بررسی ارتباط بیماریهای پریودنتال و خطر بروز پره‌اکلامپسی در زنان باردار

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استاد گروه زنان و مامایی، واحد توسعه تحقیقات بالینی بیمارستان امام رضا (ع)، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

2 استادیار گروه بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

3 استادیار گروه دندان‌پزشکی، دانشکده دندان‌پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

4 دستیار تخصصی زنان و مامایی، واحد توسعه تحقیقات بالینی بیمارستان امام رضا (ع)، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

5 کارشناس ارشد آمار، واحد توسعه تحقیقات بالینی بیمارستان امام رضا (ع)، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

6 کارشناس ارشد مشاوره در مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

7 استاد گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

چکیده

مقدمه: از آنجا‌ که بیماری پریودنتال با التهاب مزمن همراه است، لذا می‌‌شود فرض کرد بیماران مبتلا به بیماری پریودنتال ریسک بالاتری برای ابتلاء به پره‌اکلامپسی دارند، بنابراین مطالعه حاضر با هدف تعیین ارتباط بیماری‌های پریودنتال و خطر بروز پره‌اکلامپسی در زنان باردار انجام شد.
روش‌کار: این مطالعه مورد- شاهدی در سال 98-1396 بر روی 100 نفر از زنان باردار مراجعه‌کننده به بیمارستان امام رضا (ع) کرمانشاه در دو گروه مورد (مادران پره‌اکلامپسی) و گروه شاهد (بارداری نرمال) انجام شد. پرسشنامه‌ای بر ‌اساس اطلاعات مورد نیاز شامل اطلاعات دموگرافیک، پارامترهای پریودنتال شامل: خونریزی هنگام پروب کردن، پلاک ایندکس، سطح چسبندگی کلینیکی، عمق پاکت برای هر بیمار تکمیل شد و سپس اطلاعات با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های تی دانشجویی و یومن‌ویتنی مورد تجزیه و تحلیل آماری قرار گرفت. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: در بررسی شاخص‌های پریودنتال، بین دو گروه مورد مطالعه از نظر شاخص خونریزی در پروب (329/0=p)، شاخص عمق پاکت پروب (05/0<p) و شاخص سطح چسبندگی کلینیکی (733/0=p) اختلاف آماری معناداری وجود نداشت و تنها شاخص پلاک در مادران پره‌اکلامپسی به‌طور معناداری پایین‌تر از مادران با بارداری نرمال بود (007/0=p).
نتیجه‌گیری: با وجود این‌که رابطه معنی‌داری بین پره‌اکلامپسی و پارامترهای بیماری پریودنتال مادر مشاهده نشد، اما پیشنهاد می‌گردد که غربالگری و پیشگیری از بیماری پریودنتال در مراقبت‌های پیش از بارداری به‌منظور بهبود بهداشت دهان و دندان مادران و هم بهبود نتایج بارداری از طریق همکاری‌های بین حرفه‌ای مورد توجه قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

The relationship between periodontal diseases and the risk of preeclampsia in pregnant women

نویسندگان [English]

  • Negin Rezavand 1
  • Mastaneh Kamravamanesh 2
  • Masoumeh Eyvazi 3
  • Jila Manouchehri 4
  • Maryam Hemati 5
  • Rozhin Feali 6
  • Mansour Rezaei 7
1 Professor, Department of Obstetrics and Gynecology, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2 Assistant Professor, Department of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3 Assistant Professor, Department of Periodontology, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran.
4 Resident, Department of Obstetrics and Gynecology, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
5 M.Sc. of Statistics, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
6 M.Sc. of Midwifery Counseling, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
7 Professor, Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
چکیده [English]

Introduction: Since periodontal disease is associated with chronic inflammation, it can be assumed that patients with periodontal disease have a higher risk of developing preeclampsia. Therefore, this study was performed with aim to determine the relationship between periodontal diseases and the risk of preeclampsia in pregnant women.
 Methods: This case-control study was conducted in 2017-2019 on 100 pregnant women referred to Kermanshah Imam Reza Hospital in two groups of case (preeclamptic women) and control (normal pregnancy). The questionnaire was completed for each patient based on the required information including demographic information, periodontal parameters including bleeding on probing, plaque index, clinical attachment level, probing pocket depth. Data were analyzed using SPSS statistical software (version 20) and Mann–Whitney U and Student's t-tests. P<0.05 was considered statistically significant.
Results: The study of periodontal indicators showed that there was no significant difference between the two groups in terms of bleeding on probing (P = 0.329), probing pocket depth index (P> 0.05) and clinical attachment level (P = 0.733). Only the plaque index was significantly lower in mothers with preeclampsia than mothers with normal pregnancies (P = 0.007).
 Conclusion: Although no significant relationship was found between preeclampsia and maternal periodontal disease parameters, however, it is recommended that screening and prevention of periodontal disease in prenatal care be considered in order to improve maternal oral health and improve pregnancy outcomes through inter-professional collaboration.

کلیدواژه‌ها [English]

  • Periodontal disease
  • Preeclampsia
  • Pregnancy

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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 4
تیر 1400
صفحه 16-24

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