慢性牙周炎伴Ⅱ型糖尿病患者牙周基础治疗的疗效分析

The effect of periodontal initial therapy on the type 2 diabetic patients with moderate to severe chronic periodontitis

目的:研究中重度慢性牙周炎伴Ⅱ型糖尿病患者在常规糖尿病药物治疗的基础上,牙周基础治疗对患者牙周临床指标和血糖的影响。方法:将60例慢性牙周炎伴Ⅱ型糖尿病患者分为实验组(牙周基础治疗+常规糖尿病药物治疗)与对照组(单纯常规糖尿病药物治疗)各30例,在牙周基础治疗的第6周,第12周,第24周分别检测实验组和对照组的牙周临床指标和糖化血红蛋白。结果:对两组结果分别进行t检验。实验组治疗后6周各项牙周指标明显改善(P<0.01),治疗后12周及24周与治疗后6周的牙周指标对比无显著差异;实验组的糖化血红蛋白治疗后6周变化不明显,治疗后12周及24周开始明显下降,对照组各项牙周指标及糖化血红蛋白指标在入选时与入选后24周差异无显著差异(P>0.05)。结论:牙周炎伴Ⅱ型糖尿病的患者牙周基础治疗有助于血糖的控制。

Objective： To evaluate the effect of periodontal initial therapy on the control of clinical variables and glycated hemoglobin in diabetic patients. Methods ： Sixty type 2 diabetic patients with moderate to severe chronic periodontitis were randomly divided into two groups： periodontal treatment group and non periodontal treatment group. Treatment including oral hygiene instruction , ultrasonic scaling and subgingival scaling with systemic use of doxycycline were given to periodontal treatment group, while non periodontal treatment group was only provided with systemic use of doxycycline. The periodontal clinical variables at the same site and glycated hemoglobin were assessed before treatment and six weeks, 12 weeks, 24 weeks after the treatment. Results： Periodontal treatment group showed a statistical lower level of periodontal clinical variables and glycated hemoglobin. Conclusion： The result of periodontal therapy in the diabetic patients was confirmed to be satisfactory in short time. It might reduce the level ofglycated hemoglobin.