Objective To analyze the effect of oral intervention with individualized diet and intensive exercise on type 2 diabetic patients complicated with periodontal disease.Methods The 166 patients with type 2 diabetes mellitus complicated with periodontal disease admitted in this hospital from February 2014 to February 2016 were enrolled in this study,the patients were divided into two groups by random number table,the control group(n=83) received routine nursing intervention,while the observation group(n=83) received oral intervention,accompanied by individualized diet and intensive exercise guidance.The treatment effect,blood glucose,periodontal examination index,oral health care knowledge and behavior,diet treatment compliance and nursing satisfaction of the two groups were compared,life quality scale was used to assess the quality of life of the patients after the intervention.Results (1) The total effective rate of the observation group was 98.80%,higher than that of the control group(91.57%),the difference was statistically significant(P<0.05).(2) The fasting blood glucose and postprandial 2 h blood glucose of the observation group were well controlled,and were better than the control group,the difference was statistically significant(P<0.05).(3)Before the intervention,the periodontal examination indexes of the two groups were equal,the difference was not statistically significant(P>0.05);after the intervention,the indexes in the observation group were better than those in the control group,the difference was statistically significant(P<0.05).(4)The oral health knowledge,behavior and dietary treatment compliance of the observation group were better than those of the control group,the difference was statistically significant(P<0.05).(5)The DMQLS score of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion Oral intervention with individualized diet and intensive exercise guidance in patients with type 2 diabetes mellitus complicated with periodontal disease is very effective and has high promotion and application value.%目的 分析口腔干预配合个体化饮食及强化运动指导在2型糖尿病合并牙周病患者中的应用效果.方法 将该院2014年2月至2016年2月收治的166例2型糖尿病合并牙周病患者纳入本研究,采取随机数字表法进行平均分组,对照组(83例)患者实施常规护理干预,观察组(83例)患者实施口腔干预配合个体化饮食与强化运动指导,对比不同干预后两组患者治疗效果、血糖情况、牙周检查指标、患者口腔保健知识及行为情况、饮食治疗依从性及护理满意度,并采用生活质量量表评估干预后患者的生活质量.结果 (1)观察组总有效率为98.80%,高于对照组的91.57%,差异有统计学意义(P<0.05);(2)观察组空腹血糖及餐后2 h血糖均控制良好,均优于对照组,差异有统计学意义(P<0.05);(3)干预前两组患者牙周检查指标均相当,差异无统计学意义(P>0.05),干预后观察组牙周检查指标均优于对照组,差异有统计学意义(P<0.05);(4)观察组患者口腔保健知识及行为、饮食治疗依从性均优于对照组,差异有统计学意义(P<0.05);(5)观察组2型糖尿病患者生活质量量表评分优于对照组,差异有统计学意义(P<0.05).结论 口腔干预配合个体化饮食及强化运动指导在2型糖尿病合并牙周病患者中应用效果好,具有临床推广及应用价值.
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