钕激光对2型糖尿病合并慢性牙周炎患者糖代谢的影响  

The effects of Nd∶YAG laser on glucose metabolism in type 2 diabetes mellitus patients with chronic periodontitis

作　　者：孙亚如 李召宝 尹琳琳[2] 肖遵胜[1] 曹素敏[1] SUN Yaru;LI Zhaobao;YIN Linlin;XIAO Zunsheng;CAO Sumin(Department of Stomatology,Cangzhou Central Hospital,061000,China;Department of Clinical Lab,Cangzhou Central Hospital,061000,China)

机构地区：[1]沧州市中心医院口腔门诊,061000 [2]沧州市中心医院检验科,061000

出　　处：《实用口腔医学杂志》2021年第3期407-410,共4页Journal of Practical Stomatology

基　　金：河北省医学科学研究课题(编号:20211505)。

摘　　要：目的:探究钕激光辅助治疗2型糖尿病合并慢性牙周炎患者的疗效。方法:选取60例2型糖尿病合并牙周炎患者,随机分为试验组和对照组(n=30)。对照组仅行牙周基础治疗,试验组在对照组基础上辅助钕激光照射。对比两组治疗前后牙周临床指标、治疗后VAS评分和牙龈组织恢复时间、空腹血糖(FPG)和糖化血红蛋白(HbA1c)的变化。结果:治疗后12周,试验组牙周临床指标、牙龈组织恢复时间、FPG和HbA1c水平都较对照组有显著性降低(P<0.05),VAS评分在试验组显著低于对照组(P<0.05)。结论:钕激光辅助牙周基础治疗可以显著改善2型糖尿病合并慢性牙周炎患者牙周状况及血糖水平。Objective:To study the effects of Nd∶YAG laser assisted therapy on patients with type 2 diabetes mellitus(T2DM)and chronic periodontitis(CP).Methods:60 patients with T2DM and CP were randomly divided into experimental and control groups(n=30).The subjects in control group received periodontal basic therapy only,those in experimental group received Nd∶YAG laser treatment immediately after periodontal basic therapy.The periodontal clinical index,VAS score,gingival soft tissue healing time and fasting plasma glucose(FPG),glycosylated hemoglobin(HbA1c)changes were measured and compared between the 2 groups.Results:12 weeks after treatment,periodontal clinical index,gingival soft tissue healing time,FPG and HbA1c in the experimental group were significantly lower than those in the control group(P<0.05),VAS scores in the experimental group were significantly lower than that in the control group(P<0.05).Conclusion:Nd∶YAG laser assisted periodontal basic treatment can significantly improve the periodontal condition and blood glucose level,it can be used as a minimally invasive therapy in clinic.

关 键 词：钕激光 2型糖尿病 牙周炎 牙周基础治疗 糖代谢 

分 类 号：R781.4[医药卫生—口腔医学]