牙周非手术治疗对2型糖尿病伴牙周病老年患者糖化血红蛋白的影响

The effect of non-surgical periodontal therapy on glycolsylated hemoglobin in aged patients with type 2 diabetes and periodontitis

目的:观察牙周非手术治疗对2型糖尿病伴牙周病老年患者血糖(GLU)、糖化血红蛋白(HbA1c)水平的影响。方法:选择2型糖尿病伴牙周病老年患者107例,按糖尿病控制良好、不佳分为A、B两组,经牙周非手术治疗后随访,分析治疗前和治疗后4个月的牙周袋探诊深度(PD)、附着丧失(AL)以及GLU、HbA1c的水平。结果:A组治疗前牙周状况和B组相比,差异有显著性(P<0.01)。两组患者治疗后牙周状况较治疗前均有改善,差异有显著性(P<0.01),并且A组治疗效果好于B组,差异有显著性(P<0.01)。牙周治疗后患者的GLU、HbA1c与治疗前均有改善,差异有显著性(P<0.05)。结论:2型糖尿病伴牙周病老年患者的牙周健康状况与血糖控制状态有关。牙周非手术治疗可降低其GLU、HbA1c的水平,可以明显改善2型糖尿病伴牙周病老年患者的牙周健康状况。

Objective：To investigate the effect of non-surgical periodontal therapy on levels of blood glucose（GLU） and glycosylated hemoglobin（HbA1c） in aged patients with type 2 diabetes and periodontitis. Methods：107 patients with type 2 diabetic in periodontitis were selected and divided into 2 different groups according to their HbA1c levels. Their were well-controlled group（A group） and uncontrolled group（B group） .Their probing depth（PD） ,attachment loss（AL） ,the value of GLU and HbA1c were assessed before treatment and 4 months after a non-surgical periodontal therapy. Results：There was a significant difference in periodontal condition between A group and B group（P0.01） .There was a significant improvement of periodontal condition after non-surgical periodontal therapy,（P0.01） .The effect of treatment in A group was better than B group＇s,and the difference was significant（P0.01） . After the periodontal therapy,BLU and HbA1c were reduced significantly（P0.05） . Conclusion：Periodontal condition is influenced by different control levels of GLU in aged patients with type-2 diabetes and periodontitis. Non-surgical periodontal therapy can effectively reduce the value of GLU,HbA1c and significantly improve periodontal condition in aged type-2 diabetes patients with periodontitis.