首页|不同严重程度龋齿儿童唾液分泌型免疫球蛋白A及外周血血红蛋白水平的差异性表达及其相关性

不同严重程度龋齿儿童唾液分泌型免疫球蛋白A及外周血血红蛋白水平的差异性表达及其相关性

Differential expression and correlation of salivary secretory immunoglobulin A and peripheral blood hemoglobin levels in children with different severity of dental caries

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目的 研究不同严重程度龋齿儿童唾液分泌型免疫球蛋白A(sIgA)及外周血血红蛋白(Hb)水平的差异性表达及其相关性.方法 本研究为病例对照研究,选取2020年12月至2022年6月于嘉兴市妇幼保健院接受治疗的龋齿儿童(106例)为观察组,另选取同期口腔健康无龋齿儿童(100例)为对照组.比较两组儿童唾液sIgA及外周血Hb水平.龋齿儿童根据龋失补牙数分为轻度组(2~3颗)、中度组(4~7颗)、重度组(≥8颗),比较不同严重程度龋齿患儿唾液sIgA及外周血Hb水平.采用Pearson相关分析评估龋失补牙数与唾液sIgA及外周血Hb水平的相关性,采用多因素logistic回归分析评估儿童发生龋齿的影响因素.结果 观察组唾液sIgA及外周血Hb水平均低于对照组,差异有统计学意义(均P<0.05).轻度组、中度组、重度组分别有28例、50例、28例,不同严重程度龋齿患儿唾液sIgA及外周血Hb水平差异有统计学意义,随着疾病严重程度的增加,唾液sIgA及外周血Hb水平呈降低趋势(均P<0.05).Pearson相关分析显示,龋失补牙数分别与唾液sIgA及外周血Hb水平呈负相关(r=-0.572、-0.584;P<0.001).多因素logistic回归分析显示:唾液sIgA(OR=0.660,95%CI:0.463~0.941)及外周血Hb(OR=0.680,95%CI:0.505~0.916)是儿童发生龋齿的保护因素(均P<0.05).结论 龋齿儿童唾液sIgA及外周血Hb均呈低水平且与疾病严重程度呈负相关.
Objective To study the differential expression and correlation of salivary secretory immunoglobulin A(sIgA)and peripheral blood hemoglobin(Hb)levels in children with different severity of dental caries.Methods This study was a case-control study,selecting 106 children with dental caries who received treatment at Jiaxing Maternal and Child Health Hospital from December 2020 to June 2022 as the observation group,and 100 healthy children without dental caries during the same period as the control group.We compared the salivary sIgA and peripheral blood Hb levels between two groups of children.Children with dental caries were divided into mild group(2-3 teeth),moderate group(4-7 teeth),and severe group(≥8 teeth)based on the number of missing teeth.The salivary sIgA and peripheral blood Hb levels of children with different degrees of dental caries were compared.Pearson correlation analysis was used to evaluate the correlation between the number of missing teeth and salivary sIgA and peripheral blood Hb levels.Multivariate logistic regression analysis was used to evaluate the influencing factors of dental caries in children.Results The salivary sIgA and peripheral blood Hb levels in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).There were 28 cases in the mild group,50 cases in the moderate group,and 28 cases in the severe group,respectively.There were statistically significant differences in salivary sIgA and peripheral blood Hb levels among children with different severity of dental caries.As the severity of the disease increased,salivary sIgA and peripheral blood Hb levels showed a decreasing trend(all P<0.05).Pearson correlation analysis showed that the number of missing teeth was negatively correlated with salivary sIgA and peripheral blood Hb levels(r=-0.572,-0.584;P<0.001).Multivariate logistic regression analysis showed that salivary sIgA(OR=0.660,95%CI:0.463-0.941)and peripheral blood Hb(OR=0.680,95%CI:0.505-0.916)were protective factors for the occurrence of dental caries in children(all P<0.05).Conclusions Salivary sIgA and peripheral blood Hb levels in children with dental caries are low and negatively correlated with the severity of the disease.

Dental cariesImmunoglobulin A,secretoryHemoglobin

周玉文、袁家侃

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嘉兴市妇幼保健院口腔科,嘉兴 314000

菏泽市立医院口腔科,菏泽 274000

龋齿 免疫球蛋白A,分泌 血红蛋白

山东省医药卫生科技发展计划项目

202008010337

2024

中国医师杂志
中华医学会 湖南省医学会

中国医师杂志

CSTPCD
影响因子:0.876
ISSN:1008-1372
年,卷(期):2024.26(7)