CAJ | 학술논문

目的：探讨中医辨证治疗糖尿病合并牙周炎的方法及疗效。方法：将70例糖尿病合并牙周炎患者作为研究对象，分为对照组（n＝31）与观察组（n＝39），对照组患者进行牙周炎分步治疗，观察组患者在对照组治疗基础上根据糖尿病情况采用中医辨证思想进行中药控制血糖状况治疗，对比两组患者治疗前后的血糖水平及牙周炎的疗效及相关生化指标情况。结果：观察组与对照组治疗后空腹血糖水平（FPG）分别为[（7.48±1.06）mmol/L vs（8.54±1.32）mmol/L]，血红蛋白（HbAlc）为[（7.46±2.14）％vs （9.31±2.73）％]，治疗有效率分别为（94.9％vs 67.7％），观察组与对照组治疗两个月后的全口牙菌斑指数（pli）水平分别为[（1.68±0.32） vs （2.05±0.51）]，牙周探诊深度（ppd）水平分别为[（2.15±1.30）mm vs （3.15±1.12）mm]，牙周附着水平测定（pal）水平分别为[（7.10±1.82）mm vs （7.59±1.82）mm]，牙齿松动度（md）水平为[（0.69±0.72）mm vs （1.65±0.42）mm]，血钙（Ca）水平分别为[（2.10±0.12）mmol/L vs （2.40±0.22）mmol/L]，无机磷（P）水平分别为[（1.29±0.14） mmol/L vs （1.33±0.20）mmol/L]，两两比较，P＜0.05。结论：中医辨证治疗糖尿病合并牙周炎有效率高、疗效稳定、不良反应少、标本兼治的特点，但需要结合糖尿病具体症型选择药方。
목적：탐토중의변증치료당뇨병합병아주염적방법급료효。방법：장70례당뇨병합병아주염환자작위연구대상，분위대조조（n＝31）여관찰조（n＝39），대조조환자진행아주염분보치료，관찰조환자재대조조치료기출상근거당뇨병정황채용중의변증사상진행중약공제혈당상황치료，대비량조환자치료전후적혈당수평급아주염적료효급상관생화지표정황。결과：관찰조여대조조치료후공복혈당수평（FPG）분별위[（7.48±1.06）mmol/L vs（8.54±1.32）mmol/L]，혈홍단백（HbAlc）위[（7.46±2.14）％vs （9.31±2.73）％]，치료유효솔분별위（94.9％vs 67.7％），관찰조여대조조치료량개월후적전구아균반지수（pli）수평분별위[（1.68±0.32） vs （2.05±0.51）]，아주탐진심도（ppd）수평분별위[（2.15±1.30）mm vs （3.15±1.12）mm]，아주부착수평측정（pal）수평분별위[（7.10±1.82）mm vs （7.59±1.82）mm]，아치송동도（md）수평위[（0.69±0.72）mm vs （1.65±0.42）mm]，혈개（Ca）수평분별위[（2.10±0.12）mmol/L vs （2.40±0.22）mmol/L]，무궤린（P）수평분별위[（1.29±0.14） mmol/L vs （1.33±0.20）mmol/L]，량량비교，P＜0.05。결론：중의변증치료당뇨병합병아주염유효솔고、료효은정、불량반응소、표본겸치적특점，단수요결합당뇨병구체증형선택약방。
Objective:To explore the efficacy of TCM treatment on diabetic patients with periodontitis .Methods:70 diabetic patients with periodontitis were divided into control group (n=31)and observation group(n=39).Patients in the control group were treated with step periodontitis therapy .The observation group gave patient Chinese medicine treatment according to the situation of diabetes apart from the same therapy of the control group .The efficacy of treating periodontitis ,blood sugar levels , and related biochemical indicators in the two groups were observed .Results:The fasting plasma glucose ( fpg) level in the observation and the control group were (7.48 ±1. 06 mmol/L vs 8.54 ±1.32 mmol/L), hemoglobin (HbAlc) were (7.46 ±2.14% vs9.31 ±2.73%), treatment efficiency were (94.9%vs67.7%),the full-mouth plaque index (pli) level after 2m were (1.68 ±0.32 vs2.05 ±0.51),the probing depth (ppd) levels were (2.15 ±1.30 mm vs3.15 ±1.12 mm), the periodontal attachment level measurement (pal) levels were (7.10 ±1.82 mm vs7.59 ±1.82 mm), the tooth mobility (md) levels were (0.69 ±0.72 mm vs1.65 ±0.42 mm), the calcium (ca) levels were (2.10 ±0.12 mmol/L vs2.40 ±0.22 mmol/L), the inorganic phosphorus (P) levels were ( 1.29 ±0.14 mmol/L vs1.33 ± 0.20 mmol/L), P <0.05.Conclusion:TCM treatment on diabetic patients with periodontitis has satisfactory efficiency , fewer side effects, treating both the symptoms and roots .However, the selection of prescription requires differentiation of diabetes type .