2型糖尿病患者牙龈指数与糖化血红蛋白水平关系的研究  

The relationship between gingival index and glycosylated hemoglobin level in patients with type 2 diabetes

作　　者：师天鹏[1] 牛忠英[1] 许樟荣 汤楚华[1] 卢怡[1] 王小艳[1] 

机构地区：[1]解放军第306医院全军口腔疾病诊治中心,北京100101 [2]全军糖尿病诊疗中心

出　　处：《实用口腔医学杂志》2012年第6期744-747,共4页Journal of Practical Stomatology

基　　金：全军科学技术研究"十一五"计划专项课题(编号:06Z003);全军医学科技十二五科研项目(编号:CWS11J175)

摘　　要：目的:探讨2型糖尿病患者血糖控制水平与牙龈健康状况的关系,为2型糖尿病患者的牙周保健提供临床依据。方法:以2型糖尿病患者为研究对象,按糖化血红蛋白(HbA1c)值分为3组,血糖控制良好组(HbA1c<6.5,49例)、血糖控制一般组(6.5≤HbA1c≤7.5,57例)和血糖控制较差组(HbA1c>7.5,55例),用卡方检验分析受试者牙龈指数等级随血糖控制水平变化的趋势。结果:各组受试者年龄构成、2型糖尿病病程基本相同(P>0.05),刷牙习惯和简化牙石指数等级无统计学差异(P>0.05),血糖控制程度差的患者牙龈指数等级高(P=0.001),其牙龈组织的炎症程度重。结论:血糖控制水平与牙周组织健康状况呈正相关关系。Objective： To study the relationship between blood glucose control and gingival status in patients with type 2 diabetes. Methods： According to glyeosylated hemoglobin value, all the patients with type 2 diabetes mellitus were divided into three groups： good （ HbA1 c 〈 6.5 ）, moderate （ 6.5 ≤ HbA1 c ≤ 7.5 ）, poor （ HbA1 e 〉 7.5 ）. The variation tendency of gingival index with blood glucose control level was studied by the Chi-square test. Results： The composition of age and course of diabetes, brushing habits and simplified calculus index level were not significantly difference among the groups （ P 〉 0.05 ）. The gingival index was increased with blood glucose level（P = 0. 001 ）. Conclusion： The blood glucose control level is related to the gingival tissue health of the patients with type 2 diabetes.

关 键 词：2型糖尿病 糖化血红蛋白 牙龈指数 

分 类 号：R587.1[医药卫生—内分泌]