糖尿病患者牙周病的相关性临床分析

Clinical Analysis of Patients with Periodontal Disease and Diabetes

目的从相关性角度来分析中老年糖尿病患者与牙周病的关系.方法随机选择150名伴有糖尿病的中老年牙周病患者,根据患者的血糖水平分成3组,对牙齿缺失数和牙周治疗需要量指数(CPITN)进行检测.用A,B,C组将150名患者分开治疗,A组进行糖尿病与牙周炎联合治疗,B组只进行牙周病的治疗,C组只进行糖尿病的专项治疗,4周之后对3组患者的治疗状况进行评定.结果血糖<7.0 mmol/L组的CPITN明显低于血糖7.0～11.0 mmol/L和>11.0 mmol/L组(分别P<0.05和P<0.01),血糖>11.0 mmol/L组的缺失牙数则明显多于其他两组(P<0.05).A组的牙周病疗效高于B组(P<0.05).结论糖尿病与牙周病之间存在相关性,糖尿病与牙周病治疗之间相互影响.

Objective To analyze the correlation of the middle-aged and elderly diabetic patients with periodontal disease.Method 150 middle-aged and elderly patients with diabetes and periodontal disease were divided into three groups based on their blood sugar levels,and the number of missing teeth and community periodontal index for treatment need（CPITN）were examined.150 patients were treated separately in three groups,namely group A,B and C.The patients in group A were treated with the combined treatment for both diabetes and periodontitis,those in group B only with treatment for periodontal disease and those in group C only for special treatment of diabetes.4 Weeks later,the treatment status of patients in the three groups were assessed.Results The CPITN score values of patients in the group whose blood glucose was 7.0 mmol/L,were lower than those in the group whose blood glucose was from 7.0 to 11.0 mmol/L and in the group whose blood glucose was 11.0 mmol/L,（P0.05,0.01,respectively）,the number of missing teeth of patients in the group whose blood glucose was 11.0 mmol/L group was significantly higher than those in the other two groups respectively（P0.05）.The curative effect on periodontal disease in group A was better than that in group B（P0 05）.Conclusion There would be a correlation between diabetes and periodontal disease in the treatment,and the treatment for diabetes and periodontal disease may affect each other.