牙周非手术治疗对2型糖尿病患者血糖控制影响的研究进展  

Research progress on the effect of non-surgical periodontal therapy on glycemic control in patients with type 2 diabetes mellitus

作　　者：顾文菊 苏静[1] Gu Wenju;Su Jing(Periodontal Department,Beijing Stomatological Hospital Affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京口腔医院牙周科,北京100050

出　　处：《中华预防医学杂志》2024年第7期1096-1102,共7页Chinese Journal of Preventive Medicine

基　　金：北京市卫生健康委员会高层次公共卫生技术人才培养计划(学科带头人-03-10)。

摘　　要：牙周炎和糖尿病都作为慢性炎症性疾病,在全世界有着广泛流行。50多年来,关于牙周炎和2型糖尿病之间相互关系的研究一直在积极开展。二者间的流行病学相关性已经基本确定,但牙周治疗对2型糖尿病患者血糖控制的影响在很长一段时间内都存在争议。血糖控制是糖尿病治疗中的关键组成部分,如果能够明确与常规降糖治疗相比,结合牙周治疗对改善糖尿病患者血糖控制可发挥积极作用,有助于将牙周治疗确立为糖尿病患者血糖控制的有效辅助措施,并且能进一步肯定口腔与全身疾病的联系。通过对文献的回顾,已能够基本确定在牙周治疗开始后的6个月内糖尿病患者的血糖控制得到改善。加之世界各国和各级卫生组织不断提出的涉及牙周病的糖尿病管理指南和建议,进一步提示在糖尿病疾病负担极重的中国也需要提出符合我国国情的糖尿病管理指南和建议。牙周炎和糖尿病都是格外强调预防的疾病,明确两种疾病的相互关系更能在预防两种疾病的发生和发展上给予启示。Both periodontitis and diabetes are chronic inflammatory diseases,which are widely prevalent in the world.For more than 50 years,the research on the relationship between periodontitis and type 2 diabetes has been actively carried out.The epidemiological correlation between these diseases has been basically identified,but the impact of periodontal therapy on glycaemic control in patients with type 2 diabetes has been controversial for a long time.Glycaemic control is a key issue in the care of people with diabetes.If the positive effect of periodontal therapy on improving glycemic control in diabetic patients compared with no active treatment can be identified,it will help establish periodontal therapy as an effective auxiliary measure for glycaemic control of diabetes patients,and further confirm the relationship between dental health and systemic diseases.Through reviewing the literature,it has been basically determined that the glycaemic control of diabetes patients can be improved within 6 months after the commencement of non-surgical periodontal therapy.In addition,the guidelines of diabetes and suggestions involved periodontal therapy that are constantly put forward by various countries and health organizations at all levels,while in China with extremely heavy in the burden of diabetes,also should propose the guidelines and suggestions of diabetes in accordance with China′s national conditions.Both periodontitis and diabetes are diseases with special emphasis on prevention.To clarify the relationship between periodontitis and diabetes can give enlightenment in preventing the occurrence and development of the two diseases.

关 键 词：牙周非手术治疗 2型糖尿病 血糖控制 

分 类 号：R781.05[医药卫生—口腔医学] R587.1[医药卫生—临床医学]