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目的:对武汉市国家公务员的牙周状况及血糖情况进行调查,探讨糖尿病与牙周炎的相关性。方法:2004.11～12月,对武汉市国家公务员以工作单位为抽样框进行随机整群抽样,对493人进行了血糖及牙周状况的横断面调查,其中458人符合纳入标准作为研究对象,再把研究对象分为中青年年龄段(30～59岁)与老年年龄段(60岁以上)分别进行研究。最终资料通过χ2检验及Logistic多因素回归分析进行统计学分析。结果:在单因素分析中,糖尿病与牙周炎具有相关性;在整个人群的多因素分析中,以年龄在30～39岁这一组作为对照时,年龄在40～49岁组,50～59岁、70岁以上组与之相比没有显著差异(P>0.05),而60～69岁组与之相比有统计学差异(P<0.05).说明在60～69岁这一年龄段患牙周炎的风险增加。老年组人群(60岁以上)血糖值与牙周炎在统计学上呈正相关。提示血糖超过7.0mmol/L(OR=6.906,CI1.274～37.424)是牙周炎的危险因素。结论:糖尿病为牙周炎患病的危险因素,对牙周炎患病的影响主要在老年阶段(60岁以上)。
OBJECTIVE: To investigate the periodontal status and blood glucose of state civil servants in Wuhan to investigate the relationship between diabetes and periodontitis. Methods: From November 11 to December 2004, 495 people in Wuhan were surveyed by random sampling with sampling units in Wuhan. Among them, 453 were eligible for inclusion in the study. The subjects were divided into young and middle-aged (30 to 59 years old) and the elderly (over 60 years old) were studied. The final data were analyzed by χ2 test and Logistic regression analysis. Results: In the univariate analysis, diabetes and periodontitis were correlated. In the multivariate analysis of the entire population, when the age group was 30 to 39 years old, the age group was 40 to 49 years old, There was no significant difference between the age of 59 and 70 years old (P> 0.05), while there was a significant difference between 60 ~ 69 years old group (P <0.05) Increased risk of periodontitis. Elderly group of people (over 60 years old) blood glucose levels and periodontitis statistically significant positive correlation. Suggest that blood glucose more than 7.0mmol / L (OR = 6.906, CI1.274 ~ 37.424) is a risk factor for periodontitis. Conclusion: Diabetes mellitus is a risk factor for periodontitis. The impact on periodontitis is mainly in the elderly (over 60 years old).