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目的了解社区糖尿病患者的牙周状况及相关因素。方法对参加慢性病管理的90例2型糖尿病患者进行牙周、血糖检查及问卷调查。结果本组研究对象牙周炎患病率为100%,轻、中、重度牙周炎分别为37.1%、24.4%、38.9%。附着丧失男性高于女性。牙周状况与糖化血红蛋白水平高度相关,受社会行为因素影响。结论糖尿病患者的牙周附着丧失与糖化血红蛋白水平关系更为密切,应将二者作为定期监测的指标,积极控制牙周炎症,优先针对低收入、牙周保健知识水平低的人群开展行为干预。
Objective To understand the periodontal status and related factors in community diabetic patients. Methods Totally 90 patients with type 2 diabetes who participated in the management of chronic diseases were examined for periodontal disease, blood glucose and questionnaires. Results The prevalence of periodontitis in this study group was 100%. The rates of mild, moderate and severe periodontitis were 37.1%, 24.4% and 38.9% respectively. Loss of attachment is higher for males than females. Periodontal status is highly correlated with HbA1c levels and is influenced by social behavioral factors. Conclusion The loss of periodontal attachment in patients with diabetes is more closely related to the level of HbA1c. Both of them should be used as indicators of regular monitoring to control periodontal inflammation. Priority intervention should be given to those with low income and low level of periodontal health care.