牙周炎治疗对2型糖尿病病人牙周状况及代谢指标的影响

Eeffect of periodontitis therapy on metabolism in type 2 diabetes patients

关键词:  牙周炎治疗  2型糖尿病  糖化血红蛋白

Key words:  periodontitis therapy  type 2 diabetes, HbA1c

摘要:

［目的］探讨牙周炎治疗对2型糖尿病病人的牙周状况及代谢指标的影响。［方法］将42例2型糖尿病合并牙周炎病人进行牙周炎治疗，观察牙周炎治疗后牙周状况及血糖、血脂及糖化血红蛋白指标的变化。［结果］2型糖尿病合并牙周炎患者经牙周炎治疗后除血脂无显著变化外( P > 0.05 ),其余各项较治疗前相比显著性下降( P < 0.01 或P < 0.05 )。其中龈沟出血指数由（3.38±0.59）降至(1.85±0.26)、探诊深度由（5.63±0.85）mm降至(3.76+0.67)mm（均 P < 0.01），空腹血糖由（8.23±1.52）mmol/L降至(7.71±1.03) mmol/L，餐后2 h血糖由（14.71±4.22）mmol/L降至(12.90±2.34) mmol/L，糖化血红蛋白指标由（8.50±1.64）％降至(7.94±0.92)％（均P<0.05）。［结论］ 通过牙周炎治疗可以在一定程度上改善糖尿病患者糖代谢水平及降低糖化血红蛋白的水平,改善牙周状况。

Abstract:

［Objective］To investigate the effect of periodontitis therapy on metabolism in type 2 diabetes patients . ［Methods］Fouty-two type 2 diabetes patients with periodontitis were selected . They were treated with periodontitis therapy . The method had been applied for two months. Their sulcus bleeding index (SBI) , probing depth (PD) , blood glucose , lipid and the value of HbA1c were observed .［Results］After treatment, the indexes of SBI , PD , FBG, PBG and HbA1c were dropped remarkably (P<0.01, P<0.05) .［Conclusions］Periodontitis therapy can effectively reduce HbA1c in type 2 diabetes patients with periodontitis .