牙周炎合并T2DM患者牙周状况与全身糖代谢水平的危险因素分析

Risk Factors of periodontal Status and systemic Glucose Metabolism in Patients with Periodontitis and T2DM

目的研究牙周炎合并2型糖尿病(T2DM)患者牙周状况和全身糖代谢水平的相关危险因素。方法抽取郑州大学第一附属医院2018年5月至2020年5月收治的100例牙周炎合并T2DM患者资料进行回顾性分析,根据患者的年龄、烟酒史、刷牙频率和牙线使用情况等指标进行分组后,进行组间社区牙周指数(CPI)、空腹血糖水平(FPG)和糖化血红蛋白水平(HbAlc)差异的比较。结果高龄组的CPI、FPG和HbAlc水平要高于低龄组(P<0.05);饮酒组的CPI、FPG和HbAlc水平要高于非饮酒组(P<0.05);吸烟组的CPI、FPG和HbAlc水平要高于非吸烟组(P<0.05);高刷牙频次组的CPI、FPG和HbAlc水平要低于低刷牙频次组(P<0.05);使用牙线组的CPI、FPG和HbAlc水平要低于未使用牙线组(P<0.05)。结论年龄、长期吸烟、饮酒、刷牙次数和牙线使用情况均会对牙周炎合并T2DM患者的牙周状况和全身糖代谢情况造成影响,保持良好的生活习惯和口腔卫生习惯对于牙周炎的控制和血糖水平的改善均有着重要的意义,牙周炎合并T2DM患者日常生活中应注意口腔卫生,并保持良好的生活习惯,以避免牙周炎及糖尿病病情的进一步加重。

Objective To investigate the periodontal status and the related risk factors of systemic glucose metabolism in patients with periodontitis and T2DM.Methods The data of 100 patients with T2DM and periodontitis admitted to the First Affiliated Hospital of Zhengzhou University from May 2018 to May 2020 were analyzed retrospectively,patients were divided into groups according to age,history of smoking and drinking,frequency of tooth brushing and flossing.The differences of CPI,FPG and HbA1c between groups were compared.Results The levels of CPI,FPG and HbA1c in the elderly group were higher than those in the younger group(P<0.05),the levels of CPI,FPG and HbA1c in the alcohol group were higher than those in the non-alcohol group(P<0.05),and the levels of CPI,FPG and HBALC in the smoking group were higher than those in the non-smoking group(P<0.05),the CPI,FPG and HbA1c levels in the high frequency group were lower than those in the low frequency group(P<0.05),and the CPI,FPG and HbA1c levels in the flossing group were lower than those in the non-flossing group(P<0.05).Conclusion Age,long-term smoking,alcohol consumption,frequency of tooth brushing and flossing can affect periodontal status and glucose metabolism in patients with periodontitis and T2DM,it is of great significance to maintain good living habits and oral hygiene habits for the control of periodontitis and the improvement of blood sugar level.Patients with periodontitis and T2DM should pay attention to oral hygiene in their daily life and maintain good living habits,to avoid further aggravation of periodontitis and diabetes.