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目的观察牙周基础治疗对2型糖尿病牙周病患者的临床治疗效果。方法选取80例2型糖尿病牙周病的患者为研究对象,随机分为两组,对照组仅给予血糖控制治疗,观察组在对照组的基础上进行包括口腔卫生宣教在内的牙周基础治疗,两组均观察3个月。比较两组3个月后的牙周状态,血糖和血脂水平的变化。结果两组在治疗前牙龈出血指数(BI)、牙周袋深度(PD)、菌斑指数(PLI),空腹血糖(FPG)、糖化血红蛋白(Hb Alc)、甘油三酯(TG)、总胆固醇(TC)组间差异均无统计学意义(P<0.05)。观察组3个月后的BI、PD、PLI、FPG、Hb Alc、TC均低于治疗前(P<0.05),同时以上指标均优于同期对照组(P<0.05)。对照组以上指标治疗前后均无明显变化(P>0.05)。结论糖尿病性牙周病患者于临床采用牙周基础治疗可有效改善牙周临床指标,并对患者血糖及甘油三酯水平有积极的影响。
Objective To observe the clinical effect of periodontal therapy on patients with type 2 diabetes mellitus. Methods Eighty patients with periodontal disease of type 2 diabetes mellitus were selected as study subjects and randomly divided into two groups. The control group was treated with glycemic control only. The observation group was given basic periodontal treatment including oral hygiene education based on the control group Both groups were observed for 3 months. The changes of periodontal status, blood glucose and blood lipid levels were compared between the two groups after 3 months. Results Before treatment, the indexes of gingival bleeding, PD, PLI, Hb Alc, TG, total cholesterol (TC) between the two groups showed no significant difference (P <0.05). The levels of BI, PD, PLI, FPG, Hb Alc, TC in the observation group after 3 months were lower than those before treatment (P <0.05), and the above indexes were better than those in the control group at the same time (P <0.05). The above indicators in the control group had no significant changes before and after treatment (P> 0.05). Conclusion Patients with diabetic periodontal disease in the clinical application of periodontal treatment can effectively improve the clinical indicators of periodontal disease, and have a positive impact on blood glucose and triglyceride levels.