局部含漱治疗患糖尿病老年人义齿性口炎的疗效观察

目的：探讨仅局部应用含漱液治疗老年Ⅱ型糖尿病患者义齿性口炎的疗效。方法：将63例患有义齿性口炎的老年糖尿患者根据糖尿病控制情况分成控制较好组（31例）和控制不良组（32例）及无全身系统性疾病的义齿性口炎患者组成的对照组（20例）,3组均采取局部使用0.1%西吡氯铵含漱液和5%碳酸氢钠溶液交替含漱的治疗方法,对临床疗效进行观察比较。结果：控制较好组临床有效率（90.32%）明显高于控制不良组（50%）,稍低于对照组（95%）,P〈0.01。结论：老年Ⅱ型糖尿病患者义齿性口炎使用局部含漱液治疗完全可以控制病情,此外还需控制好血糖,保持口腔和义齿清洁,才能达到治愈的目的。

Clinical Studies on Candida- associated Denture Stomatitis in Elder Patients with Type 2 Diabetes Mellitus.

Objective： To study the effect of local gargle application in the treatment of Candida-associated denture stomatitis with senile diabetes mellitus. Methods： A total of 63 patients who suffered with denture stomatitis and senile diabetes were divided into two groups by plasma glucose level. All patients were treated by local application of 0.1% cetylpyridinium chloride and 5% sodium bicarbonate solution alternating gargle, the clinical efficacy were evaluated. Results： The efficient of treatment was higher in good diabetic control group compared to control group （90.32% vs. 50% ,P〈0.01）. Conclusion： Local gargle applications can alleviate Candida-associated denture stomatitis combined with senile diabetes , but to achive better treatment effect, it is necessary to control diabetes and clean dentures carefully.