CAJ | 학술논문

目的：观察牙周治疗对牙周炎伴高血脂患者血脂水平的影响。方法：将61例慢性牙周炎伴高血脂患者随机分为对照治疗组（n＝30）和干预治疗组（n＝31）。对照治疗组患者予龈上洁治和抛光；干预治疗组患者予龈上洁治和抛光，一次法完成龈下刮治和根面平整，治疗后2周内予0．2％复方氯己定漱口。在基线点以及牙周治疗后2、6个月时对所有患者进行牙周检查和血脂检测。结果：治疗后2个月和6个月，干预治疗组的甘油三酯水平与对照治疗组相比明显降低（P＜0．05），高密度脂蛋白水平与对照治疗组比较显著升高（P＜0．05），总胆固醇和低密度脂蛋白水平与对照治疗组比较差异无统计学意义。结论：对牙周炎伴高血脂患者进行牙周干预治疗可获得血脂水平的改善。
목적：관찰아주치료대아주염반고혈지환자혈지수평적영향。방법：장61례만성아주염반고혈지환자수궤분위대조치료조（n＝30）화간예치료조（n＝31）。대조치료조환자여간상길치화포광；간예치료조환자여간상길치화포광，일차법완성간하괄치화근면평정，치료후2주내여0．2％복방록기정수구。재기선점이급아주치료후2、6개월시대소유환자진행아주검사화혈지검측。결과：치료후2개월화6개월，간예치료조적감유삼지수평여대조치료조상비명현강저（P＜0．05），고밀도지단백수평여대조치료조비교현저승고（P＜0．05），총담고순화저밀도지단백수평여대조치료조비교차이무통계학의의。결론：대아주염반고혈지환자진행아주간예치료가획득혈지수평적개선。
Objective:To evaluate the effects of periodontal treatment with scaling and root planning supplemented with chlorhexidine on plasma lipids in patients with chronic periodontitis and hyperlipidemia(CPH).Methods:6 1 patients with CPH were randomly as-signed into control-treatment group(n=30)and intensive-treatment group(n=31).Patients in the control-treatment group underwent a standard cycle of supragingival mechanical scaling and polishing.Patients in the intensive-treatment group underwent the adjunctive full-mouth intensive removal of subgingival dental plaque biofilms with the use of scaling and root planning.Periodontal parameters,to-tal cholesterol(TC),triglycerides(TRG),high-density lipoprotein(HDL)and low-density lipoprotein(LDL)were measured before treatment and 2 and 6 months after treatment.Results:2 and 6 months after treatment,TRG was significantly lower in the intensive-treatment group than that in the control-treatment group(P<0.05),the levels of HDL were significantly higher(P<0.05);however, the levels of total cholesterol and LDL,in the intensive-treatment group were not significantly different from those in the control-treat-ment group 2 and 6 months after therapy.Conclusion:Intensive periodontal treatment may improve serum lipid levels in patients with hyperlipidemia and chronic periodontitis.