CAJ | 학술논문

目的：比较慢性阻塞性肺疾病伴慢性牙周炎患者在进行牙周干预治疗前、后，多因素分级系统BODE指数分级人数分布的变化，探讨牙周干预疗对慢性阻塞性肺疾病预后的改善作用。方法选择87名中、重度慢性阻塞性肺疾病伴牙周炎患者，分为干预组43例，对照组44例；干预组进行牙周干预治疗，对照组仅进行口腔卫生宣教；2组分别记录基线及受试1年后出血指数、牙周附着丧失及BODE指数分级情况。结果干预组牙周治疗后出血指数、牙周附着丧失与基线及对照组比差异均有统计学意义(均P<0．05)。干预组牙周干预治疗后BODE分级人数分布与治疗前及对照组比差异均有统计学意义(均P<0．05)。结论牙周干预治疗可促进患者的口腔卫生及牙周健康状况，可改善中、重度慢性阻塞性肺疾病伴牙周炎患者的预后，牙周干预治疗对慢性阻塞性肺疾病具有积极作用。
목적：비교만성조새성폐질병반만성아주염환자재진행아주간예치료전、후，다인소분급계통BODE지수분급인수분포적변화，탐토아주간예료대만성조새성폐질병예후적개선작용。방법선택87명중、중도만성조새성폐질병반아주염환자，분위간예조43례，대조조44례；간예조진행아주간예치료，대조조부진행구강위생선교；2조분별기록기선급수시1년후출혈지수、아주부착상실급BODE지수분급정황。결과간예조아주치료후출혈지수、아주부착상실여기선급대조조비차이균유통계학의의(균P<0．05)。간예조아주간예치료후BODE분급인수분포여치료전급대조조비차이균유통계학의의(균P<0．05)。결론아주간예치료가촉진환자적구강위생급아주건강상황，가개선중、중도만성조새성폐질병반아주염환자적예후，아주간예치료대만성조새성폐질병구유적겁작용。
Objective To investigate the effect of periodontal intervention on the prognosis of chronic obstructive pulmonary disease. Methods Eighty-seven patients with chronic obstructive pulmonary disease ( COPD ) and chronic periodontal disease were included in this study. Forty-three patients received periodontal intervention and 44 served as control. Bleeding index( BI ), attachment loss(AL) and BODE indexes of two groups were measured and recorded at baseline and one year after periodontal intervention respectively. Results After periodontal intervention, the BI(2. 13 ± 1. 49)and AL(3. 01 ± 0. 55) of the intervention group were significantly different from those(BI:3. 58 ± 0. 77,AL:4. 58 ± 0. 46) of the control(P<0. 05). There was also significant difference in BODE indexes between the intervention group and the control ( P <0. 05 ) . Conclusion Periodontal intervention has a positive effect on chronic obstructive pulmonary disease.