糖尿病患者口腔感染危险因素分析与对策

Analysis and countermeasures of risk factors for oral infections in diabetic patients

目的观察分析糖尿病患者口腔感染危险因素分析及对策,以降低糖尿病患者口腔感染率。方法回顾性分析2013年3月-2015年3月340例糖尿病口腔感染患者临床资料,分别对患者临床资料、病史、基础疾病、糖尿病情况、文化程度、是否合并其他口腔疾病、口腔感染相关防治知识了解程度等进行统计分析。结果影响糖尿病患者合并口腔感染的单因素包括:年龄>70岁占50.59%、血糖水平>11mmol/L占52.35%、口腔黏膜损伤占42.35%、口腔护理不佳占77.65%及对糖尿病合并口腔感染认知不清等因素占55.29%;而患者的性别、文化程度、糖尿病史、BMI指数等则差异无统计学意义;其中患者对于牙龈红肿是口腔感染早期症状以及血糖水平波动容易诱发口腔疾病等方面的知晓率较低,均<30.00%。结论对于具有高危因素的糖尿病患者要及时做好相关的防治护理措施,降低糖尿病并发口腔感染的发生。

OBJECTIVE To analyze the risk factors for oral infections in 340 cases of diabetic patients so as to propose countermeasures to reduce oral infections.METHODS From Mar.2013 to Mar.2015,the clinical data,including medical history,underlying diseases,diabetes status,education background,other combined oral infections and relevant preventing and treating knowledge of oral infections,of 340 cases of diabetic patients with oral infections were retrospectively analyzed.RESULTS The analysis found that univariate factor of oral infections included：age〉70years,constituting a ratio of 50.59%;blood glucose levels〉11mmol/L,constituting a ratio of 52.35%;the oral mucosa,constituting a ratio of 42.35%;poor oral cavity care,the proportion constituting 77.65%;and insufficiency of diabetes combined with oral infections accounted for 55.29%.However,gender,education,history of diabetes,BMI indexes were not significant risk factors.Moreover,only less than 30.00% of the diabetic patients knew that the early symptoms of oral infections were swelling of the gum and the fluctuation of blood glucose level could cause oral diseases.CONCLUSIONThe relevant measures should be taken to avoid high risk factors for diabetic patients to reduce the incidence of the combined oral infections.