高频次牙周洁治对2型糖尿病伴慢性牙周炎患者的临床疗效

目的:评价高频次的牙周洁治对2型糖尿病伴慢性牙周炎患者的临床疗效.方法:将40名2型糖尿病伴慢性牙周炎患者按照性别、年龄匹配的原则分配到A组(高频次牙周洁治组,20例)和B组(单次牙周洁治组,20例),并于基线检查和治疗完成后6个月进行复查,A组在此过程中每月复诊一次并进行牙周龈上洁治,B组基线时洁治后无处理,比较两组牙周检查指标及血糖检查指标的变化.结果:A组各项牙周指标及血糖指标均较基线显著降低,且对两组间差异进行协方差分析(糖化血红蛋白水平为协变量)处理,两组差异有统计学意义.结论:高频次的牙周洁治能显著改善2型糖尿病伴慢性牙周炎患者的牙周炎症状及血糖水平.

Effect of intensive periodontal care on periodontal destruction in type 2 diabetic patients

Objective：To evaluate the effectiveness of intensive periodontal care in type 2 diabetic patients with chronic periodontitis. Methods： Forty diabetic participants were recruited at Beijing Tongren Hospital and matched at 1：1 ratio by age and gender, and randomly allocated into intervention （20 individuals） and control groups （20 individuals）. Tooth brushing instruction, oral health education, and supra-gingival scaling were implemented in all patients at baseline. This processes were repeated in intervention patients every month for 6 months, while only the baseline processes in the control. Periodontal health was evaluated using plaque index （PLI） and bleeding index （BI）, diabetes-related factors included glycosylated haemo2 globinAl （HbAlc）. An analysis of covariance （ANCOVA） was used with SPSS 17.0. Results： In intervention group, PLI , BI and HbAlc were reduced fairly compared with the baseline. There were significant differences in PLI and BI between the two groups at sixth month after adjusted for HbAlc level. Conclusion： Intensive periodontal care might improve periodontal health as well as reduce glycemic level.