牙周健康对2型糖尿病伴牙周炎患者口腔健康相关生活质量影响分析  

Effects of periodontal health and related factors on the oral health-related quality of life in type 2 diabetic patients with chronic periodontitis

作　　者：李峥[1] 朱凌[2] 沙月琴[3] 

机构地区：[1]北京大学第三医院口腔科,北京100191 [2]北京大学口腔医院预防科,北京100081 [3]北京大学口腔医院牙周科,北京100081

出　　处：《华西口腔医学杂志》2011年第4期379-383,共5页West China Journal of Stomatology

基　　金：国家"十一五"科技支撑计划基金资助项目(2007BAI-18B02);国家自然科学基金资助项目(3030479);国家"十五"科技攻关计划基金资助项目(2001BA705B10-9);北京大学"211"工程循证医学学科群基金资助项目(94000-246156083)

摘　　要：目的采用老年口腔健康评价指数(GOHAI)量表评估2型糖尿病伴牙周炎患者口腔健康相关生活质量状况。方法对有2型糖尿病病史的患者进行牙周临床检查,将符合慢性牙周炎诊断、全口余留牙数在16颗以上,同时最近一年内未接受牙周治疗的个体,共80人作为研究对象。牙周临床检查包括采用Williams刻度探针检查全牙列菌斑指数、改良出血指数、探诊深度及附着丧失(AL)水平。问卷调查包括GOHAI量表评估及其他项目调查。结果 GOHAI量表结构效度、内容效度、反应度均较佳。牙周临床指标与GOHAI量表显著正相关。对自我口腔健康状况评价不满意、服用降糖药、牙龈炎症重、平均AL水平高的个体口腔健康相关生活质量差。结论 2型糖尿病伴牙周炎患者口腔健康相关生活质量及GOHAI量表负面经历状况受自我口腔健康评价认知、牙周炎症水平影响。Objective To evaluate the oral health-related quality of life（OHRQOL） in type 2 diabetic patients with chronic periodontitis.Methods A total of 80 type 2 diabetic patients with chronic periodontitis who had at least 16 teeth and never accept any periodontal therapy in latest one year were recruited.The clinical periodontal index such as probing depth,attachment loss（AL）,modified bleeding index,plaque index were obtained with a Williams type perio-dontal probe.All accepted structured questionnaire interview including the evaluation of OHRQOL.Results The geria-tric oral health assessment index（GOHAI） results demonstrated good content validity,construct validity and responsibility.The periodontal index had positive correlation with the GOHAI scores.Individuals with self-unsatisfied of oral health status,using hypoglycemic drugs,accompanied with serious gingival inflammation and higher AL had relatively poor OH-RQOL.Conclusion The OHRQOL of type 2 diabetes with chronic periodontitis and the negative experiences of items listed in GOHAI questionnaire were affected by self-conscious of oral health and periodontal inflammation status.

关 键 词：老年口腔健康评价指数 口腔健康相关生活质量 糖尿病 牙周炎 

分 类 号：R780.1[医药卫生—口腔医学]