中老年人牙周病与糖尿病的相关关系  

Clinical research on correlation between periodontitis and diabetes

作　　者：李晓峰[1] 章锦才[2] 

机构地区：[1]兰州大学第一医院口腔科 [2]广东省口腔医院牙周病科

出　　处：《上海医学》2007年第11期837-839,共3页Shanghai Medical Journal

摘　　要：目的探讨中老年人糖尿病与牙周病之间的相互影响。方法根据血糖水平,将120例伴有糖尿病的中老年慢性牙周病患者分为3组,测定各组的牙周治疗需要量指数(CPITN)和牙齿缺失数。再将120例患者分为A、B、C 3组,A组同时进行牙周病和糖尿病的系统治疗,B组仅进行牙周病治疗,C组仅进行糖尿病治疗,1个月后评定3组患者的牙周治疗和血糖控制情况。结果血糖<7.0 mmol/L组的CPITN明显低于血糖7.0～11.0 mmol/L和>11.0 mmol/L组(P值分别<0.05、0.01),血糖>11.0 mmol/L组的缺失牙数则明显多于其他两组(P值均<0.05)。A组的牙周病治疗显效率明显高于B组(P<0.05)。结论糖尿病与牙周病之间存在相关性,糖尿病治疗与牙周病治疗之间相互影响。Objective To investigate the correlation between periodontitis and diabetes in the elderly patients. Methods We divided 120 patients with chronic periodontitis and diabetes into 3 groups according to their blood glucose levels; their community periodontal index of treatment needs（CPITN） were calculated and the number of missing teeth was observed. Then we randomly divided the patients into another 3 groups： Group A received treatment for both periodontitis and diabetes, Group B received treatment only for periodontitis and Group C received treatment only for diabetes. The clinical outcomes of patients in the three groups were assessed one month after treatment. Results The CPITN in patients with blood glucose higher than 7. 0 mmol/L was significantly lower than those in the other 2 groups （ P 〈 0.05 and P 〈 0.01 ）. The number of missing teeth in patients with blood glucose higher than 11.0 mmol/L was significantly more than those of other patients （all P 〈 0.05 ）. The curative rate for periodontitis in group A was better than that in group B （ P 〈 0.05 ）. Conclusion There is a correlation between periodontitis and diabetes and the treatment of them influences each other. （Shanghai Med J, 2007, 30：837-839）

关 键 词：牙周病 糖尿病 相关性 

分 类 号：R781.4[医药卫生—口腔医学] R587.1[医药卫生—临床医学]