代谢综合征患者牙周状况的调查

Survey on Periodontal Status in Metabolic Syndrome Patients

目的:代谢综合征患者的牙周状况及相关因素分析。方法:按要求选取糖尿病及代谢综合征流行病学调查普查出的代谢综合征患者120例,进行问卷调查,并检查六颗指数牙的牙周探诊深度(PD)、临床附着丧失(CAL)、龈沟出血指数(SBI)、简化口腔卫生指数(OHI-S)、松动度(M)的情况。结果:120例代谢综合征患者的牙周炎患病率为95.0%,其中轻度牙周炎11例,占9.2%;中度牙周炎35例,占29.2%,重度牙周炎68例,占56.7%。共检测4320个位点,平均PD值为(2.92±0.67)mm、平均CAL值为(2.87±1.31)mm。57.1%的患者至少有1颗牙脱落。年龄、性别、吸烟、城乡差异、空腹血糖水平、糖耐量实验2小时血糖水平及总胆固醇水平是影响代谢综合征患者牙周状况的重要因素,受教育程度与牙周病严重程度无关。120名受检者中103人从未接受过牙周治疗,占85.8%,有17人曾接受过洁牙,占14.2%,无1例接受过正规的牙周系统治疗。结论:代谢综合征患者牙周破坏严重,口腔卫生教育及防病、治病意识急待加强。

Objective： To investigate and analyze the metabolic syndrome patient＇s periodontal condition in Liaon- ing province. Methods： 120 metabolic syndrome patients were requested to fill a questionnaire. Periodontal status was evaluated by measuring probing depth（PD）,clinical attachment level（CAL）, sulcus bleeding index（SBI）, Simplified oral hygiene index（OHI--S）and mobility（M）. Results： The prevalence of periodontitis was 95.0N. 20 subjects suffered with initial periodontitis. 156 subjects suffered with moderate to advanced periodontitis. The mean PD and CAL of 120 subjects were 2.92±0.67mm and 2.87±1.31mm. 57.1% of subjects lost at least one tooth. The factors related to periodontitis were age, gender, smoking, resident district, fasting plasma glucose, oral glucose tolerance test, 2h plasma glucose and total cholesterol. There was no relationship between the severity of periodontitis and education. The majority of subjects didn＇t experience any periodontal therapy. Conclusion： Periodontal sta- tus was significantly worsened in patients with metabolic syndrome. It was very important to develop an education program on oral healthy for metabolic syndrome patients in Liaoning province.