参加社区慢性病管理的糖尿病患者牙周健康状况调查及相关因素分析

目的了解社区糖尿病患者的牙周状况及相关因素。方法对参加慢性病管理的90例2型糖尿病患者进行牙周、血糖检查及问卷调查。结果本组研究对象牙周炎患病率为100％，轻、中、重度牙周炎分别为37．1％、24．4％、38．9％。附着丧失男性高于女性。牙周状况与糖化血红蛋白水平高度相关，受社会行为因素影响。结论糖尿病患者的牙周附着丧失与糖化血红蛋白水平关系更为密切，应将二者作为定期监测的指标，积极控制牙周炎症，优先针对低收入、牙周保健知识水平低的人群开展行为干预。

Prevalence and related factors of periodonfitis in community-dwelling Chinese with diabetes

OBJECTIVE: To evaluate the periodontal conditions in community-dwelling Chinese with diabetes and analyze some related factors. METHODS: A total of 90 (45- to 84- year-old) patients with diabetes, participating in community-based non-communicable diseases management system, were recruited in this study. The examination items on these patients included periodontal measurements performed by pocket probing depth (PPD), attachment loss (AL), sulcus bleeding index (SBI), plaque index (PLI), and blood sugar metabolic level surveillance, as well as structured questionnaire interview. RESULTS: The prevalence of periodontitis was 100%, while 37.1% was diagnosed as having mild periodontitis, 24.4% with moderate, and 38.5% with advanced periodontitis. The AL level in male was significantly higher than that in female. The periodontal destruction was highly correlated with HbA1C value and affected by some socio-behavior factors based on multinomial logistic model. CONCLUSIONS: There is a positive correlation between AL and HbA1C level, and AL and HbA1C should be measured regularly. The patients' periodontal inflammation needs effective control. Priority should be given to the low income population and those with little periodontal knowledge for behavior interventions.