中国实用口腔科杂志

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辽宁省2型糖尿病患者牙周状况调查研究

张建全,马 丽,潘亚萍,林 莉,钟慧敏危晶晶,刘 博   

  1. 中国医科大学口腔医学院牙周科
  • 收稿日期:2009-05-08 修回日期:2009-07-02 出版日期:2009-07-15 发布日期:2009-07-15

  • Received:2009-05-08 Revised:2009-07-02 Online:2009-07-15 Published:2009-07-15

摘要: 目的 了解辽宁省2型糖尿病患者的牙周状况。方法 2007年7—12月在辽宁省糖尿病及代谢综合征的流行病学调查人群中按要求选取2型糖尿病伴牙周炎患者、单纯牙周炎患者、健康人为研究对象,进行问卷调查, 检查6颗指数牙的牙周探诊深度(PD)、临床附着丧失(CAL)、龈沟出血指数(SBI)、简化口腔卫生指数(OHI-S)、牙齿松动度(TM),并对胆固醇(TC)、三酰甘油(TG)、空腹血糖(FPG)、葡萄糖耐量试验餐后2 h血糖(OGTT 2hPG)进行检测。对上述指标进行统计分析。结果 2型糖尿病患者牙周炎患病率为97.7%。排除性别、年龄、居住地、文化程度等因素的影响,2型糖尿病伴牙周炎患者的PD、CAL明显高于单纯牙周炎组。结论 2型糖尿病患者牙周破坏严重,口腔卫生教育及防病、治病意识急待加强,同时应严格控制血糖、血脂等全身危险因素对牙周状况的影响。

关键词: 牙周炎, 糖尿病

Abstract: Objective To investigate the type 2 diabetic patient’s periodontal condition in Liaoning province. Methods Patients with periodontitis associated with type 2 diabetes,patients with simple periodontitis and healthy controls were selected. They were requested to fill a questionnaire;periodontal status was evaluated by measuring probing depth (PD),clinical attachment level (CAL),sulcus bleeding index(SBI),simplified oral hygiene index(OHI-S) and tooth mobility(TM). Taking fasting venous blood and the intravenous blood of research object 2 hours after taking 75g glucose orally. Then,serum biochemical indicators were analyzed by automatic biochemical analyzer. Results The prevalence of periodontitis was 96.7% in type 2 diabetic patients. Excluding the impact of sex, age, place of residence and education level,the probing depth and clinical attachment loss of periodontitis associated with type 2 diabetes group was significantly higher than group of simple periodontitis. Conclusion Periodontal status is significantly worsened in patients with type 2 diabetes. It is very important to develop an education program on oral health for type 2 diabetic patients in Liaoning province and to strictly control the effect of blood glucose, blood lipids and other systemic risk factors on the periodontal status.

Key words: periodontitis, diabetes