CAJ | 학술논문

目的：探讨中老年超重及肥胖患者牙周状况及其与血糖、血脂的相关性。方法超重组96例，肥胖组71例，对比两组腰围（WC）、体重指数（BMI），空腹血糖（FPG）、总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白（HDL）、低密度脂蛋白（LDL），牙周探诊深度（PD）及附着丧失（CAL）、出血指数（BI）。结果肥胖组体重、腰围、BMI 均明显大于超重组（P ＜0．05）；两组血糖、血脂、PD、CAL、BI 比较，差异均无统计学意义（P ＞0．05）。超重组确诊牙周炎31例（32．29％），肥胖组确诊牙周炎19例（26．76％），两组牙周炎检出率比较，差异无统计学意义（P ＞0．05）。 BI 与 HDL 呈负相关关系（P ＜0．05），PD 与 TC 和 LDL 呈负相关关系（P ＜0．05）；CAL 与体重、TC 呈负相关关系（P ＜0．05）；身高与 TC、HDL 呈负相关关系（P ＜0．05），BMI 与 FPG 呈正相关关系（P ＜0．05）。结论牙周炎与血脂、体重关系密切，提示血脂、体重异常可能是患慢性牙周炎的危险因素，但肥胖与牙周状况的关系还需进一步探讨。
목적：탐토중노년초중급비반환자아주상황급기여혈당、혈지적상관성。방법초중조96례，비반조71례，대비량조요위（WC）、체중지수（BMI），공복혈당（FPG）、총담고순（TC）、감유삼지（TG）、고밀도지단백（HDL）、저밀도지단백（LDL），아주탐진심도（PD）급부착상실（CAL）、출혈지수（BI）。결과비반조체중、요위、BMI 균명현대우초중조（P ＜0．05）；량조혈당、혈지、PD、CAL、BI 비교，차이균무통계학의의（P ＞0．05）。초중조학진아주염31례（32．29％），비반조학진아주염19례（26．76％），량조아주염검출솔비교，차이무통계학의의（P ＞0．05）。 BI 여 HDL 정부상관관계（P ＜0．05），PD 여 TC 화 LDL 정부상관관계（P ＜0．05）；CAL 여체중、TC 정부상관관계（P ＜0．05）；신고여 TC、HDL 정부상관관계（P ＜0．05），BMI 여 FPG 정정상관관계（P ＜0．05）。결론아주염여혈지、체중관계밀절，제시혈지、체중이상가능시환만성아주염적위험인소，단비반여아주상황적관계환수진일보탐토。
Objective To explore the periodontitis in middle-aged and aged overweight-obese people,and to determine its correlation with serum lipids,serum glucose.Methods Ninety-six cases were in the overweight group while 71 cases were in the obesity group.To compare waist circumference (WC),body mass index (BMI),fasting glucose( FPG),total cholesterol (TC),triglycerides (TG),high density lipoprotein ( HDL),low density lipoprotein (LDL),periodontal probing depth(PD),clinical attachment loss(CAL) and bleeding index(BI) between two groups. Results The body weight,height,WC and BMI of obesity group were significantly larger than those of overweight group (P <0.05).There was no significant difference in serum glucose,serum lipids,PD,CAL and BI between obesity group and overweight group(P >0.05).Thirty-one cases(32.29%) of periodontitis were confirmed in the overweight group while 19 cases(26.76%) in the obesity group,there was no significant difference in detection rate of periodontitis between two groups (P >0.05).BI positively correlated with HDL(P <0.05),PD negatively correlated with TC and LDL (P <0.05),CAL negatively correlated with body weight and TC(P <0.05),height negatively correlated with TC and HDL (P <0.05),and BMI positively correlated with FPG(P <0.05).Conclusion Periodontits closely correlates with serum lipids and body weight,which suggests that the disorders of serum lipids and body weight might be the risk factors for chronic periodontits . Further study on the relationship between periondtitis and obesity is necessary .