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目的:探讨牙周翻瓣手术治疗对老年糖尿病患者牙周炎症控制及血糖水平的影响。方法:选择24例已行牙周洁、刮治术的患有2型糖尿病的老年牙周炎患者,随机分成两组,每组12例,治疗组行牙周翻瓣术治疗,对照组不行翻瓣术治疗,测量并比较两组治疗前及12周后的探诊出血、探诊深度及糖化血红蛋白水平。结果:治疗组所有患者治疗后探诊出血、探诊深度明显减少。糖化血红蛋白从(7.96±1.37)%降低为(7.11±1.05)%,差异有统计学意义(P<0.05),对照组此三项指标变化差异无统计学意义,并且在治疗12周后治疗组三项指标均低于对照组,差异有统计学意义。结论:糖尿病患者牙周炎症控制能在一定程度上改善糖代谢水平,且改善的效果可能与牙周炎症控制有关。
Objective: To investigate the effect of periodontal flap surgery on periodontal inflammation control and blood glucose level in elderly patients with diabetes mellitus. Methods: Twenty-four elderly periodontitis patients with type 2 diabetes treated with periodontal cleaning and shaving were selected and divided into two groups at random. Twelve patients in each group were treated with periodontal flap surgery in the treatment group, but not in the control group Flap flap treatment, measurement and comparison of the two groups before and after 12 weeks of exploration bleeding, exploration depth and HbA1c levels. Results: All the patients in the treatment group had bleeding after probing, and the depth of exploration was significantly reduced. Glycosylated hemoglobin decreased from (7.96 ± 1.37)% to (7.11 ± 1.05)%, the difference was statistically significant (P <0.05). There was no significant difference in the three indexes between the control group and the treatment group Three indicators are lower than the control group, the difference was statistically significant. Conclusion: The control of periodontal inflammation in diabetic patients can improve the level of glucose metabolism to a certain extent, and the effect of improvement may be related to periodontal inflammation control.