糖尿病 高血压与牙周炎相关性的调查研究  

Study on the prevalence of periodontitis in patients with diabetes and hypertension

作　　者：王志滨 王文玲[2] 郭艳杰[3] 申秀梅[2] 李梅霞[2] 李咏梅[2] 

机构地区：[1]磁县人民医院,河北磁县056500 [2]邯郸市眼科医院(邯郸市第三医院),河北邯郸056001 [3]冀中能源峰峰集团有限公司总医院,河北邯郸056200

出　　处：《基层医学论坛》2018年第7期869-870,共2页The Medical Forum

基　　金：邯郸市科技计划项目(1323108090-11)

摘　　要：目的分析牙周炎发病与糖尿病、高血压的关系,为提高牙周病的预防效果提供依据。方法筛查我市2017年4家国家事业单位公务人员的体检结果,选取单纯糖尿病患者132例、单纯高血压患者83例及无系统性疾病者55例进行牙周检查,分析比较3组人群牙周探诊深度(probing depth,PD)、附着丧失(attachment loss,AL)、菌斑指数(plaque index,PLI)、牙龈指数(gingival index,GI)、出血指数(bleeding index,BI)5项牙周临床参数。结果 DM组和HBP组牙周炎的发病率及牙周炎严重程度均远高于N组,两组PD、AL、PLI、GI、BI均高于N组,差异具有统计学意义(P<0.05)。结论糖尿病、高血压疾病增加了牙周病的患病风险,而且由于血糖和血压因素影响牙周炎程度明显加重,医生和患者都需要给予高度重视。Objective To investigate the periodontal status of national civil servants in this city and analyze the relationship between periodontitis and diabetes and hypertension,and provide the basis for the prevention and improvement of periodontitis.Methods Screening of public health personnel of 4 national institutions in our city in 2017,and 132 cases of simple diabetes, 83 patients with simple hypertension and 55 cases of no systemic disease were examined for periodontal examination.Five periodontal indexes of 3 groups were analyzed and compared,the five indicators were probing depth,attachment loss,plaque index, gingival index and bleeding index.Results The incidence and severity of periodontitis in group DM and group HBP were significantly higher than that of group N,and the two groups were also higher than the group N in the PD,AL,PLI,GI and BI.All the differences are statistically significant （ P〈0.05 ）.Conclusions Diabetes and hypertension increase the risk of periodontitis and the blood sugar and the blood pressure can obviously aggravate periodontitis,and both doctors and patients need great attention.

关 键 词：牙周炎 糖尿病 高血压 相关性 

分 类 号：R544.1[医药卫生—心血管疾病]