CAJ | 학술논문

目的：了解2型糖尿病患者的口腔健康状况。方法选取2型糖尿病54例（实验组），非糖尿病54例（对照组）。调查两组牙龈指数（GI）、菌斑指数（PLI）、龈沟出血指数（SBI）、附着丧失（CAL）及牙周病牙数、缺牙数和体重指数（ BMI ）的差异；调查两组口腔健康意识、行为等（性别、饮食习惯、规律运动、定期口腔健康检查、牙周病与糖尿病关系知晓率、每天刷牙次数）的差异。结果实验组牙周指数、BMI均高于对照组（ P＜0．05）；牙周病牙数、缺牙数也多于对照组（P＜0．05）；对照组定期口腔健康检查次数多于实验组（P＜0．05）；Logistic多元逐步回归分析显示，SBI、CAL、BMI、牙周病牙数、缺牙数与2型糖尿病有相关（ P＜0．05）。结论2型糖尿病患者口腔健康状况较差，牙周病牙数、缺牙数较多，定期口腔健康检查意识不强，应当引起医患双方高度重视。
목적：료해2형당뇨병환자적구강건강상황。방법선취2형당뇨병54례（실험조），비당뇨병54례（대조조）。조사량조아간지수（GI）、균반지수（PLI）、간구출혈지수（SBI）、부착상실（CAL）급아주병아수、결아수화체중지수（ BMI ）적차이；조사량조구강건강의식、행위등（성별、음식습관、규률운동、정기구강건강검사、아주병여당뇨병관계지효솔、매천쇄아차수）적차이。결과실험조아주지수、BMI균고우대조조（ P＜0．05）；아주병아수、결아수야다우대조조（P＜0．05）；대조조정기구강건강검사차수다우실험조（P＜0．05）；Logistic다원축보회귀분석현시，SBI、CAL、BMI、아주병아수、결아수여2형당뇨병유상관（ P＜0．05）。결론2형당뇨병환자구강건강상황교차，아주병아수、결아수교다，정기구강건강검사의식불강，응당인기의환쌍방고도중시。
Objective To investigate the oral health status of patients with type Ⅱdiabetes mellitus(T2DM). Methods Fifty-four T2DM patients(experimental group) and 54 controls without T2DM were enrolled in the study. The two groups were compared in the items including periodontal indexes such as gingival index (GI),plaque index (PLI),sulcus bleeding index(SBI),clinical attachment level(CAL),the number of teeth in periodontal diseases ,the number of missing teeth and body mass index(BMI) as well as the oral health factors associated with patients′consciousness and behavior(including gender,eating habits,exercise habits,regular oral health examination habits ,awareness rate of the relationship between periodontal disease and diabetes ,frequency of teeth brushing ) .Results The periodontal indexes and BMI of experimental group were higher than the controls (P<0.05).The number of teeth with periodontal diseases and the number of missing teeth of experimental group were more than the controls (P<0.05).The frequency of regular oral health examination of controls was more than that of experimental group (P<0.05).The logistic regression analysis showed that SBI,CAL,BMI,the number of teeth in periodontal diseases and the number of missing teeth correlated with T 2DM (P<0.05).Conclusion The T2DM patients have a bad oral health status with more teeth with periodontal diseases and more missing teeth .They are lack of awareness of regular oral health examination .It should be paid more attention to the management and prevention of periodontal disease in T 2DM patients.