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目的总结男同性恋人类免疫缺陷病毒(HIV)感染者的牙周损伤特点,分析吸烟与病情程度的关系。方法对首都医科大学附属北京佑安医院确诊的58例HIV感染的男同性恋患者进行问卷调查和牙周检查,分析吸烟与龈沟出血指数的关系。结果 58例感染者的软垢、结石以及牙龈炎症的检出率分别为91.4%、94.8%、93.1%,牙龈探诊出血阳性率为82.8%,牙周袋检出率为15.5%,此群体为龈炎中度表现。吸烟、戒烟与不吸烟组龈沟出血指数的差异无统计学意义(2.42±1.18、2.75±0.50、2.27±1.11;P>0.05)。结论北京市男同性恋HIV感染者口腔卫生情况不良,牙周组织炎症较健康人群明显,牙龈出血为HIV感染者的伴发疾病。
Objective To summarize the characteristics of periodontal injury in homosexual human immunodeficiency virus (HIV) infected persons and analyze the relationship between smoking and the severity of illness. Methods A total of 58 HIV-infected gay men diagnosed in Beijing You’an Hospital Affiliated to Capital Medical University were investigated by questionnaires and periodontal examinations. The relationship between smoking and sulcus bleeding index was analyzed. Results The detection rates of soft dirt, calculi and gingivitis in 58 cases were 91.4%, 94.8%, 93.1%, 82.8% respectively, and the detection rate of periodontal pockets was 15.5% For gingivitis moderate performance. Smoking, smoking cessation and no smoking group had no significant difference in sulcus bleeding index (2.42 ± 1.18,2.75 ± 0.50,2.27 ± 1.11; P> 0.05). Conclusions Oral hygiene is not good in gay men with HIV infection in Beijing. The inflammation in periodontal tissues is more obvious than that in healthy people. Gingival bleeding is associated with HIV infection.