糖尿病伴牙周病患者牙周基础治疗对血糖影响的临床研究

Clinical research about the effect of periodontal therapy on the level of plasma glucose in diabetic patients with periodontitis

目的观察2型糖尿病伴牙周病患者牙周基础治疗对血糖的影响。方法 62例患者分为治疗组(糖尿病和牙周病同时治疗)和对照组(单纯糖尿病治疗)各31例,分别记录治疗前及治疗后3个月牙周探诊深度(PD)、附着水平丧失(AL)、空腹血糖(FPG)、糖化血红蛋(HbA1c)。结果治疗后治疗组PD、AL、FPG、HbA1c均有明显下降(P<0.01),对照组PD、AL无明显变化(P>0.05),FPG、HbA1c降低(P<0.05)。两组治疗后比较差异均有统计学意义(P<0.01),且治疗组FPG、HbA1c比对照组下降幅度更大(P<0.01)。结论牙周基础治疗对2型糖尿病伴牙周炎患者具有良好的治疗效果。

Objective To investigate the effect of periodontal therapy on the level of plasma glucose in type 2 diabetic patients with periodontitis .Methods Sixty-two type 2 diabetic patients with periodontitis were randomly divided into two groups with 31 cases in each group .Periodontal therapy group received the therapy for periodontitis and diabetes and non-therapy group received only therapy for diabetes .The PD,AL,FPG and HbA1c of two groups were recorded before and after treatment for three months .Results After treatment , periodontal therapy group had a statistical significance in the reduction of levels of PD ,AL,FPG and HbA1c（P＆lt;0.01）, but non-therapy group was not statistically significant in the changes of above indexes .Conclusion The periodontal therapy has excellent thera-peutic effect for type 2 diabetic patients with periodontitis .