Ⅱ型糖尿病患者的牙周状况及对糖化血红蛋白(HbAIc)的影响

目的 观察Ⅱ型糖尿病患者患牙周炎经过牙周基础治疗后，牙周状况以及糖化血红蛋白(HbAIc)的变化：方法：选择已确诊的Ⅱ型糖尿病同时患牙周炎的患者33例，进行牙周基础治疗，比较治疗前及治疗后4周的牙周状况和HbAIc水平。结果：患者经过牙周基础治疗后、探诊出血指数、探诊深度明显减轻；重度牙周炎患者经治疗后4周，HbAIc明显降低；中度及轻度牙周炎患者治疗前后HbAIc无明显改变。结论：成人牙周炎的糖尿病患者牙周基础治疗后短期效果是满意的，牙周治疗可降低糖化血红蛋白的水平.

The effect of initial therapy on periodontal status and saccharified Hb (HbAIc) of patients with type Ⅱ diabetes mellitus

PURPOSE: To investigate the effect of periodontal initial therapy on the level of glycated hemoglobin(HbAIc) and periodontal status in non-insulin dependent diabetes mellitus(NIDDM)patients with periodontitis. METHODS: 33 cases with NIDDM periodontitis were included in the study.The periodontal therapy included oral hygiene instruction,ultrasonic scaling and subgingival scaling.The level of glycosylated hemoglobin and periodontal status before treatment and four weeks after treatment were determined and compared. RESULTS: The percentage of bleeding on probing and probing depth were significantly reduced in all patients after periodontal therapy.The glycosylated hemoglobin level was significantly decreased in patients with advanced periodontitis,while patients with moderate periodontitis showed no changes following therapy. CONCLUSION: The result of periodontal therapy in the diabetic patients was satisfied in short time.It can reduce the level of glycated hemoglobin.