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目的:探讨强化降糖治疗对2型糖尿病合并反复发作牙周病发病情况的影响。方法:2型糖尿病合并反复发作牙周病的患者40例分为A、B两组。A组进行牙周基础治疗+常规降糖治疗;B组进行牙周基础治疗+强化降糖治疗。均治疗6个月后检测两组患者治疗前后牙周袋探诊深度、龈沟出血指数、发病频率、恢复疗程、体质指数、空腹血糖、糖化血红蛋白、血清C反应蛋白水平变化。结果:治疗后,A组除体质指数和空腹血糖外其余指标均较前好转(P<0.05),B组患者除体质指数外其余指标均较前明显好转(P<0.05);且治疗后B组患者牙袋探诊深度、龈沟出血指数、发病间隔、恢复疗程、血清C反应蛋白水平、糖化血红蛋白、空腹血糖等指标均显著优于A组(P<0.05)。结论:牙周基础治疗+强化降糖治疗可有效改善患者的牙周健康,缩短牙周病的恢复疗程、降低其发病频率,同时,可改善糖尿病患者血糖指标。
Objective: To investigate the effects of intensive hypoglycemic therapy on the incidence of periodontal disease in type 2 diabetic patients with recurrent episodes. Methods: Forty patients with type 2 diabetes complicated with recurrent periodontal disease were divided into A and B groups. A group of periodontal basic therapy + conventional hypoglycemic treatment; B group of periodontal basic therapy + intensive hypoglycemic treatment. After 6 months of treatment, the detection rate of periodontal pocket exploration, gingival sulcus bleeding index, morbidity frequency, recovery course, body mass index, fasting blood glucose, glycosylated hemoglobin and serum C-reactive protein level were measured before and after treatment. Results: After treatment, all the other indexes in group A were better than those in group B (P <0.05) except for body mass index and fasting blood glucose (P <0.05) The depth of exploration, the index of gingival sulcus bleeding, interval of onset of disease, recovery course, serum C-reactive protein, glycosylated hemoglobin and fasting blood glucose were significantly better in group B than those in group A (P <0.05). Conclusion: Periodontal basic therapy and intensive hypoglycemic therapy can effectively improve the periodontal health of patients, shorten the recovery period of periodontal disease, reduce the incidence of the disease, meanwhile, it can improve the blood sugar level of diabetic patients.