中医辨证治疗糖尿病合并牙周炎的疗效观察

Observation on Efficacy of TCM Treatment on Diabetic Patients with Periodontitis

目的:探讨中医辨证治疗糖尿病合并牙周炎的方法及疗效。方法:将70例糖尿病合并牙周炎患者作为研究对象,分为对照组(n=31)与观察组(n=39),对照组患者进行牙周炎分步治疗,观察组患者在对照组治疗基础上根据糖尿病情况采用中医辨证思想进行中药控制血糖状况治疗,对比两组患者治疗前后的血糖水平及牙周炎的疗效及相关生化指标情况。结果:观察组与对照组治疗后空腹血糖水平(FPG)分别为[(7.48±1.06)mmol/L vs(8.54±1.32)mmol/L],血红蛋白(HbAlc)为[(7.46±2.14)%vs(9.31±2.73)%],治疗有效率分别为(94.9%vs 67.7%),观察组与对照组治疗两个月后的全口牙菌斑指数(pli)水平分别为[(1.68±0.32)vs(2.05±0.51)],牙周探诊深度(ppd)水平分别为[(2.15±1.30)mm vs(3.15±1.12)mm],牙周附着水平测定(pal)水平分别为[(7.10±1.82)mm vs(7.59±1.82)mm],牙齿松动度(md)水平为[(0.69±0.72)mm vs(1.65±0.42)mm],血钙(Ca)水平分别为[(2.10±0.12)mmol/L vs(2.40±0.22)mmol/L],无机磷(P)水平分别为[(1.29±0.14)mmol/L vs(1.33±0.20)mmol/L],两两比较,P<0.05。结论:中医辨证治疗糖尿病合并牙周炎有效率高、疗效稳定、不良反应少、标本兼治的特点,但需要结合糖尿病具体症型选择药方。

Objective：To explore the efficacy of TCM treatment on diabetic patients with periodontitis .Methods：70 diabetic patients with periodontitis were divided into control group （n=31）and observation group（n=39）.Patients in the control group were treated with step periodontitis therapy .The observation group gave patient Chinese medicine treatment according to the situation of diabetes apart from the same therapy of the control group .The efficacy of treating periodontitis ,blood sugar levels , and related biochemical indicators in the two groups were observed .Results：The fasting plasma glucose （ fpg） level in the observation and the control group were （7.48 ±1. 06 mmol/L vs 8.54 ±1.32 mmol/L）, hemoglobin （HbAlc） were （7.46 ±2.14% vs9.31 ±2.73%）, treatment efficiency were （94.9%vs67.7%）,the full-mouth plaque index （pli） level after 2m were （1.68 ±0.32 vs2.05 ±0.51）,the probing depth （ppd） levels were （2.15 ±1.30 mm vs3.15 ±1.12 mm）, the periodontal attachment level measurement （pal） levels were （7.10 ±1.82 mm vs7.59 ±1.82 mm）, the tooth mobility （md） levels were （0.69 ±0.72 mm vs1.65 ±0.42 mm）, the calcium （ca） levels were （2.10 ±0.12 mmol/L vs2.40 ±0.22 mmol/L）, the inorganic phosphorus （P） levels were （ 1.29 ±0.14 mmol/L vs1.33 ± 0.20 mmol/L）, P 〈0.05.Conclusion：TCM treatment on diabetic patients with periodontitis has satisfactory efficiency , fewer side effects, treating both the symptoms and roots .However, the selection of prescription requires differentiation of diabetes type .