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目的评估一组中重度牙周炎伴Ⅱ型糖尿病患者牙周基础治疗对牙周临床指标的影响,以及代谢控制、患病时间对近期疗效的影响。方法选取60名中重度牙周炎伴Ⅱ型糖尿病患者为实验组,以48名无系统性疾病的中重度牙周病患者为对照组,两组患者均行牙周基础治疗和药物治疗,分别记录并比较两组患者治疗前后的各项牙周临床指标,包括探诊深度(PPD)、探诊出血指数(BOP)、附着丧失(CAL)。结果实验组和对照组的BOP治疗前与治疗后3个月、6个月比较,均有明显改善(P<0.05),两组患者的PPD和CAL治疗后均有改善,但差异无统计学意义;两组患者治疗后3个月与6个月的各项临床指标没有明显改变;实验期间两组患者的各项牙周临床指标的变化,差异无统计学意义。治疗前后的变化:BOP与CAL在罹患糖尿病病史长短不同的两组中差异有统计学意义(P<0.05),BOP以及PPD在血糖控制差与血糖控制良好的两组中差异有统计学意义。结论糖尿病并牙周炎的牙周基础治疗是有效的,且疗效稳定,不需激进的治疗方式。血糖控制不良、糖尿病病史较长的糖尿病并牙周炎患者的疗效比血糖控制良好、糖尿病病史短的患者差。
Objective To evaluate the effect of periodontal therapy on the clinical parameters of periodontal disease in a group of patients with moderate-severe periodontitis and type Ⅱ diabetes mellitus, and to study the effect of metabolic control and the duration of illness on the short-term effect. Methods Sixty moderate and severe periodontitis patients with type Ⅱ diabetes mellitus were selected as the experimental group, and 48 patients with moderate and severe periodontal disease without systemic diseases were selected as the control group. Both groups received basic periodontal therapy and drug treatment, respectively All of the periodontal clinical parameters, including PPD, BOP and CAL, were recorded and compared before and after treatment. Results Both experimental and control groups had significant improvement in BOP before and 3 months and 6 months after treatment (P <0.05), and PPD and CAL in both groups improved after treatment, but the difference was not statistically significant Significance; two groups of patients 3 months after treatment and 6 months of the clinical indicators did not change significantly; during the experiment of the two groups of patients with various periodontal clinical changes, the difference was not statistically significant. The changes before and after treatment: There was significant difference between the two groups (P <0.05) of BOP and CAL in the history of diabetes mellitus, BOP and PPD were significantly different between the two groups with poor glycemic control and good glycemic control. Conclusion Periodontal treatment of diabetes mellitus and periodontitis is effective and stable with no need of radical treatment. Patients with poor glycemic control, longer history of diabetes mellitus and periodontitis have better glycemic control than those with a short history of diabetes.