口腔护理保健在糖尿病合并牙周病患者血糖管理中的应用

Application of Oral Care and Health Care in Blood Glucose Management of Patients with Diabetes and Periodontal Disease

目的分析口腔护理保健在糖尿病合并牙周病患者血糖管理中的应用。方法以90例糖尿病合并牙周病患者作为研究对象,研究时间为2019年1—12月,采用抽签法进行分组,分为参照组45例和研究组45例,参照组实施常规护理,研究组实施口腔护理保健,对比两组患者血糖水平、牙周病治疗效果、牙周指标、不良反应与护理满意度,进行统计学分析。结果研究组患者护理后空腹血糖、餐后2 h血糖均优于参照组,差异有统计学意义(P<0.05)。研究组患者的治疗有效率高于参照组,差异有统计学意义(P<0.05)。研究组护理后菌斑指数、龈沟出血指数均优于参照组,差异有统计学意义(P<0.05)。研究组患者不良反应率低于参照组,差异有统计学意义(P<0.05)。研究组患者护理满意度优于参照组,差异有统计学意义(P<0.05)。结论为糖尿病合并牙周病患者实施口腔护理保健,可有效控制血糖,提高治疗有效率,改善牙周指标,得到患者的满意评价,护理效果显著,可在临床推广及使用。

Objective To analyze the application of oral nursing care in the management of blood glucose in patients with diabetes and periodontal disease.Methods Ninety patients with diabetes and periodontal disease were taken as the research objects.The study time was from January to December 2019.They were grouped by lottery and divided into 45 cases in the reference group and 45 cases in the study group.The reference group received routine nursing care,the research group implemented oral care and health care,and compared the blood glucose levels,periodontal disease treatment effects,periodontal indicators,adverse reactions and nursing satisfaction between the two groups of patients,and performed statistical analysis.Results The fasting blood glucose after nursing and the blood glucose 2 h after meal of the study group were better than the reference group,which was statistically significant difference(P<0.05).The effective rate of treatment in the study group was higher than that in the reference group,which was statistically significant difference(P<0.05).The study group's plaque index and gingival crevicular bleeding index were better than the reference group after nursing,which was statistically significant difference(P<0.05).The adverse reaction rate of the study group was lower than that of the reference group,which was statistically significant difference(P<0.05).The nursing satisfaction of patients in the study group was better than that in the reference group,which was statistically significant difference(P<0.05).Conclusion Implement oral care and health care for diabetes patients with periodontal disease,Which can effectively control blood glucose,improve treatment efficiency,and improve periodontal indicators.The patients are satisfied with the evaluation.The nursing effect is significant,and it can be promoted and used in clinical practice.