孕妇牙周病与胎膜早破的相关性研究

目的:本研究通过检查比较胎膜早破孕妇与正常孕妇牙周健康状况,分析牙周健康状况与胎膜早破的关系,为胎膜早破的病因提供一定的临床依据。方法:选择早产胎膜早破(PPROM)孕妇18例、足月胎膜早破(PROM)孕妇20例作为实验组,足月正常孕妇(Non-PROM)28例作为对照组。检查牙周状况记录菌斑指数(PLI)、探诊深度(PD)和龈沟出血指数(SBI)。结果:胎膜早破组牙龈炎症明显,牙周状况差,PLI、SBI均高于正常对照组,差异有统计学意义(P<0.05)。各组间探诊深度无明显差别,无统计学意义。结论:牙周病可能是导致胎膜早破的原因之一。孕期及孕前的口腔保健及口腔健康教育,是预防和减少不良妊娠结局发生的有效措施。

Associativity Study between Periodontitis and Premature Rupture of Membrane in Pregnant Women

Objective: By comparing premature rupture of membranes of pregnant women with normal pregnant women about periodontal health,to analyze the relationship between periodontal condition and premature rupture of membrane(PROM) in order to provide basis to keep pregnant women from oral diseases.Methods: 18 cages of preterm pregnant women with PROM(Group PPROM) and 20 cases of full term pregnant women with PROM(Group PROM) were selected as the study group,and 28 cases of full term normal pregnant women(Non-PROM) were selected as the control group.Everyone’s plaque index(PLI),probing depth(PD) and sulcular bleeding index(SBI) were checked and recorded.Results: The pregnant women with PROM(Group PPROM and Group PROM) had clear gingival inflammation,and bad periodontal conditions.The expression of PLI and SBI in the study group were higher than that in the control group.There was statistical difference of PLI and SBI between the study group and the control group(P<0.05).There was no significant difference of PD among PPROM,PROM and Non-PROM.Conclusion: Periodontal disease may be one of the reasons that cause premature rupture of membrane.Oral health and oral health education before and during pregnancy are effective measures to prevent and reduce the occurrence of bad pregnancy outcomes.