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目的探讨持续健康干预对2型糖尿病牙周炎患者健康行为情况和牙周检测指标的影响。方法比较2型糖尿病牙周炎患者在控制血糖和牙周治疗基础上,经持续6个月健康干预的健康行为情况和牙周检测指标变化。结果 87例2型糖尿病牙周炎患者自我血糖监测等糖尿病相关行为执行率较干预前明显提高(P<0.01);餐后漱口等牙周健康行为执行率较干预前明显提高(P<0.01)。菌斑指数(PLI)、牙龈指数(GI)、探诊深度(PD)和附着丧失(AL)与干预前后比较差异均有统计学意义(P<0.05)。两两比较发现,除PLL健康干预4周后与干预前比较差异无统计学意义(P>0.05)外,其他各牙周检查指数干预后各时间点与干预前比较,差异均有统计学意义(P<0.05)。结论系统、持续的健康干预可有效提高2型糖尿病牙周炎患者健康行为执行率和改善各项牙周检测指标。
Objective To investigate the effect of continuous health intervention on the health behavior and periodontal detection of type 2 diabetic patients with periodontitis. Methods The healthy behavior and duration of periodontal examination after 6 months’ continuous health intervention were compared between patients with type 2 diabetes mellitus under control of blood glucose and periodontal treatment. Results The implementation rate of diabetes-related behaviors such as self-monitoring of blood glucose in 87 type 2 diabetic patients with periodontitis was significantly higher than that before intervention (P <0.01). The implementation rate of periodontal health behaviors such as mouthwash after meals was significantly higher than that before intervention (P0.01 ). PLI, GI, PD and AL were significantly different from those before and after intervention (P <0.05). The results of comparison between the two groups showed that there was no significant difference between before and after 4 weeks of healthy intervention of PLL (P> 0.05), and the differences of other periodontal indexes after intervention were statistically significant (P <0.05). Conclusion Systemic and continuous health interventions can effectively improve the implementation rate of healthy behaviors and improve various periodontal detection indexes in type 2 diabetic patients with periodontitis.