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导致儿童龋病的相关因素分析

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目的 分析口腔幽门螺杆菌(HP)感染、唾液微量元素与儿童龋病的联系。方法 选取浙江省丽水市人民医院2021年2月至2023年3月收治的龋病患儿124例为研究组,另选取同时段因其他原因就诊的124例非龋病患儿为对照组。2组患儿均进行口腔HP、唾液pH值及钠、钙、钾、氯、氟、磷离子浓度检测。根据研究组患儿龋齿情况将其分为Ⅰ~Ⅳ型,比较不同患儿HP阳性占比及HP-DNA拷贝数、唾液pH值及钠、钙、钾、氯、氟、一氧化氮(NO)含量。分析龋病严重程度与口腔HP感染及唾液微量元素的联系。结果 Ⅳ型HP-DNA拷贝数、HP阳性占比>Ⅲ型>Ⅱ型>Ⅰ型>0型,差异有统计学意义(P<0。05)。研究组NO水平大于对照组,pH值小于对照组,差异有统计学意义(P<0。05)。Ⅳ型NO水平>Ⅲ型>Ⅱ型>Ⅰ型,Ⅳ型pH值<Ⅲ型<Ⅱ型<Ⅰ型,差异有统计学意义(P<0。05)。HP-DNA拷贝数与NO水平呈正相关(r=0。685,P<0。05),与pH值呈负相关(r=-0。564,P<0。05)。龋病病情与HP-DNA拷贝数、NO水平呈正相关(r=0。651,P<0。05),与pH值呈负相关(r=-0。671,P<0。05)。结论 儿童龋病患儿存在不同程度HP感染以及唾液微量元素和pH值改变,感染程度与龋病严重程度相关。
Related factors leading to dental caries in children
Objective To analyze the relationship between oral Helicobacter pylori(HP)infection,salivary trace elements and dental caries in children.Methods A total of 124 children with dental caries who visited the Lishui People's Hospital from February 2021 to March 2023 were selected as the study group,while another 124 children without dental caries who visited the hospital for other reasons during the same period were selected as the control group.Both groups of children were tested for oral Helicobacter pylori,saliva pH,and concentrations of sodium,calcium,potassium,chloride,fluoride,and phosphorus ions.Correlation analysis was used to investigate the association between the severity of dental caries,oral HP infection as well as salivary trace elements.Results The HP-DNA copy number and HP positive ratio in type Ⅳ dental caries were significantly higher than in type Ⅲ,type Ⅱ,type Ⅰ,and type 0,with statistically significant differences(P<0.05).The NO level in the study group was higher than that in the control group,and the pH value was lower than that in the control group,with a statistically significant difference(P<0.05).The NO level in type Ⅳ dental caries was higher than in type Ⅲ,type Ⅱ,and type Ⅰ,while the pH value in type Ⅳ was lower than in type Ⅲ,type Ⅱ,and type Ⅰ.The differences were statistically significant(P<0.05).The copy number of HP-DNA was positively correlated with NO level and negatively correlated with pH value(r=-0.564,P<0.05).The condition of dental caries was positively correlated with HP-DNA copy number and NO level(r=0.651,P<0.05),and negatively correlated with pH value(r=-0.671,P<0.05).Conclusion Children with dental caries have varying degrees of HP infection as well as changes in salivary trace elements and pH levels.The degree of infection is correlated with the severity of dental caries.

MouthHelicobacter pyloriSalivaDental cariesCorrelation of data

卜剑波、王成丰、任聪

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浙江中医药大学研究生院,浙江杭州 310053

丽水市人民医院口腔科,浙江丽水 323000

口腔 幽门螺杆菌 唾液 龋齿 相关性

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(3)
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