武汉市公务员糖尿病与牙周炎相关性调查研究  

The investigation of the correlation between diabetes and periodontitis in officeholders of Wuhan

作　　者：覃文[1,2] 王岩[1] 董维理[1] 李中琴[1] 李化[1] 张海平[1] 李成章[1] 

机构地区：[1]武汉大学口腔医学院,湖北武汉430079 [2]南京医科大学江苏省口腔医院牙周科

出　　处：《临床口腔医学杂志》2009年第10期602-604,共3页Journal of Clinical Stomatology

基　　金：湖北省干部保健专项基金课题(2003AA304B18)

摘　　要：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 identify the relationship between diabetes and periodontitis by investigating the levels of hyperglycemia and periodontal conditions of officeholders in Wuhan city. Method： From November to December,2004, the cross-sectional survey on diabetes and periodontal conditions was carried out to 493 officeholders of Wuhan city with ran- dom cluster sampling method as working-unite, 458 of which were studied according to the included and excluded rules, and were stratified into two group s： young and middle-aged adults （30-59 years old）and old adults. The patient with CAL≥ 2 mm was defined as patient with periodontitis. The data were analyzed with x2-test and multi-factors logistic regression analysis. Result：There was a correlation between diabetes and periodontitis in old adults （OR=6.906 95 % CI 1.274- 37.424） hyperglycemia was a risk factor for periodontitis in old adults （ 〉60 years old）. Conclusion： diabetes were risk fac- tors for periodontitis, which has an effects on old adults.

关 键 词：糖尿病 高血糖 牙周炎 

分 类 号：R781.4[医药卫生—口腔医学]