首页|抗凝血/抗血小板药物使用人群的复发性阿弗他溃疡患病率分析:一项单中心、横断面预调查

抗凝血/抗血小板药物使用人群的复发性阿弗他溃疡患病率分析:一项单中心、横断面预调查

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目的:调查心血管疾病(cardiovascular disease,CVD)用药人群的复发性阿弗他溃疡(recurrent aphthous ulcer,RAU)患病率,并分析其与药物的相关性.方法:以便利抽样法在心血管内科调查经药物治疗大于半年的CVD人群;记录人口学信息、RAU病情、CVD用药等情况,对调查结果做统计描述与亚组分析.结果:共调查 321 人,其中47 人(14.64%)调查时患有RAU.该人群的年龄、性别、体质指数、心血管病种等因素,与RAU患病率均无相关性.阿司匹林与氯吡格雷联合用药的患者中,有 32.14%(9/28)表示RAU发作频率增加且持续时间延长,较其他人群的比例(42/293,14.33%)显著升高,差异具有统计学意义(P=0.013);HMG-CoA还原酶抑制剂合并用药史与RAU患病率之间存在负相关性(用药组 11.44%,非用药组 20.0%,P<0.05),其他各组用药人群之间的RAU患病率和病情均无明显的差异.结论:CVD用药人群总体的RAU患病率高于一般人群,但其中的原因仍不清楚.阿司匹林与氯吡格雷的联合用药方案可能加重RAU病情,但后续仍有待大样本的队列研究进一步论证.
Analysis of the prevalence of recurrent aphthous ulcers in an anticoagulant/antiplatelet medication cohort:a single-center,cross-sectional pre-survey
Objective:The study aims to investigate the prevalence of recurrent aphthous ulcer(RAU)in a cardiovas-cular disease(CVD)medication-using population and to observe its correlation with medication.Methods:Convenience sam-pling method was used to collect the information of CVD medication population in the department of cardiovascular diseases.Basic information of demography,condition of RAU patients,and CVD medication history were recorded.The multivariate lo-gistic regression method was used in this study for information discription and statistical analysis.Results:A total of 321 peo-ple were surveyed,of whom 47(14.64%)had RAU.There was no significant difference of the correlation between age,gen-der,body mass index,and type of cardiovascular disease,and the prevalence of RAU.The frequency and duration of RAU le-sions(9/28,32.14%)significantly increased in the gorup of combination use of aspirin-clopidogrel,when comparing to that(42/293,14.33%)of in the other groups without using aspirin-clopidogrel(P=0.013).There was a negative correlation be-tween combination usage of statins with aspirin or clopidogrel,and the prevalence of RAU(11.44%in the medicated group and 20.0%in the non-medicated group,P<0.05).There was no statistical statistical correlations between other types of med-ication and the prevalence of RAU.Conclusion:The overall prevalence of RAU is higher in the CVD medication group than that in the general population,but its underlying mechanism remains unclear.Combination use of aspirin and clopidogrel might increase the severity of RAU lesion,while further evidence should be provided through carrying out a large cohort study.

Recurrent aphthous ulcerCardiovascular diseasePrevalenceAnti-coagulantsAnti-platelet agentsAs-pirinStatinsCross-sectional survey

陈茜、丁维、何清、张阿莲、王宇峰、陈文琼

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上海交通大学医学院附属第九人民医院护理部 上海 200011

上海交通大学医学院附属第九人民医院整复外科 上海 200011

上海交通大学医学院附属第九人民医院心血管内科 上海 200011

上海交通大学医学院附属第九人民医院口腔黏膜病科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所 上海 200011

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复发性阿弗他溃疡 心血管疾病 患病率 抗凝血药 抗血小板药 阿司匹林 他汀类药物 横断面调查

2024

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子:0.783
ISSN:1003-1634
年,卷(期):2024.40(12)