instructions from dentists. The oral health condition was generally poor in the participants and there were 24 patients (44.4%) who had severe PPD. Despite the intervention of basic oral care, the periodontal characteristics did not improve during the study period; initial FMD and follow-up FMD did not significantly differ (4.38 ± 2.74% versus 4.56 ± 2.51%, P = 0.562). However, the follow-up FMD was significantly lower in patients with severe PPD (≥ 6.0 mm, n = 24) than in patients without severe PPD (≤ 5.0 mm, n = 30) (FMD: 3.58 ± 1.91% versus 5.37 ± 2.67%, P = 0.007). FMD tended to be worse in patients with severe PPD than in patients without severe PPD (ΔFMD: -0.55 ± 2.12 versus 0.81 ± 2.77 %, P = 0.055). In conclusion, during the use of basic oral care, endothelial function improved in patients without severe PPD, while it worsened in patients with severe PPD.

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来源期刊
International heart journal
International heart journal 医学-心血管系统
CiteScore
2.50
自引率
6.70%
发文量
148
审稿时长
6-12 weeks
期刊介绍: Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.
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