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目的:探究2型糖尿病血糖控制水平对种植体稳定性和血液炎症指标的影响。方法:选取2014年7月—2015年7月于我院接受种植牙手术的30例2型糖尿病患者作为实验组,另选取30例同期血糖正常的种植牙患者作为对照组,比较并分析两组的血糖控制水平、种植体稳定性以及血液炎症指标。采用SPSS 18.0软件包对数据进行统计学分析。结果:术前2组各炎症指标差异均不显著(P>0.05),术后24 h实验组各炎症指标水平均显著高于对照组(P<0.05);术后ISQ呈下降后迅速回升并增强的趋势,各组各时间点的ISQ差异均无统计学意义(P>0.05);>7.5%组的ISQ最大下降值低于≤7.5%组,且ISQ恢复时间显著长于≤7.5%组。结论:2型糖尿病血糖控制水平与种植体稳定性、血液炎症指标均存在密切关系,良好的血糖控制对患者的创伤愈合和种植体的稳定性具有积极意义。
Objective: To investigate the effect of type 2 diabetes mellitus on the stability of implants and blood inflammation. Methods: Thirty patients with type 2 diabetes mellitus undergoing dental implant surgery in our hospital from July 2014 to July 2015 were selected as the experimental group, and 30 patients with normal glucose level were selected as the control group. The two groups were compared and analyzed Blood glucose control level, implant stability and blood inflammation indicators. Data were statistically analyzed using SPSS 18.0 software package. Results: There was no significant difference in inflammation index between the two groups before surgery (P> 0.05). The indexes of inflammation in experimental group at 24 hours after operation were significantly higher than those in control group (P <0.05) (P> 0.05). The greatest decrease of ISQ in> 7.5% group was lower than <7.5% group, and the ISQ recovery time was significantly longer than <7.5% group. Conclusion: The level of glycemic control in type 2 diabetes mellitus is closely related to the stability of implants and the index of blood inflammation. Good glycemic control has a positive effect on wound healing and stability of implants.