摘要
目的评估牙周基础治疗应用在老年2型糖尿病(T2DM)合并牙周炎患者中的有效性及作用。方法纳入2020年1月至2021年4月的70例老年T2DM合并牙周炎患者,按照随机方式分配病例至观察组(纳入35例,在对照组基础上加用牙周基础治疗)、对照组(纳入35例,行降糖及常规口腔卫生指导),评价组间糖代谢指标、牙周相关指标、炎症因子水平、脂代谢指标。结果治疗前,组间糖代谢指标、牙周相关指标、炎症因子水平、脂代谢指标[高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、甘油三酯(TG)、总胆固醇(TC)]无明显差异,P>0.05;治疗后,观察组糖代谢指标、牙周相关指标、炎症因子水平、TG更佳,P<0.05,但HDL-C、LDL-C、TC无明显差异,P>0.05。结论对老年T2DM合并牙周炎患者行牙周基础治疗,能够改善糖脂代谢指标,减轻炎症反应,提高牙周健康程度,值得推广。
Objective To evaluate the efficacy and efficacy of periodontal based therapy in elderly patients with type 2 diabetes mellitus(T2DM)and periodontitis.Methods 70 elderly patients with T2DM complicated with periodontitis from January 2020 to April 2021 were randomly assigned to the observation group(35 cases were included,and periodontal basic treatment was added to the control group)and the control group(35 cases were included,with hypoglycemic and routine oral hygiene guidance).The indexes of glucose metabolism,periodontal related indexes,levels of inflammatory factors and Lipid metabolism index.Results Before treatment,there was no significant difference in glucose metabolism,periodontal related indexes,inflammatory factor level and lipid metabolism indexes[high density lipoprotein(HDL-C),low density lipoprotein(LDL-C),triglyceride(TG)and total cholesterol(TC)]between the groups,P>0.05;After treatment,glucose metabolism indexes,periodontal related indexes,inflammatory factor level and TG in the observation group were better,P<0.05,but there was no significant difference in HDL-C,LDL-C and TC,P>0.05.Conclusion Periodontal basic treatment for elderly patients with T2DM complicated with periodontitis can improve glucose and lipid metabolism,reduce inflammatory reaction and improve periodontal health,which is worthy of popularization.
作者
吴超
周海
WU Chao;ZHOU Hai(Department of Stomatology,Jingshan Renhe Hospital,Jingshan 431800,Hubei Province,China)
出处
《罕少疾病杂志》
2022年第7期25-27,共3页
Journal of Rare and Uncommon Diseases
关键词
牙周基础治疗
老年
2型糖尿病
牙周炎
Periodontal Basic Treatment
Old Age
Type 2 Siabetes Mellitus
Periodontitis
