CAJ | 학술논문

目的：观察口腔行为医学因素对慢性牙周炎伴2型糖尿病患者牙周健康和糖代谢水平的影响。方法选取2012年5月-2013年1月广东省口腔医院门诊慢性牙周炎伴2型糖尿病患者132例。采用问卷调查的形式收集患者的一般情况和口腔行为医学因素，包括刷牙习惯、使用牙线、吸烟及饮酒情况。临床牙周检查全口牙（6个位点）缺牙数和平均牙龈出血指数。全口拍摄根尖片计算平均牙槽骨吸收水平，采集空腹静脉血检测空腹血糖（ FPG）和糖化血糖蛋白（ HbA1c ）水平。结果刷牙≥2次/d者平均牙龈出血指数及FPG、HbA1c水平低于刷牙≤1次/d者（ P<0.05）。使用牙线者平均牙龈出血指数、平均牙槽骨吸收水平低于不使用牙线者（ P<0.05）。吸烟者平均牙槽骨吸收水平高于不吸烟者（P<0.05）。线性回归分析显示，刷牙≥2次/d是FPG、HbA1c、平均牙龈出血指数的保护因素（P<0.05）；吸烟是平均牙槽骨吸收水平的危险因素（ P<0.05），而使用牙线是平均牙槽骨吸收水平的保护因素（ P<0.05）。结论口腔行为医学因素，如刷牙、使用牙线、吸烟，会影响慢性牙周炎伴2型糖尿病患者牙周局部和/或全身糖代谢水平。
목적：관찰구강행위의학인소대만성아주염반2형당뇨병환자아주건강화당대사수평적영향。방법선취2012년5월-2013년1월광동성구강의원문진만성아주염반2형당뇨병환자132례。채용문권조사적형식수집환자적일반정황화구강행위의학인소，포괄쇄아습관、사용아선、흡연급음주정황。림상아주검사전구아（6개위점）결아수화평균아간출혈지수。전구박섭근첨편계산평균아조골흡수수평，채집공복정맥혈검측공복혈당（ FPG）화당화혈당단백（ HbA1c ）수평。결과쇄아≥2차/d자평균아간출혈지수급FPG、HbA1c수평저우쇄아≤1차/d자（ P<0.05）。사용아선자평균아간출혈지수、평균아조골흡수수평저우불사용아선자（ P<0.05）。흡연자평균아조골흡수수평고우불흡연자（P<0.05）。선성회귀분석현시，쇄아≥2차/d시FPG、HbA1c、평균아간출혈지수적보호인소（P<0.05）；흡연시평균아조골흡수수평적위험인소（ P<0.05），이사용아선시평균아조골흡수수평적보호인소（ P<0.05）。결론구강행위의학인소，여쇄아、사용아선、흡연，회영향만성아주염반2형당뇨병환자아주국부화/혹전신당대사수평。
Objective To evaluate the influence of oral behavioral determinants on periodontal health and glucose me-tabolism in patients with type 2 diabetes mellitus( T2DM)and chronic periodontitis. Methods 132 patients with chronic peri-odontitis and T2DM admitted to the Outpatient Clinic of Guangdong Provincial Stomatological Hospital from May 2012 to January 2013 were selected. The general information and oral behavioral determinants were collected by using questionnaire,including tooth brushing, dental flossing, smoking and alcohol drinking. Tooth loss and mean gingival bleeding index were examined through full-mouth assessment(6 sites). Mean alveolar bone resorption was calculated by periapical film,and fasting venous blood was collected to determine FPG and HbA1c. Results The mean gingival bleeding index,FPG and HbA1c of patients with tooth brushing≥2 times per day were lower than the patients with tooth brushing≤one time per day(P<0. 05). The mean gin-gival bleeding index and mean alveolar bone resorption of patients using dental floss were lower than patients not using dental floss (P<0. 05). The mean alveolar bone resorption of smoking patients was higher than non-smoking patients(P<0. 05). Linear regression analysis showed that tooth brushing≥2 times per day was a protective factor for FPG,HbA1c and mean gingival bleed-ing index(P<0. 05). Smoking was a risk factor for mean alveolar bone resorption(P<0. 05),while dental flossing was a protective factor for mean alveolar bone resorption ( P <0. 05 ) . Conclusion Oral behavioral determinants, including tooth brushing,dental flossing and smoking were associated with periodontal health and glycemic metabolic level in patients with chron-ic periodontitis and T2DM.