上海某社区2型糖尿病患者牙周情况调查

Survey of the periodontal condition of the patients with type 2 diabetes in a community in Shanghai

目的 :了解社区2型糖尿病患者牙周情况以及糖尿病与牙周炎的关系。方法 :2014年3月-12月采用整群抽样方式,以牙周袋深度(PD)和龈沟出血指数(SBI)作为指标,调查上海市芷江西路街道糖尿病建卡管理的2型糖尿病患者1 314例及1233弄1 278名40岁以上的非糖尿病居民的牙周健康状况,比较两组牙周炎的发病情况。结果 :糖尿病组的SBI和PD分别为(3.53±0.66)分和(5.95±0.77)mm,明显高于非糖尿病组的(1.58±0.40)分和(1.83±0.30)mm(P均<0.05)。糖尿病组中,病程越长者,糖化血红蛋白越高,SBI和PD越高。结论 :糖尿病会增加牙周病的发病风险及严重程度,需要积极防控,同时,糖尿病的治疗也是取得有效牙周炎治疗效果的重要前提。

Objective： To explore the periodontal condition of the community patients with type 2 diabetes and the relationship between diabetes and periodontitis. Methods： With the cluster sampling method, the periodontal condition of 1 314 type 2 diabetic patients in the diabetic management cards in Zhijiangxilu Community and 1 278 non-diabetic residents in 1 233 lane over the age of 40 were investigated with the index of the periodontal pocket depth（PD） and gingival sulcus bleeding index（SBI） from March to Dec. 2014 and the incidence of periodontitis was compared between two groups. Results： The SBI and PD were（3.53±0.66） points and（5.95±0.77） mm in the diabetic group, which were obviously higher than（1.58-0.40） points and（1.83 ＋ 0.30） mm in the non-diabetic one（P0.05）. The longer the course of the disease in the patients with diabetes, the higher glycated hemoglobin, SBI and PD. Conclusion： Diabetes can increase the occurrence risk and severity of the periodontal disease, so the active prevention and control are needed. At the same time, the treatment of diabetes is also an important prerequisite for the effective treatment of periodontitis.