辽宁省2型糖尿病患者牙周状况调查研究

Survey on periodontal status in type 2 diabetic patients in Liaoning province

目的了解辽宁省2型糖尿病患者的牙周状况。方法2007年7—12月在辽宁省糖尿病及代谢综合征的流行病学调查人群中按要求选取2型糖尿病伴牙周炎患者、单纯牙周炎患者、健康人为研究对象,进行问卷调查,检查6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)、牙齿松动度(TM),并对胆固醇(TC)、三酰甘油(TG)、空腹血糖(FPG)、葡萄糖耐量试验餐后2h血糖(OGTT 2h PG)进行检测。对上述指标进行统计分析。结果2型糖尿病患者牙周炎患病率为97.7%。排除性别、年龄、居住地、文化程度等因素的影响,2型糖尿病伴牙周炎患者的PD、CAL明显高于单纯牙周炎组。结论2型糖尿病患者牙周破坏严重,口腔卫生教育及防病、治病意识急待加强,同时应严格控制血糖、血脂等全身危险因素对牙周状况的影响。

Objective To investigate the type 2 diabetic patient's periodontal condition in Liaoning province. Methods Patients with periodontitis associated with type 2 diabetes, patients with simple periodontitis and healthy controls were selected. They 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 tooth mobility (TM). Taking fasting venous blood and the intravenous blood of research object 2 hours after taking 75g glucose orally.Then, serum biochemical indicators were analyzed by automatic biochemical analyzer. Results The prevalence of peri-odontitis was 96.7% in type 2 diabetic patients. Excluding the impact of sex, age, place of residence and education lev-el, the probing depth and clinical attachment loss of periodontitis associated with type 2 diabetes group was significantly higher than group of simple periodontitis. Conclusion Periodontal status is significantly worsened in patients with type 2 diabetes. It is very important to develop an education program on oral health for type 2 diabetic patients in Liaoning province and to stricdy control the effect of blood glucose, blood lipids and other systemic risk factors on the periodontal status.