糖尿病患者牙周非手术治疗对血糖水平的影响

目的　探讨牙周非手术治疗对糖尿病患者牙周炎症控制及血糖水平的影响。方法　从83例胰岛素非依赖性糖尿病牙周炎患者中选出代谢控制不良的 31例 ,行牙周非手术治疗 ,测量并比较术前、术后 4、8周的探诊出血、探诊深度及糖化血红蛋白水平。结果　所有患者治疗后探诊出血、探诊深度明显减少。重度牙周炎患者糖化血红蛋白从 ( 9 86± 2 1 0 ) %降低为 ( 8 77± 1 62 ) % ,差异有显著性 (P <0 0 1 ) ;中轻度牙周炎患者糖化血红蛋白的变化差异无显著性 (P >0 0 5)。结论　糖尿病患者牙周炎症控制能在一定程度上改善代谢水平 ,但改善的效果可能与治疗前血糖水平和牙周状况有关

The effect of non-surgical periodontal therapy on blood sugar level of non-insulin dependent diabetes mellitus diabetics with periodontitis

OBJECTIVE: To investigate the effect of periodontal therapy on blood sugar level of non-insulin dependent diabetes mellitus(NIDDM) diabetics with periodontitis. METHODS: Patients with unfavorable control of diabetes were selected from out patients of the first affiliated hospital of Sun Yat-sen University of Medical Science. The percentage of bleeding on probing, probing depth and glycosylated hemoglobin level were studied at baseline, four weeks and eight weeks after non-surgical treatment. RESULTS: The percentage of bleeding on probing and probing depth were significantly reduced in all the patients after treatment. The mean glycosylated hemoglobin level were significantly decreased in patients with advanced periodontitis while patients with moderate periodontitis showed no changes following therapy. CONCLUSIONS: The control of periodontal inflammation can improve metabolism to some extent in patients with diabetes mellitus, but the effect may relate to blood sugar level and periodontal conditions at baseline.