糖尿病伴牙周病患者牙周基础治疗对血糖影响的临床研究

摘要

Objective To investigate the effect of periodontal therapy on the level of plasma glucose in type 2 diabetic patients with periodontitis .Methods Sixty-two type 2 diabetic patients with periodontitis were randomly divided into two groups with 31 cases in each group .Periodontal therapy group received the therapy for periodontitis and diabetes and non-therapy group received only therapy for diabetes .The PD,AL,FPG and HbA1c of two groups were recorded before and after treatment for three months .Results After treatment , periodontal therapy group had a statistical significance in the reduction of levels of PD ,AL,FPG and HbA1c(P<0.01), but non-therapy group was not statistically significant in the changes of above indexes .Conclusion The periodontal therapy has excellent thera-peutic effect for type 2 diabetic patients with periodontitis .%目的观察2型糖尿病伴牙周病患者牙周基础治疗对血糖的影响。方法62例患者分为治疗组（糖尿病和牙周病同时治疗）和对照组（单纯糖尿病治疗）各31例，分别记录治疗前及治疗后3个月牙周探诊深度（PD）、附着水平丧失（AL）、空腹血糖（FPG）、糖化血红蛋（HbA1c）。结果治疗后治疗组PD、AL、FPG、HbA1c均有明显下降（P＜0.01），对照组PD、AL无明显变化（P＞0.05），FPG、HbA1c降低（P＜0.05）。两组治疗后比较差异均有统计学意义（P＜0.01），且治疗组FPG、HbA1c比对照组下降幅度更大（P＜0.01）。结论牙周基础治疗对2型糖尿病伴牙周炎患者具有良好的治疗效果。