摘要
目的观察牙周基础治疗对2型糖尿病并牙周炎患者的牙周状况及糖化血红蛋白(glycolatedhemoglobin,HbAIc)水平的影响。方法将选择的病例随机分为牙周治疗组和非牙周治疗的对照组各20例。治疗组给予牙周基础治疗,记录牙周同一点治疗前和治疗后4、12、24周时的牙周探诊深度(PD),龈沟出血指数(SBI),菌斑指数(PLI)和HbAlc的情况;对照组于入选时及入选后24周观察上述指标。结果治疗组于治疗后4、12、24周时各项牙周临床指标均有下降,与治疗前比较,差异有统计学意义(P<0.01);该组HbAlc于治疗后12、24周时与治疗前比较,差异有统计学意义(P<0.01)。对照组各项牙周指标及HbAlc在24周内无明显变化(P>0.05)。结论对2型糖尿病并牙周炎患者,牙周基础治疗可改善牙周状况,降低HbAlc水平。
Objective To observe the effect of periodontal initial therapy on the level of glycolated hemoglobin （HbAlc） in patients with type 2 diabetics mellitus and periodontitis. Methods The patients were randomly divided into two groups：periodontal therapy group and control group. The periodontal therapy group received initial therapy,the periodontal clinic index （probing depth ,Sulcus bleeding index,plaque index） and HbAlc were determined before treatment and at 4 weeks,12 weeks,24weeks after treatment. The control group did not received any periodontal therapy,the periodontalclinic index and HbAlc were determined at begining and 24 weeks after treatment.Results After initial therapy,all periodontal clinic index at 4,12,24 weeks after treatment were reduced significantly （P〈 0.01） ,HbAlc at 12,24 weeks after treatment compared with before treatment,were reduced significandy （P〈0.01）.While in control group ,there were no significantly differences in all periodontal clinic index and HbAlc （all P〉0.05）.Conclusion The result of periodontal initial therapy in type 2 diabetic patients with periodontitis is satisfied,it can improve periodontal conditions and also can reduce the level of HbAlc of patients.
出处
《江西医药》
CAS
2005年第10期611-612,共2页
Jiangxi Medical Journal
关键词
糖尿病
牙周炎
糖化血红蛋白
diabetes mellitus
periodontitis
glycolated hemoglobin
