中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2014年
1期
11-14
,共4页
韦艺%周嫣%刘红燕%刘斐%陈燕%欧晓丽%卢其芳
韋藝%週嫣%劉紅燕%劉斐%陳燕%歐曉麗%盧其芳
위예%주언%류홍연%류비%진연%구효려%로기방
2型糖尿病%牙周病%牙龈卟啉单胞菌%PCR
2型糖尿病%牙週病%牙齦卟啉單胞菌%PCR
2형당뇨병%아주병%아간계람단포균%PCR
Type 2 diabetes%Periodontitis%Porphromonas gingivalis ( Pg)%Polymerase chain reaction ( PCR)
目的:观察2型糖尿病伴牙周病患者牙周干预后临床指标的变化和龈下菌斑中牙龈卟啉单胞菌( Pg)的检出量变化,初步探讨龈下微生物的检出量与牙周干预疗效之间的关系。方法根据随机数字表将确诊为2型糖尿病并伴有牙周病的患者分为实验组和对照组,记录牙周指数。实验组进行牙周干预并取龈下菌斑检测,对照组仅取龈下菌斑进行检测。6个月后复查。观察临床指标和牙龈卟啉单胞菌检出量的变化。结果基线时两组的临床指标和Pg检出量比较差异均无统计学意义( P均>0.05),6个月时,实验组临床指标值较对照组显著降低(P<0.01),Pg检出量降低,但与对照组相比差异无统计学意义(P>0.05)。经过牙周干预治疗后,实验组出血指数(SBI)和附着丧失(AL)值均减小,SBI和AL值变化差异均具有统计学意义( P<0.05);而对照组基线和6个月的临床指标值变化差异均无统计学意义。两组Pg的PCR定量检测结果在基线和6个月时变化差异均无统计学意义( P>0.05)。结论牙周干预治疗对改善牙周指数有良好效果,但是难以彻底清除牙周致病菌。
目的:觀察2型糖尿病伴牙週病患者牙週榦預後臨床指標的變化和齦下菌斑中牙齦卟啉單胞菌( Pg)的檢齣量變化,初步探討齦下微生物的檢齣量與牙週榦預療效之間的關繫。方法根據隨機數字錶將確診為2型糖尿病併伴有牙週病的患者分為實驗組和對照組,記錄牙週指數。實驗組進行牙週榦預併取齦下菌斑檢測,對照組僅取齦下菌斑進行檢測。6箇月後複查。觀察臨床指標和牙齦卟啉單胞菌檢齣量的變化。結果基線時兩組的臨床指標和Pg檢齣量比較差異均無統計學意義( P均>0.05),6箇月時,實驗組臨床指標值較對照組顯著降低(P<0.01),Pg檢齣量降低,但與對照組相比差異無統計學意義(P>0.05)。經過牙週榦預治療後,實驗組齣血指數(SBI)和附著喪失(AL)值均減小,SBI和AL值變化差異均具有統計學意義( P<0.05);而對照組基線和6箇月的臨床指標值變化差異均無統計學意義。兩組Pg的PCR定量檢測結果在基線和6箇月時變化差異均無統計學意義( P>0.05)。結論牙週榦預治療對改善牙週指數有良好效果,但是難以徹底清除牙週緻病菌。
목적:관찰2형당뇨병반아주병환자아주간예후림상지표적변화화간하균반중아간계람단포균( Pg)적검출량변화,초보탐토간하미생물적검출량여아주간예료효지간적관계。방법근거수궤수자표장학진위2형당뇨병병반유아주병적환자분위실험조화대조조,기록아주지수。실험조진행아주간예병취간하균반검측,대조조부취간하균반진행검측。6개월후복사。관찰림상지표화아간계람단포균검출량적변화。결과기선시량조적림상지표화Pg검출량비교차이균무통계학의의( P균>0.05),6개월시,실험조림상지표치교대조조현저강저(P<0.01),Pg검출량강저,단여대조조상비차이무통계학의의(P>0.05)。경과아주간예치료후,실험조출혈지수(SBI)화부착상실(AL)치균감소,SBI화AL치변화차이균구유통계학의의( P<0.05);이대조조기선화6개월적림상지표치변화차이균무통계학의의。량조Pg적PCR정량검측결과재기선화6개월시변화차이균무통계학의의( P>0.05)。결론아주간예치료대개선아주지수유량호효과,단시난이철저청제아주치병균。
Objective To detect the changes of the levels of porphromonas gingivalis ( Pg) and clinical index and to investigate the relationship between the bacterial load and the periodontal status .Methods Periodontitis pa-tients with type 2 diabetes were randomly divided into experimental group and control group .Clinical index were ex-amined and subgingival plaques were collected before and 6 months after basal periodontal treatment in experimental group;Clinical index were examined and subgingival plaques were collected before and 6 months without any treat-ment in control group .Results Sulcus bleeding index ( SBI) and attachment loss ( AL) were significantly decreased in experimental group after 6 months ( P <0.01 ) , but SBI and AL were no significantly differences before and 6 months in control group (P<0.05 ) .The numbers of Pg were no significantly differences before and 6 months in both two groups.Conclusion There were good curative effect of basal periodontal treatment in improving clinical index , but it is difficult to remove periodontal pathogens thoroughly .