CAJ | 학술논문

目的调查2007年辽宁省2型糖尿病患者牙周炎患病率,分析此人群牙周炎发病的影响因素,以期为牙周病的预防和研究提供依据.方法选取辽宁省2007年糖尿病流行病学研究普查出的2型糖尿病患者182例,进行问卷调查,并检查6颗指数牙的牙周探诊深度(probing depth,PD)、附着丧失(attachment loss,AL)、龈沟出血指数(sulcus bleeding index,SBI)、简化口腔卫生指数(simplified oral hygiene index,OHI-S)的情况.体格和生化指标检查:测量身高、体质量、血压、心电图等.患者检查前24 h内禁食油腻食物,取上午8:00到10:00的空腹静脉血及口服75 g葡萄糖后2 h的静脉血,全自动血生化仪分析血清生化指标.结果 182例2型糖尿病患者牙周炎患病率为96.7%(176/182),其中轻度牙周炎20例,占11.0%,中、重度牙周炎156例,占85.7%.182例患者共检测6552个位点,平均PD为(2.92±0.67)mm,平均AL为(2.87±1.31)mm.男性患者的平均AL、SBI明显大于女性,口腔卫生状况较女性差;城市患者的SBI重于农村患者,农村患者的口腔卫生状况较城市患者差.57.1%(104/182)的患者至少有1颗牙脱落(不包括第三磨牙).年龄、性别、吸烟、城乡差异、糖耐量实验2 h血糖与牙周指标具有相关性(P＜0.05或P＜0.01).结论 2007年辽宁省2型糖尿病患者牙周炎患病率高且牙周破坏严重,口腔卫生教育及防病、治病意识亟待加强.
목적 조사2007년요녕성2형당뇨병환자아주염환병솔,분석차인군아주염발병적영향인소,이기위아주병적예방화연구제공의거.방법 선취요녕성2007년당뇨병류행병학연구보사출적2형당뇨병환자182례,진행문권조사,병검사6과지수아적아주탐진심도(probing depth,PD)、부착상실(attachment loss,AL)、간구출혈지수(sulcus bleeding index,SBI)、간화구강위생지수(simplified oral hygiene index,OHI-S)적정황.체격화생화지표검사:측량신고、체질량、혈압、심전도등.환자검사전24 h내금식유니식물,취상오8:00도10:00적공복정맥혈급구복75 g포도당후2 h적정맥혈,전자동혈생화의분석혈청생화지표.결과 182례2형당뇨병환자아주염환병솔위96.7%(176/182),기중경도아주염20례,점11.0%,중、중도아주염156례,점85.7%.182례환자공검측6552개위점,평균PD위(2.92±0.67)mm,평균AL위(2.87±1.31)mm.남성환자적평균AL、SBI명현대우녀성,구강위생상황교녀성차;성시환자적SBI중우농촌환자,농촌환자적구강위생상황교성시환자차.57.1%(104/182)적환자지소유1과아탈락(불포괄제삼마아).년령、성별、흡연、성향차이、당내량실험2 h혈당여아주지표구유상관성(P＜0.05혹P＜0.01).결론 2007년요녕성2형당뇨병환자아주염환병솔고차아주파배엄중,구강위생교육급방병、치병의식극대가강.
Objective To investigate the type 2 diabetic patient's periodontal condition and to analyze the influencing factors of periodontitis.Methods A total of 182 type 2 diabetic patients were included in the survey and requested to fill out a questionnaire,and their periodontal status was evaluated by measuring probing depth(PD),attachment level(AL),sulcus bleeding index(SBI),simplified oral hygiene index(OHI-S).Results The prevalence of periodontitis in this group of patients was 96.7%(176/182),including 20 patients with mild periodontitis.156 with moderate to advanced periodontitis.The mean PD and AL of the 182 patients were(2.92±0.67)rain and(2.87-4-1.31)mIIL At least one tooth Was lost in57.1%(104/182)of the patients.The factors related to periodontitis were age,gender,smoking,living in town or country,and 2 h plasma glucose of oral glucose tolerance test(OGTT).There Was no relationship between the severity of periodontitis and education level. The majority of patients did not receive any periodontal therapy.Conclusions Periodontal status was bad in patients with type 2 diabetes.It is important to develop an education program on oral health for tvpe 2 diabetic patients.