Serum PCT levels in patients with acute exacerbation of chronic periodontitis and chronic obstructive pulmonary disease and its relationship with disease
2021, 41(9):
793-796.
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Objective: To investigate the relationship between AECOPD and periodontitis by Objective By comparing periodontal, pulmonary function and serum procalcitonin (PCT) levels in patients with AECOPD and patients in stable phase, to explore the internal relationship between AECOPD and periodontitis. Methods A total of 90 patients with AECOPD and chronic obstructive pulmonary disease (COPD) were selected as subjects. According to their periodontitis stage, the patients were divided into 8 groups:AECOPD associated with Ⅰ stage periodontitis, Ⅱ stage periodontitis,Ⅲ stage periodontitis and Ⅳ stage periodontitis and COPD stable periodontitis with Ⅰstage periodontitis, Ⅱ stage periodontitis,Ⅲ stage periodontitis and Ⅳstage periodontitis. The general information, pocket probing depth (PPD), clinical attachment loss (CAL), plaque index (PLI)and sulcus bleeding index (SBI)were analyzed. Percentage of 1 second expiratory volume to forced vital capacity(FEV1/FVC%), percentage of the estimated volume of forced exhalation in the first second (FEV1%pred) and serum procalcitonin levels were analyzed. Results There was no significant difference in age, gender, BMI and smoking status between patients with AECOPD and at stable stage (P>0.05). The proportion of AECOPD patients with Ⅲ, Ⅳ stage periodontitis was significantly higher than that in patients at stable stage (P<0.05). In Ⅰ stage periodontitis patients, PPD and SBI in AECOPD group were significantly higher than those in stable periodontitis group. PPD and CAL in Ⅱ stage periodontitis patients were significantly higher in AECOPD group than in stable group. SBI and CAL in Ⅲ stage periodontitis patients in AECOPD group were significantly higher than the stable stage group; PLI and CAL in Ⅳ stage periodontitis patients in AECOPD group were significantly higher than the stable stage patients (P<0.05). As the severity of periodontitis increased, FEV1/FVC% and FEV1%pred decreased successively in patients with AECOPD and at stable stage (P<0.01). The serum PCT level in AECOPD group under different periodontal conditions was significantly higher than that in stable stage group (P<0.01). The serum PCT level was positively correlated with PPD (r=0.60, P<0.01), CAL (r=0.58, P<0.01), SBI (r=0.31, P=0.03), and significantly negatively correlated with FEV1/FVC% (r=-0.79, P<0.01) and FEV1%pred (r=-0.80, P<0.01). Conclusion Results of this study suggest that periodontitis and AECOPD may have a mutual promoting effect, and serum PCT may reflect the severity of periodontitis and the risk of acute exacerbation in COPD patients to some extent.