两个年龄组髓动脉和颈动脉血流的相关性

B. Dzeletovic, N. Aleksić, Djurica Grga, Tatjana Savić-Stanković, Ivana Milanović, D. Radak
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摘要

牙髓的血管网络由颈总动脉、颈外动脉和牙末梢分支组成。年龄相关的牙髓组织变化也会影响牙髓血管的形成。本研究的目的是比较和关联普通人群中青年个体的髓动脉、颈总动脉和颈外动脉血流。材料与方法将研究对象分为青壮年组(20 ~ 25岁)和中年组(50 ~ 55岁),每组10人。采用激光多普勒血流仪(LDF)测量左、右上中切牙的髓血流量(PBF)。应用颈动脉超声检查颈动脉血流。结果青年PBF水平(右、左上中切牙分别为3.11±0.67和3.46±1.11)显著高于中年受试者(右、左上中切牙分别为1.93±0.47和2.30±0.64)(独立样本t检验;p < 0.05)。在年轻和中年参与者中,无论是右侧还是左侧,颈总动脉和颈外动脉血流与上中央门牙PBF之间没有相关性。结论颈动脉血流量与PBF之间不存在相关性,提示中年受试者的PBF减少可能不是由于颈动脉供血减少,而是由于年龄相关的牙髓血管水平变化所致。
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Correlation Between Pulpal and Carotid Arteries Blood Flow in Two Age Groups
Abstract Introduction Vascular network of dental pulp is supplied through common and external carotid artery and terminal dental branches that supply each pulp tissue. Age related changes of pulp tissue influence pulpal vascularization as well. The aim of this study was to compare and correlate pulpal and common and external carotid artery blood flow in young and middle age individuals of general population. Material and Methods Two groups of 10 participants were included in the study, young (20-25 years) and middle age (50-55 years) group. Pulpal blood flow (PBF) measurements on intact right and left upper central incisors were performed using laser Doppler flowmetry (LDF) method. Carotid arteries blood flow was assessed using carotid ultrasonography. Results PBF levels were significantly higher in young (3.11±0.67 and 3.46±1.11, right and left upper central incisors, respectively) compared to middle age (1.93±0.47 and 2.30±0.64, right and left upper central incisors, respectively) participants (independent sample t test; p<0.05). There was no correlation between common and external carotid artery blood flow and upper central incisors PBF in young as well as middle age participants, for right or left side. Conclusion Absence of correlation between carotid arteries blood flow and PBF suggests that reduced PBF in middle age participants was probably not due to reduced blood supply from carotid arteries but it was result of age related changes at the level of pulpal blood vessels.
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