摘要: |
目的:探讨老年中重度牙周炎伴2型糖尿病患者牙周基础治疗后牙周感染的控制效果,进而指导临床病例的治疗。方法:研究对象为本院2018年9月-2019年09月收治的60例老年中重度牙周炎伴2型糖尿病患者,随机分为对照组与观察组:对照组:30例,口腔卫生宣教,生活方式干预,不接受牙周基础治疗;观察组:30例,接受牙周基础治疗,口腔卫生宣教及生活方式干预。评价两组患者治疗后的牙周参数(菌斑指数、龈沟出血指数、牙周袋深度以及附着丧失)、血糖指标(空腹血糖、餐后2h血糖以及糖化血红蛋白)、牙周感染控制率以及治疗服务满意率,并对牙周参数与糖化血红蛋白行相关性分析。结果:观察组患者治疗后菌斑指数、出血指数、牙周袋深度以及附着丧失等参数均小于对照组,差异有统计学意义(P<0.05);观察组治疗后空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbALc)水平均小于对照组,差异有统计学意义(P<0.05);观察组患者牙周感染控制率高于对照组,差异有统计学意义(P<0.05);观察组治疗后牙周指数与糖化血红蛋白相关性分析示菌斑指数、出血指数、牙周袋深度及附着丧失与糖化血红蛋白呈正相关(r2=0.844,0.9,0.932,0.866;p<0.05);观察组患者治疗满意率为96.67%,高于对照组70.00%的治疗满意率,差异有统计学意义(P<0.05)。结论:对老年中重度牙周炎伴2型糖尿病患者应及时施行临床系列牙周基础治疗,通过牙周基础治疗,有利于控制牙周感染,改善患者血糖指标,减少老年患者感染机会,提高老年患者生活与生存质量,为跨学科治疗老年2型糖尿病提供新的思路与方法。 |
关键词: 老年中重度牙周炎 2型糖尿病 牙周基础治疗 牙周感染控制 服务质量 |
DOI:10.12025/j.issn.1008-6358.2020.20200474 |
分类号:R743.3 |
基金项目:上海市浦东新区科经委发展专项基金(PKJ2019-Y37);上海市2019年度“科技创新行动计划”自然科学基金面上项目(19ZR1447500);上海市浦东医院“浦菁”人才培养项目(PJ202001);上海市浦东医院科研项目(YJRCJJ201808,YJRCJJ201811) |
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Analysis of the control effect of periodontal infection in elderly patients with moderate and severe periodontitis and type 2 diabetes mellitus after basic periodontal treatment |
DU An-qing1, PENG Zao-xia2, TAN Shun-jie1, YUAN Xinlu1
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1.Shanghai Pudong Hospital;2.the First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital)
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Abstract: |
Objective: To explore the control effect of periodontal infection in elderly patients with moderate and severe periodontitis and type 2 diabetes mellitus after basic periodontal treatment aimed to guide the treatment of clinical cases. Methods: 60 elderly patients with moderate and severe periodontitis and type 2 diabetes admitted to our hospital from September 2018 to September 2019 were divided into control group which did not receive periodontal basic treatment (n=30) and observation group which received periodontal basic treatment (n=30) randomly. All patients were evaluated the periodontal parameters (plaque index, bleeding index, Periodontal pocket depth and attachment loss), blood glucose index (fasting blood glucose, 2 hours postprandial blood glucose and glycosylated hemoglobin), periodontal infection control rate and treatment service satisfaction rate. The correlation between periodontal parameters and HbA1c was analyzed. Results: the parameters of plaque index, bleeding index, periodontal pocket depth and attachment loss in the observation group were significantly lower than those in the control group (P < 0.05); the levels of FPG, 2hPG and HbAlc in the observation group were significantly lower than those in the control group (P < 0.05) The control rate of periodontal infection was higher than that of the control group (P < 0.05); the treatment satisfaction rate of the observation group was 96.67%, which was higher than 70.00% of the control group (P < 0.05). The periodontal parameters were positively correlated with HbA1c in observation group (P<0.05). Conclusion: Basic periodontal treatment is beneficial to control periodontal infection, improve the blood glucose index of the patients and improve the quality of medical service, which has important promotion and application value. |
Key words: elderly moderate and severe periodontitis type 2 diabetes mellitus periodontal basic treatment periodontal infection control service quality |