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急性心肌梗塞的发作有时与病毒或细菌感染有关,作者对100例急性心肌梗塞患者,包括年龄在50岁以内的40例男性,这些患者居住在芬兰的赫尔辛基大学中心医院附近,在住院前的36小时内发病,都有典型的心电图改变,以及血内磷酸激酶同工酶MB 活性增高。对照组为102例年龄、性别相匹配的无心肌梗塞发作史或慢性疾患的健康者。两组均由同一牙科医师检查有无龋齿、牙槽病、根尖病及其他的牙齿牙龈病。根据临床的检查结果综合计算出每个人的总牙病指数(total dental index),从最轻到最重分为0～10级。然后根据X 线曲面断层摄影所见做出曲面断层病变指数(pantomography index)。指数越高牙病越严重。结果表明,急性心肌梗塞患者的总牙病指数和曲面断层病变指数均明显高于对照组(r=0.69p<0.001)说明急性心肌梗塞患者牙齿健康不佳。作者指出,有些社会因素如经济地位较低、吸烟、糖尿病等对牙病和心脏病都有影响,即使按年龄、社会阶层、血清胆固醇水平、吸烟和糖尿病等因素校正后,牙病与急性心肌梗塞之间的关系依然明显存在,但其牙
Occurrences of acute myocardial infarction are sometimes associated with viral or bacterial infections. The authors of 100 patients with acute myocardial infarction, including 40 men aged 50 years and older, resided near the University of Helsinki University Hospital in Finland. Before hospitalization, 36 Hours of onset, there are typical changes in ECG, and MBP MB activity increased. The control group consisted of 102 healthy and age-matched, matched subjects with no history of myocardial infarction or chronic conditions. Both groups were examined by the same dentist for dental caries, alveolar disease, root tip disease and other dental gum disease. The total dental index of each person was calculated based on clinical examination results, and the total dental index of each person was divided into 0 to 10 from the lightest to the heaviest. Then based on the X-ray surface tomography to see the surface of the lesion index (pantomography index). The higher the index, the more severe dental disease. The results showed that patients with acute myocardial infarction in the total dental index and curved lesion index were significantly higher than the control group (r = 0.69p <0.001), indicating poor dental health in patients with acute myocardial infarction. The authors point out that some social factors, such as lower economic status, smoking and diabetes, have an impact on dental and heart disease. Even after being corrected for factors such as age, social class, serum cholesterol, smoking and diabetes, The relationship between the infarctions is still evident, but its teeth