2型糖尿病合并牙周病患者督导式口腔健康的干预研究  

Implementing supervised oral health intervention in patients with Type 2 Diabetes Mellitus and periodontal disease

作　　者：鲁铭[1] 胡秀芬[1] 张婧[1] 

机构地区：[1]武汉市中医医院内分泌科,430014

出　　处：《中国护理管理》2016年第11期1493-1498,共6页Chinese Nursing Management

基　　金：2015年度武汉市临床医学科研项目(WZ15C04)

摘　　要：目的 :评价督导式口腔健康干预对合并牙周病的糖尿病患者口腔健康和血糖的影响。方法 :选取符合纳入标准的64例2型糖尿病合并牙周病的患者作为研究对象,实施督导式口腔健康干预方案。观察并记录患者实施口腔健康干预前以及干预1周、1个月、3个月后对牙周病及口腔健康认知状况、口腔健康行为状况、血清学指标、牙周指标等。结果 :64例2型糖尿病合并牙周病患者在给予口腔健康干预后牙周状况有明显改善。在干预后1周、1个月、3个月后牙周结石指数、菌斑指数、龈沟出血指数较基线相比下降,差异有统计学意义。患者空腹血糖、餐后2小时血糖、糖化血红蛋白等指标水平下降,差异有统计学意义。结论 :通过对2型糖尿病合并牙周病患者实施督导式口腔健康干预方案,明显改善了患者的牙周状况,提高了患者对口腔保健知识的认知率,改善口腔健康行为,有利于血糖等指标的控制,从而延缓并发症的发生,改善糖尿病患者的生活质量。Objective： To assess the effect of supervised intervention in diabetic patients with periodontal disease on oral health and blood glucose level. Methods： A total of 64 cases of patients with Type 2 Diabetes Mellitus and periodontal disease were included in this study, and accepted the supervision of oral health intervention program. Their oral health knowledge, behavior, periodontal index and blood glucose control status were evaluated at base line, 1 week, 1 month and 3 months after the intervention. Results： Their periodontal status improved significantly after the supervised oral health intervention. The incidence of bleeding related to dental probing and dental calculus were lower than those at baseline. Patients＇ fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin level reduced as compared with baseline. Conclusion： Implementing supervision of oral health intervention in patients with Type 2 Diabetes Mellitus and periodontal disease could improve the patient＇s periodontal condition and blood glucose control.

关 键 词：2型糖尿病 牙周病 口腔健康干预 

分 类 号：R47[医药卫生—护理学]