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目的对照比较社区2型糖尿病(2-DM)患者牙周健康及口腔卫生指标。方法选择在沈阳市于洪区人民医院内分泌科门诊就诊的社区2-DM患者52例为社区2-DM组,同期参加本院体检同龄健康人48例为对照组。两组对象均在沈阳市于洪区某小区居住5年以上,入选后均接受了口腔卫生及牙周健康指标检查。结果社区2-DM组牙周炎患者36例,患病率为69.23%,明显高于对照组(8例和16.67%)(χ2=6.37,P<0.01)。社区2-DM组的牙周袋深度(PD)、牙周附着丧失(CAL)、牙齿松动度(M)、龈沟出血指数(SBI)、牙齿填充指数(DMFT)及简化口腔卫生指数(OHI-S)均明显高于对照组(P均<0.05~0.01)。结论社区2-DM患者各项牙周健康及口腔卫生指标检测结果差,牙周炎患病率明确增加。
Objective To compare the periodontal health and oral hygiene of patients with type 2 diabetes mellitus (2-DM) in community. Methods 52 community-based 2-DM patients were selected as community 2-DM patients in the Department of Endocrinology Clinic of People’s Hospital of Yuhong District, Shenyang City, and 48 healthy people of the same age in the same period were selected as the control group. Two groups of subjects in Yuhong District, Shenyang City, living in a district for more than 5 years, were selected after oral hygiene and periodontal health indicators check. Results 36 patients with periodontitis in community 2-DM group had a prevalence of 69.23%, which was significantly higher than that of control group (8 cases and 16.67%, χ2 = 6.37, P <0.01). Periodontal pocket depth (PD), periodontal attachment loss (CAL), tooth mobility (M), sulcular bleeding index (SBI), dental filling index (DMFT) and simplified oral hygienic index -S) were significantly higher than the control group (P <0.05 ~ 0.01). Conclusion The detection results of periodontal health and oral hygiene indexes in community 2-DM patients are poor, and the prevalence of periodontitis is obviously increased.